Autonomic nervous system Flashcards
(42 cards)
what does somatic nervous system comprise of
Motor and sensory pathways regulating voluntary motor control of skeletal muscles
ANS comprise of
Motor & sensory pathways regulating the body’s internal environment through involuntary control of organ systems (smooth muscle, cardiac muscle, and glands)
Sympathetic
Parasympathetic
located in CNS and PNS
Coordinates and maintains a steady state among the visceral internal organs
Neurons
Preganglionic:
cell body in CNS (myelinated B fibers)
Postganglionic:
cell body in autonomic ganglia (unmyelinated C fibers)
Divisions of ANS
Sympathetic
Parasympathetic
+/- Enteric
what are the locations of autonomic centers
Hypothalamus (influenced by connections to limbic system) Brain stem Medulla Pons Spinal Cord spmbsh
Function of ANS
Controls Visceral Functions(Involuntary smooth muscles,cardiac muscles and Glands funcrtions) Partial control Systemic blood pressure GI motility and secretion Urinary bladder emptying Sweating and body temperature
Sympathetic innervation
Thoracolumbar: Preganglionic neurons cell bodies located in (T1-L2/3) of spinal cord
Intermediolateral horn of grey matter
Post ganglionic neuron cell bodies are located in ganglia
Paravertebral chains (either side spinal column)
Prevertebral ganglia (i.e. celiac, superior, inferior mesenteric ganglia in abdomen)
Short preganglionic neurons, long post
Mode of action and innervation of Sympathetic Nervous system
Mobilizes energy stores in times of need
“Fight or flight response”.
Nerve fibers leave the spinal cord ventrally via white rami and travel to 22 paravertebral ganglia (the sympathetic chain ganglia)
From there they can:
Synapse with post-ganglionic neuron at
- same level OR
- Move caudad or cephalad
- synapse at another level ganglia without synapsing to collateral ganglia surrounding the abdominal aorta (celiac, superior mesenteric, inferior mesenteric)
Some ganglia have inhibitory interneurons as well
Where does the SNS outflow to
Piloerector muscle sweat gland Blood vessel Eye Heart bronchi pylorus adrenal Medulla Kidney ureter intestine illeocecal valve anal sphincter detrusor bladder Hypogastric plexus
celiac ganglion
what do the (Thoracolumbar division) comprise of
Post-ganglionic nerve cell bodies found in ganglia of paravertebral chain exit to travel to various peripheral organs
Return to spinal nerves via gray rami travel with these nerves to blood vessels, piloerector muscles and sweat glands
What does the distribution of SNS fibre depend on
Distribution of SNS fibers is based on embryonic development and NOT spinal segments
T1 SNS fibers usually ascend into the paravertebral sympathetic chain to head
T2 neck
T3-6 chest
T7-11 abdomen
T12-L2 legs
Patterns of Innervation: PSNS“Rest and Energy Restoration”
Parasympathetic innervation Pre-ganglionic neurons arise in “Cranial” (medullary CN 3,7, 9, 10) “Sacral” (spinal cord S2-4) regions Post-ganglionic neurons cell bodies located in: Target organs Discrete ganglia in the head and neck (i.e. ciliary ganglia) Long preganglionic neurons, short post
Parasympathetic Nervous System “Craniosacral division”
Functions
Functions to conserve and restore energy
“Rest or repose response”
Receives innervation from cell bodies located in:
cranial nerve nuclei (travel via III, V, VII, IX, X)
75% of PSNS fibers are in vagus (X) passing to abdominal and thoracic areas
sacral region of the spinal cord
Preganglionic neurons travel to ganglia close to the organs they innervate
Where does the Parasympathetic Nervous System Craniosacral division innervate
Vagus X = PSNS to heart, lungs, esophagus, stomach, small intestine, liver, gallbladder, pancreas, upper uterus
Cranial Nerve III – Edinger-Westphal nucleus: eye
Cranial Nerve V – Submandibular gland
Cranial Nerve VII –Superior salivatory nucleus: lacrimal, nasal, submaxillary glands
Cranial Nerve IX – Inferior salivatory nucleus: parotid gland
S2-3 (sometimes S1-4) – distal colon, rectum, bladder, lower uterus, external genitalia,anal sphincter
Parasympathetic Nervous System Craniosacral division……
Postganglionic neurons include
located in cranial ganglia, including:
Ciliary ganglion (preganglionic input is from the Edinger-Westphal nucleus)
Pterygopalatine and submandibular ganglia (input from the superior salivatory nucleus)
Otic ganglion (input from the inferior salivatory nucleus).
Other parasympathetic postganglionic neurons are located near or in the walls of visceral organs in the thoracic, abdominal, and pelvic cavities.
COmpare PSNS vs SNS
Often SNS & PSNS actions often (but not always) antagonistic
SNS = self preservation: most important function is maintenance of vasomotor tone
PSNS = rest for the organism but “excitatory” visceral functions such as digestion(Peristalsis and bladder contaction.
slide 13
For SNS
saliva drys up
heart pumps
depolarization in the sa node to increase
contractility fast and maximal force
Speed Av node conduction
Bronchioles to dilate
Epinephrine high
Liver to release glucose…Gluconeogenis and Glycogenolysis
no peristalsis
no bladder contraction for urine
anal sphincter nice tone
blood vessel to dialate so skeletal muscle get blood..
veins in leg constricted to get more preload
Slide 13
PSNS Lacrimal gland constrict saliver gland salivate more heart slow down pSNS lung constriction ....b Bronchoconstriction can happen bladder constriction sphincter relaxation
How does SNS respond to stress
SNS = amplification response with diffuse innervation
Postural changes
Exercise
Emergency massive response- fight or flight
How does PSNs respond to stress
PSNS = discrete and narrowly targeted responses
what does both system exhibit at rest
Both systems exhibit“baseline tone” at rest
Heart rate – vagal (at the Sa node)….Ach continuous ly released at the Sa nodes
predominance
Blood vessels- SNS tone
Sympathetic Preganglionic fibres release what?
Neurotransmitter = Secrete Acetylcholine Receptor = Cholinergic (nicotinic – n type)
Sympathetic postganglionic fibers
screte what?
Neurotransmitter = Secrete Norepinephrine
Receptor Type = Adrenergic
Parasympathetic pre- and postganglionic fibers
releasae what
Neurotransmitter = Secrete Acetylcholine
Receptor Type = Cholinergic (nicotinic- n-type at ganglia; muscarinic at organ)