Nerve accessory Source Branches cranial root: no named medulla branches nucleus ambiguus; spinal root: spinal nucleus of the upper cervical spinal cord cluneal, inferior posterior femoral cutaneous n. lateral cutaneous branches of the dorsal primary rami of spinal nerves S1-3 lateral cutaneous branches of the dorsal primary rami of spinal nerves L1-3 ventral primary rami of spinal nerves S4, S5, C1 first branch off of the dorsal side of the spinal nerve cluneal, middle cluneal, superior coccygeal plexus dorsal primary ramus Nerves of the Back Region Motor Sensory GSE: none sternocleidomastoid and trapezius mm. Notes also known as: CN XI, 11th cranial nerve; spinal root enters cranial cavity by passing through the foramen magnum; exits skull by passing through the jugular foramen; accessory n. is motor only; the subtrapezial plexus of nerves receives proprioceptive fibers: for the sternocleidomastoid m. from the ventral primary rami of spinal nn. C2 and C3 - for trapezius via ventral primary rami of C3 and C4 "clunis" is a Latin word meaning buttock no named branches none skin of the lower part of the buttock no named branches none skin of the intermediate medial portion of the buttock "clunis" is a Latin word meaning buttock no named branches none skin of the superomedial portion of the buttock "clunis" is a Latin word meaning buttock anococcygeal n. none skin of the region overlying the coccyx only part of the S4 ventral primary ramus is contributed to the coccygeal plexus numerous to the deep back mm.; sympathetic innervation to the skin general sense (touch, pressure, pain, heat, cold, etc.) to the skin of the back a mixed nerve containing both motor and sensory fibers 1 dorsal root dorsal root ganglion dorsal scapular n. from the none dorsal horn of the spinal cord to the spinal nerve dorsal dorsal rootlets rootlets brachial plexus (br. of C5 ventral primary ramus) intercostal ventral n. primary rami of spinal nerves T1T11 occipital, dorsal greater primary ramus of spinal nerve C2 (medial br.) occipital, ventral lesser primary ramus of spinal nerve C2 occipitalis dorsal tertius primary ramus of spinal nerve C3 (medial br.) ramus, first branch dorsal off of the primary dorsal side of the spinal nerve ramus, first branch ventral off of the primary ventral side none general sense (touch, pressure, pain, heat, cold, etc.) dorsal root is entirely sensory in function; it is located dorsal to the denticulate ligament none one dermatome no named branches rhomboideus major and minor mm.; levator scapulae m. none a sensory ganglion; located in the intervertebral foramen of the vertebral column on the dorsal root - one per spinal nerve; location of the cell bodies of somatic afferent (sensory) neurons dorsal scapular n. passes through the scalenus medius m. lateral & anterior cutaneous brs. intercostal muscles; abdominal wall muscles (via T7T11); muscles of the forearm and hand (via T1) posterior neck muscles skin of the chest and abdomen anterolaterally; skin of the medial side of the upper limb (via T1-T2) skin of the posterior surface of the scalp intercostal n.travels below the posterior intercostal a. in the costal groove no named branches none skin behind the ear lesser occipital n. arises from the cervical plexus no named branches posterior neck muscles skin of the posterior surface of the neck muscles innervated by this nerve develop from epimeres in the embryo numerous to the deep back mm.; sympathetic innervation to the skin a mixed nerve containing both motor and sensory fibers numerous to skeletal mm. of the neck, trunk and extremities; general sense (touch, pressure, pain, heat, cold, etc.) to the skin of the back general sense (touch, pressure, pain, heat, cold, no named branches muscles innervated by this nerve develop from epimeres in the embryo a mixed nerve containing both motor and sensory fibers 2 root, dorsal root, ventral spinal n. ventral primary ramus of the spinal nerve sympathetic innervation to the skin etc.) to the skin of the trunk (except the back) and extremities; visceral pain via the white rami of the sympathetic nervous system (T1-L2) general sense (touch, pressure, pain, heat, cold, etc.) from the none dorsal horn of the spinal cord to the spinal nerve from the none ventral horn of the spinal cord to the spinal nerve none to skeletal mm.; preganglionic sympathetic (T1-L2) none formed at the point where the dorsal and ventral rootlets meet; it ends where the dorsal and ventral primary rami diverge first branch off of the ventral side of the spinal nerve dorsal primary ramus; ventral primary ramus to skeletal mm.; some levels carry preganglionic sympathetic axons (T1-L2) numerous to skeletal mm. of the neck, trunk and extremities; sympathetic innervation to the skin general sense (touch, pressure, pain, heat, cold, etc.) from the entire surface of the neck, trunk and extremities; visceral pain (via the white ramus communicans and the sympathetic nervous system) general sense (touch, pressure, pain, heat, cold, etc.) to the skin of the trunk (except the back) and extremities; visceral pain via the white rami of the sympathetic dorsal root is entirely sensory in function; it is located dorsal to the denticulate ligament entirely motor in function; located ventral to the denticulate ligament; at all spinal core levels it contains GSE for skeletal mm.; at levels T1L2 it contains GVE (preganglionic sympathetic) for blood vessels, sweat glands, thoracic viscera, abdominal viscera, pelvic viscera located at the intervertebral foramen; there are 31 pairs of spinal nerves - 8 cervical, 12 thoracic, 5 lumbar, 5 sacral, 1 coccygeal a mixed nerve containing both motor and sensory fibers 3 ventral root from the none ventral horn of the spinal cord to the spinal nerve to skeletal mm.; preganglionic sympathetic (T1-L2) nervous system (T1-L2) none entirely motor in function; located ventral to the denticulate ligament; at all spinal core levels it contains GSE for skeletal mm.; at levels T1L2 it contains GVE (preganglionic sympathetic) for blood vessels, sweat glands, thoracic viscera, abdominal viscera, pelvic viscera 4