G03 - ANS, CNS, PNS Dr. Morton G03: ANS, CNS, PNS Reading: GAFS 62-88 Objectives: •Familiarize students with the structure and organization of the nervous system Nervous System Definitions and Overview •Structural Divisions • Central nervous system (CNS)- the portion of the nervous system consisting of the brain and spinal cord. Command center that integrates and processes nervous system information. • Peripheral nervous system (PNS)- the part of the vertebrate nervous system constituting the nerves outside the central nervous system (nerves and ganglia) • Upper motor neuron (UPN)- a motor neuron whose cell body is located in the motor area of the cerebral cortex and whose processes connect with motor nuclei in the brainstem or the anterior horn of the spinal cord. • Lower motor neuron (LMN)- a motor neuron whose cell body is located in the brainstem or the spinal cord and whose axon innervates skeletal muscle fibers. Also called final motor neuron. • Functional Divisions • Sensory (afferent = back to the CNS) • General afferent (touch, temperature, pain, etc) • Visceral afferent (viscera = internal organ) • Special afferent (sight, taste, sound) • Motor (efferent= away from the CNS) • Somatic efferent- innervates skeletal muscles derived from somites (body wall) • Branchial efferent- innervates skeletal muscles derived from the pharyngeal arches • Visceral efferent (viscera = internal organ) •Functional Organization •Receive stimuli •Receptors (e.g., pain, temperature) •Transmit responses •Conductors (e.g., muscle contraction) •Process input •Brain (interpretation) 26 G03 - ANS, CNS, PNS CNS PNS Sensory General Afferent Visceral Afferent Motor Special Afferent Somatic Efferent Skeletal muscle of the body wall Touch Pain Temperature Vibration Proprioception Return information (reflexes, pain) concerning hollow organs and blood vessels Sight, Taste, Sound Branchial Efferent Visceral Efferent Skeletal muscle derived from pharyngeal arches Smooth muscle, glands, and modified cardiac muscle Sympathetic T1-L2 Parasympathetic CN 3,7,9,10 S2-S4 Organ, Tract, or System Sympathetic Parasympathetic Pupil •Dilates •Constricts Skin •Arrector pili muscle contraction •Vessels- vasoconstriction •Sweat glands- sweating •No effect Lacrimal and salivary glands •Decreases secretion •Increase secretion Heart •↑ rate and strength of contraction •Dilates coronary vessels •↓ rate and strength of contraction •Constricts coronary vessels Lung •Bronchodilation •Bronchoconstriction Digestive tract •Inhibits peristalsis •Constricts blood vessels •Stimulates peristalsis Genital system •Ejaculation •Erection Suprarenal medulla •Release of adrenaline •No effect Overview •Fight or Flight (E) •Exercise •Excitement •Emergency •Rest and Digest (D) •Digestion •Defecation •Diuresis 27 G03 - ANS, CNS, PNS CNS •Organization •Brain and spinal cord •Gray matter •Contains nerve cells •White matter •Contains nerve fibers •Meninges (membranes) •Dura mater (dur = tough, mater = mother) •Arachnoid mater (arachnoid = spider, i.e., spider web-like) •Pia mater 28 G03 - ANS, CNS, PNS CNS (continued) •Spinal Cord •Located in the vertebral column (spinal canal) •Length •Embryo: fills the column length •At birth: extends caudally to L2 - L3 •Adult: extends caudally to L1 - L2 •Why is this distinction clinically important? •Enlargements (2) •Cervical (upper limbs) •Lumbar (lower limbs) Regions of the Spinal Cord and Verterbral Column Region Number of Spinal Nerves Number of Vertebrae Cervical 8 7 Thoracic 12 12 Lumbar 5 5 Sacral 5 5 Coccygeal 1 4 29 G03 - ANS, CNS, PNS CNS (continued) •Spinal cord components •Dentate (denticulate) ligaments •Conus medullaris •Cauda equina •Filum terminale PNS •Organization •Ganglia (cell bodies) •Sensory •Dorsal root ganglia •Cranial nerve ganglia •Nerves (fibers) •Sensory and motor •Peripheral nerves (31 pairs) 30 G03 - ANS, CNS, PNS PNS (continued) •Typical Spinal Nerve and Its Peripheral Distribution •Components •Dorsal roots (sensory) •Cell bodies located in the dorsal root ganglia •Ventral roots (motor) •Cell bodies located in the CNS •Formed by fusion of segmental ventral and dorsal roots (2-4 mm long) •Exit intervertebral foramen •Divide into dorsal and ventral primary rami •Plexuses •Cervical (neck) •Brachial (upper limb) •Lumbar (distal thoracic region, abdomen, pelvis and lower limb) •Sacral (pelvis and lower limb) 31 G03 - ANS, CNS, PNS Pathways • Somatic afferent (sensory) • Sensory fibers carry sensor (afferent information from the tissues of the limbs and back through the ventral and dorsal rami respectively, to the dorsal root to the spinal cord (Note: the collection of sensory cell bodies in the dorsal root forming the dorsal root ganglion (DRG)) • Somatic efferent (motor) • Motor neurons carry somatic motor information from the spinal cord to the skeletal muscles of the limbs and back 32 G03 - ANS, CNS, PNS Sympathetic system • “Thoracolumbar” nervous system • T1 to L2 • Function: fight, fright, flight 33 G03 - ANS, CNS, PNS • Visceral efferents (sympathetic) • Preganglionic fibers from spinal levels T1-L2 course out the ventral root and exit the spinal nerve through a white rami communicantes to synapse in the paravertebral ganglion • Postganglionic sympathetic neurons exit through a gray rami communicantes to course to the blood vessels, erector pili muscles and sweat glands of the upper and lower limbs • Visceral efferents (sympathetics) • Preganglionic fibers from spinal levels T1-L2 course out the ventral root and exit the spinal nerve through a white rami communicantes to synapse in a higher or lower paravertebral ganglion • Postganglionic sympathetic neurons exit through a gray rami communicantes to course to the blood vessels, erector pili muscles and sweat glands of the upper and lower limbs 34 G03 - ANS, CNS, PNS • Visceral efferents (sympathetics) • Preganglionic fibers course through a splanchnic nerve to synapse in a pre-vertebral ganglion (i.e. celiac ganglion) • Postganglionic fibers go to intestines, kidneys, liver, pancreas, etc. 35 G03 - ANS, CNS, PNS • Visceral efferents (sympathetics) • Preganglionic fibers from spinal levels T1-T4 course up the sympathetic trunk to synapse in a more superior sympathetic ganglion (i.e. superior cervical ganglion) • Postganglionic fibers go from superior sympathetic ganglion go to heart, lung, eye, lacrimal gland, salivary glands, cranial vessels • Visceral efferents (sympathetics) • Preganglionic fibers from spinal levels T12-L2 course down the sympathetic trunk to synapse in a more inferior sympathetic ganglion (inferior mesenteric) • Postganglionic fibers go to colon, rectum, and genitalia 36 G03 - ANS, CNS, PNS • Visceral afferents (on sympathetic fibers) • Return information from internal organs and smooth muscle of large blood vessel walls in the limbs 37 G03 - ANS, CNS, PNS Parasympathetic system • “Cranio-caudal” nervous system • Cranial nerves 3, 7, 9, 10; S2-S4 • Function: homeostasis 38 G03 - ANS, CNS, PNS Comparison of Pre- versus Postganglionic Neurons of the ANS Sympathetic Parasympathetic Short preganglionic fibers Long preganglionic fibers Long postganglionic fibers Short postganglionic fibers Ganglia located relatively far from their target organ Ganglia located on or near their target organ Sympathetic Parasympathetic Preganglionic cell bodies: T1 to L2 Preganglionic cell bodies: brainstem and S2-S4 Postganglionic cell bodies: chain or collateral ganglia Postganglionic cell bodies: cranial or enteric ganglia Ganglia run entire length of spinal cord Ganglia are at one end or the other of spinal cord 39