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Transcript
14
The Nervous System:
The Spinal Cord and
Spinal Nerves
PowerPoint® Lecture Presentations prepared by
Steven Bassett
Southeast Community College
Lincoln, Nebraska
© 2012 Pearson Education, Inc.
Introduction
• The Central Nervous System (CNS)
consists of:
• The spinal cord
• Integrates and processes information
• Can function with the brain
• Can function independently of the brain
• The brain
• Integrates and processes information
• Can function with the spinal cord
• Can function independently of the spinal cord
© 2012 Pearson Education, Inc.
Gross Anatomy of the Spinal Cord
• Features of the Spinal Cord
•
•
•
•
45 cm in length
Passes through the foramen magnum
Extends from the brain to L1
Consists of:
•
•
•
•
•
Cervical region
Thoracic region
Lumbar region
Sacral region
Coccygeal region
© 2012 Pearson Education, Inc.
Gross Anatomy of the Spinal Cord
• Features of the Spinal Cord
• Consists of (continued):
•
•
•
•
•
Cervical enlargement
Lumbosacral enlargement
Conus medullaris
Cauda equina
Filum terminale: becomes a component of the
coccygeal ligament
• Posterior and anterior median sulci
© 2012 Pearson Education, Inc.
Figure 14.1a Gross Anatomy of the Spinal Cord
Cervical spinal
nerves
C1
C2
C3
C4
C5
C6
C7
C8
Cervical
enlargement
T1
T2
T3
T4
T5
T6
T7
Thoracic
spinal
nerves
T8
T9
Posterior
median sulcus
T10
T11
Lumbosacral
enlargement
T12
L1
Conus
medullaris
L2
Lumbar
spinal
nerves
L3
L4
Inferior
tip of
spinal cord
Cauda equina
L5
Sacral spinal
nerves
S1
S2
S3
S4
S5
Coccygeal
nerve (Co1)
Filum terminale
(in coccygeal ligament)
Superficial anatomy and orientation of the adult spinal cord. The
numbers to the left identify the spinal nerves and indicate where
the nerve roots leave the vertebral canal. The spinal cord, however,
extends from the brain only to the level of vertebrae L1–L2.
© 2012 Pearson Education, Inc.
Gross Anatomy of the Spinal Cord
• Features of the Spinal Cord
• Transverse view
•
•
•
•
White matter
Gray matter
Central canal
Dorsal root and ventral root: merge to form a spinal
nerve
• Dorsal root is sensory: axons extend from the
soma within the dorsal root ganglion
• Ventral root is motor
© 2012 Pearson Education, Inc.
Figure 14.1d Gross Anatomy of the Spinal Cord
Posterior median sulcus
Dorsal root
Dorsal root
ganglion
White matter
Central
canal
Spinal
nerve
Gray
matter
Ventral
root
Anterior median fissure
C3
T3
L1
S2
Inferior views of cross sections
through representative
segments of the spinal cord
showing the arrangement of
gray and white matter
© 2012 Pearson Education, Inc.
Gross Anatomy of the Spinal Cord
• Features of the Spinal Nerves
• Consist of:
• Sensory nerves (afferent nerves): transmit
impulses toward the spinal cord
• Motor nerves (efferent nerves): transmit impulses
away from the spinal cord
© 2012 Pearson Education, Inc.
Figure 14.1d Gross Anatomy of the Spinal Cord
Posterior median sulcus
Dorsal root
Dorsal root
ganglion
White matter
Central
canal
Spinal
nerve
Gray
matter
Ventral
root
Anterior median fissure
C3
T3
L1
S2
Inferior views of cross sections
through representative
segments of the spinal cord
showing the arrangement of
gray and white matter
© 2012 Pearson Education, Inc.
Spinal Meninges
• Features of spinal meninges:
• Specialized membranes that provide protection,
physical stability, and shock absorption
• Continuous with the cranial (cerebral) meninges
• Denticulate ligaments help anchor the spinal
cord in position
• Made of three layers
• Dura mater: tough, fibrous outermost layer
• Arachnoid mater: middle layer
• Pia mater: innermost layer
© 2012 Pearson Education, Inc.
Figure 14.2c The Spinal Cord and Spinal Meninges
Gray matter
White matter
Ventral root
Spinal nerve
Dorsal root
Pia mater
Dorsal root
ganglion
Arachnoid mater
Dura mater
Posterior view of the spinal cord showing the
meningeal layers, superficial landmarks, and
distribution of gray and white matter
© 2012 Pearson Education, Inc.
Figure 14.2a The Spinal Cord and Spinal Meninges
Spinal cord
Anterior median
fissure
Pia mater
Denticulate
ligaments
Arachnoid mater
(reflected)
Dura mater
(reflected)
Spinal blood
vessel
Dorsal root of
sixth cervical
nerve
Ventral root of
sixth cervical
nerve
© 2012 Pearson Education, Inc.
Anterior view of spinal cord showing meninges and spinal nerves. For this
view, the dura and arachnoid membranes have been cut longitudinally and
retracted (pulled aside); notice the blood vessels that run in the
subarachnoid space, bound to the outer surface of the delicate pia mater.
Sectional Anatomy of the Spinal Cord
• Gray matter
• Central canal
• Consists of somas (cell bodies) surrounding
the central canal
• White matter
• Consists of axons
• Nerves are organized into tracts or columns
• Located outside the gray matter area
© 2012 Pearson Education, Inc.
Sectional Anatomy of the Spinal Cord
• Organization of Gray Matter
• Somas are organized into groups called nuclei
• Sensory nuclei
• Motor nuclei
• Transverse view shows:
•
•
•
•
Posterior gray horns
Lateral gray horns
Anterior gray horns
Gray commissure
© 2012 Pearson Education, Inc.
Sectional Anatomy of the Spinal Cord
• Organization of gray matter
• Posterior gray horns: somatic sensory and
visceral nuclei
• Lateral gray horns: visceral motor nuclei
• Anterior gray horns: somatic motor nuclei
• Gray commissure
• Consists of axons crossing from one side to the
other
© 2012 Pearson Education, Inc.
Figure 14.4b Sectional Organization of the Spinal Cord
Posterior median sulcus
From dorsal root
Posterior
gray horn
Posterior gray
commissure
Somatic
Visceral
Lateral
gray horn
Visceral
Anterior
gray horn
Somatic
Anterior gray
commissure
Sensory
nuclei
Motor
nuclei
To ventral
root
Anterior median
fissure
The left half of this sectional view shows important anatomical landmarks; the right half indicates
the functional organization of the gray matter in the anterior, lateral, and posterior gray horns.
© 2012 Pearson Education, Inc.
Sectional Anatomy of the Spinal Cord
• Organization of white matter
• Consists of columns of nerves (fascicles)
• Columns convey either:
• Sensory tracts (ascending tracts)
• Motor tracts (descending tracts)
© 2012 Pearson Education, Inc.
Figure 14.4c Sectional Organization of the Spinal Cord
Leg
Posterior white
column (funiculus)
Hip
Trunk
Arm
Lateral
white
column
(funiculus)
Flexors
Extensors
Hand
Forearm
Arm
Shoulder
Trunk
Anterior white
column (funiculus)
Anterior white
commissure
The left half of this sectional view shows the major columns of white matter. The right half
indicates the anatomical organization of sensory tracts in the posterior white column for
comparison with the organization of motor nuclei in the anterior gray horn. Note that both
sensory and motor components of the spinal cord have a definite regional organization.
© 2012 Pearson Education, Inc.
Spinal Nerves
• There are 31 pairs of spinal nerves
•
•
•
•
•
8 cervical nerves
12 thoracic nerves
5 lumbar nerves
5 sacral nerves
1 coccygeal nerve
© 2012 Pearson Education, Inc.
Figure 14.1a Gross Anatomy of the Spinal Cord
Cervical spinal
nerves
C1
C2
C3
C4
C5
C6
C7
C8
Cervical
enlargement
T1
T2
T3
T4
T5
T6
T7
Thoracic
spinal
nerves
T8
T9
Posterior
median sulcus
T10
T11
Lumbosacral
enlargement
T12
L1
Conus
medullaris
L2
Lumbar
spinal
nerves
L3
L4
Inferior
tip of
spinal cord
Cauda equina
L5
Sacral spinal
nerves
S1
S2
S3
S4
S5
Coccygeal
nerve (Co1)
Filum terminale
(in coccygeal ligament)
Superficial anatomy and orientation of the adult spinal cord. The
numbers to the left identify the spinal nerves and indicate where
the nerve roots leave the vertebral canal. The spinal cord, however,
extends from the brain only to the level of vertebrae L1–L2.
© 2012 Pearson Education, Inc.
Spinal Nerves
• Spinal nerves
• Each peripheral nerve consists of:
• Epineurium: outer layer – becomes continuous
with the dura mater
• Perineurium: layer surrounding a fascicle – a
fascicle is a bundle of axons
• Endoneurium: layer surrounding a single axon
© 2012 Pearson Education, Inc.
Figure 14.5a Anatomy of a Peripheral Nerve
Blood vessels
Connective Tissue
Layers
Epineurium covering
peripheral nerve
Perineurium (around
one fascicle)
Endoneurium
Schwann cell
Myelinated
axon
A typical peripheral
nerve and its connective
tissue wrappings
© 2012 Pearson Education, Inc.
Fascicle
Spinal Nerves
• Peripheral Distribution of Spinal Nerves
• Four branches of the spinal nerves:
• White ramus
• Gray ramus
• White and gray ramus are collectively called rami
communicantes
• Dorsal ramus
• Ventral ramus
© 2012 Pearson Education, Inc.
Spinal Nerves
• Branches of the spinal nerves (details)
• Rami communicantes (white and gray
ramus)
• Innervates smooth muscles, glands, and organs
• Motor impulses leave the spinal cord through the
ventral root to the spinal nerves
• Dorsal ramus
• Innervates skeletal muscles of the neck and back
• Ventral ramus
• Innervates skeletal muscles of the limbs
© 2012 Pearson Education, Inc.
Figure 14.6a Peripheral Distribution of Spinal Nerves
Motor Commands
Postganglionic fibers
to smooth muscles,
glands, etc., of back
To skeletal
muscles of back
Dorsal
Dorsal root ganglion root
Visceral Somatic
motor motor
Dorsal ramus
Ventral ramus
To skeletal
muscles of body
wall, limbs
Ventral
root
Postganglionic fibers to
smooth muscles, glands,
etc., of body wall, limbs
Spinal nerve
Sympathetic ganglion
Gray ramus
(postganglionic)
Rami
communicantes
White ramus
(preganglionic)
Sympathetic nerve
Postganglionic fibers
to smooth muscles,
glands, visceral organs
in thoracic cavity
KEY
Somatic motor
commands
Visceral motor
commands
Preganglionic fibers to
sympathetic ganglia
innervating abdominopelvic viscera
The distribution of motor neurons in the spinal cord and motor fibers within the spinal
nerve and its branches. Although the gray ramus is typically proximal to the white ramus,
this simplified diagrammatic view makes it easier to follow the relationships between
preganglionic and postganglionic fibers.
© 2012 Pearson Education, Inc.
Spinal Nerves
• Sensory impulses associated with the
spinal nerves
• Sensory impulses travel in the spinal nerve
through the dorsal root to the spinal cord
© 2012 Pearson Education, Inc.
Figure 14.6b Peripheral Distribution of Spinal Nerves
Sensory Information
From interoceptors
of back
From exteroceptors,
proprioceptors of back
Dorsal
root
Somatic Visceral
sensory sensory
Dorsal ramus
Ventral ramus
From exteroceptors,
proprioceptors of
body wall, limbs
Dorsal
root
ganglion
From interoceptors
of body wall, limbs
Rami
communicantes
KEY
Ventral
root
Somatic
sensations
Visceral
sensations
From interoceptors
of visceral organs
A comparable view detailing the distribution of sensory neurons and sensory fibers
© 2012 Pearson Education, Inc.
Spinal Nerves
• Dermatomes
• Each pair of spinal nerves monitors specific
surface areas
• These are clinically important areas regarding
surgery
© 2012 Pearson Education, Inc.
Figure 14.7 Dermatomes
C2–C3
NV
C2–C3
C2
C3
T2
C6
L1
L2
C8
C7
T1
L3
L4
L5
C3
C4
C5
T1
T2
T3
T4
T5
T6
T7
T8
T9
T 10
T 11
T 12
T2
T3
T4
T5
T6
T7
T8
T9
T 10
T 11
T 12
L1
L2
L4 L3
L5
C4
C5
T2
C6
T1
C7
SS
S2
4 3
L1
S5
C8
S1 L5
L2 S2
L3
S1
L4
ANTERIOR
© 2012 Pearson Education, Inc.
POSTERIOR
Nerve Plexuses
• There are four nerve plexuses
•
•
•
•
Cervical plexus
Brachial plexus
Lumbar plexus
Sacral plexus
• Sometimes the lumbar and sacral are combined to
form the lumbosacral plexus
© 2012 Pearson Education, Inc.
Figure 14.8 Peripheral Nerves and Nerve Plexuses
Cervical
plexus
Brachial
plexus
C1
C2
C3
C4
C5
C6
C7
C8
T1
T2
T3
T4
T5
T6
T7
T8
Lesser occipital nerve
Great auricular nerve
Transverse cervical nerve
Supraclavicular nerve
Phrenic nerve
Axillary nerve
Musculocutaneous
nerve
T9
Thoracic nerves
T10
T11
T12
Radial nerve
L1
Lumbar
plexus
L2
Ulnar nerve
L3
Sacral
plexus
L4
L5
S1
S2
S3
S4
S5
Co1
Median nerve
Iliohypogastric
nerve
Ilioinguinal
nerve
Genitofemoral
nerve
Femoral nerve
Obturator nerve
Superior
Inferior
Gluteal
nerves
Pudendal nerve
Sciatic nerve
Lateral femoral cutaneous nerve
Saphenous nerve
Common fibular nerve
Tibial nerve
Medial sural cutaneous nerve
© 2012 Pearson Education, Inc.
Nerve Plexuses
• The Cervical Plexus (C1–C5)
• Consists of cutaneous and muscular
branches
• Cutaneous branch innervates:
• Head
• Neck
• Chest
© 2012 Pearson Education, Inc.
Nerve Plexus
• The Cervical Plexus
• Consists of cutaneous and muscular
branches
• Muscular branch innervates:
•
•
•
•
•
•
•
Omohyoid, sternohyoid, geniohyoid, thyrohyoid
Sternothyroid
Scalenes
Sternocleidomastoid
Levator scapulae
Trapezius
Diaphragm (controlled by the phrenic nerve of the
cervical plexus)
© 2012 Pearson Education, Inc.
Figure 14.9 The Cervical Plexus
Accessory
nerve (N XI)
Cranial
Hypoglossal
nerves
nerve (N XII)
Great auricular nerve
Lesser occipital
nerve
C1
C2
Nerve roots of
cervical plexus
C3
C4
C5
Supraclavicular
nerves
Clavicle
Geniohyoid muscle
Transverse
cervical nerve
Thyrohyoid muscle
Ansa cervicalis
Omohyoid muscle
Phrenic nerve
Sternohyoid muscle
Sternothyroid muscle
© 2012 Pearson Education, Inc.
Nerve Plexus
• The Brachial Plexus (C4–T1)
• The immediate nerves emerging from C5 to T1
are the:
• Superior trunk
• Middle trunk
• Inferior trunk
• These trunks all merge to form the lateral cord
© 2012 Pearson Education, Inc.
Figure 14.10b The Brachial Plexus
Dorsal scapular nerve
Suprascapular nerve
C4
C5
C6
C7
C8
Superior trunk
Middle trunk
BRACHIAL
PLEXUS Inferior trunk
T1
Musculocutaneous
nerve
Median nerve
Ulnar nerve
Radial
nerve
Lateral antebrachial
cutaneous nerve
Deep radial nerve
Superficial branch
of radial nerve
Ulnar nerve
Median nerve
Anterior interosseous nerve
Radial nerve
Deep branch of ulnar nerve
Superficial branch of ulnar nerve
Ulnar nerve
Palmar digital nerves
Median nerve
Anterior view of the brachial plexus and upper limb
showing the peripheral distribution of major nerves
© 2012 Pearson Education, Inc.
Anterior
Distribution of
cutaneous nerves
Nerve Plexus
• The cords of the brachial plexus
• Lateral cord: merging of the trunks
• Medial cord: an extension of the inferior trunk
• Posterior cord: an extension of the middle
trunk
© 2012 Pearson Education, Inc.
Figure 14.10a The Brachial Plexus
KEY
Dorsal scapular
nerve
Roots (ventral rami)
Nerve to
subclavius muscle
Trunks
C5
Divisions
SUPERIOR TRUNK
Cords
C6
Peripheral nerves
Suprascapular nerve
MIDDLE
TRUNK
Lateral cord
C7
BRACHIAL
PLEXUS
Posterior cord
C8
Lateral pectoral nerve
Medial pectoral nerve
Subscapular nerves
T1
Axillary nerve
Medial cord
First
rib
Musculocutaneous
nerve
Medial antebrachial
cutaneous nerve
Median nerve
INFERIOR
TRUNK
Long thoracic
nerve
Thoracodorsal
nerve
Ulnar nerve
Posterior brachial
cutaneous nerve
© 2012 Pearson Education, Inc.
Radial nerve
The trunks and cords of the brachial
plexus
Nerve Plexus
• The cords of the brachial plexus (details)
• Lateral cord: extends to form the
musculocutaneous nerve
• The lateral cord and medial cord extend to
form the median nerve
• Medial cord extends to form the ulnar nerve
• Posterior cord: branches to form the radial
nerve and axillary nerve
© 2012 Pearson Education, Inc.
Figure 14.10a The Brachial Plexus
KEY
Dorsal scapular
nerve
Roots (ventral rami)
Nerve to
subclavius muscle
Trunks
C5
Divisions
SUPERIOR TRUNK
Cords
C6
Peripheral nerves
Suprascapular nerve
MIDDLE
TRUNK
Lateral cord
C7
BRACHIAL
PLEXUS
Posterior cord
C8
Lateral pectoral nerve
Medial pectoral nerve
Subscapular nerves
T1
Axillary nerve
Medial cord
First
rib
Musculocutaneous
nerve
Medial antebrachial
cutaneous nerve
Median nerve
INFERIOR
TRUNK
Long thoracic
nerve
Thoracodorsal
nerve
Ulnar nerve
Posterior brachial
cutaneous nerve
© 2012 Pearson Education, Inc.
Radial nerve
The trunks and cords of the brachial
plexus
Figure 14.10b The Brachial Plexus
Dorsal scapular nerve
Suprascapular nerve
C4
C5
C6
C7
C8
Superior trunk
Middle trunk
BRACHIAL
PLEXUS Inferior trunk
T1
Musculocutaneous
nerve
Median nerve
Ulnar nerve
Radial
nerve
Lateral antebrachial
cutaneous nerve
Deep radial nerve
Superficial branch
of radial nerve
Ulnar nerve
Median nerve
Anterior interosseous nerve
Radial nerve
Deep branch of ulnar nerve
Superficial branch of ulnar nerve
Ulnar nerve
Palmar digital nerves
Median nerve
Anterior view of the brachial plexus and upper limb
showing the peripheral distribution of major nerves
© 2012 Pearson Education, Inc.
Anterior
Distribution of
cutaneous nerves
Figure 14.10c The Brachial Plexus
Musculocutaneous
nerve
Axillary nerve
Branches of
axillary nerve
Radial nerve
Ulnar nerve
Median nerve
Posterior antebrachial
cutaneous nerve
Deep branch of
radial nerve
Superficial branch
of radial nerve
Radial
nerve
Dorsal digital nerves
Ulnar
nerve
Median
nerve
Posterior
Distribution of
cutaneous nerves
© 2012 Pearson Education, Inc.
Posterior view of the brachial plexus and
the innervation of the upper limb
Figure 14.11 The Cervical and Brachial Plexuses
Clavicle, cut
and removed
Deltoid muscle
Musculocutaneous
nerve
Right axillary artery
over axillary nerve
Median nerve
Radial nerve
Biceps brachii,
long and short heads
Cervical
plexus
Right common
carotid artery
Brachial plexus
(C5–T1)
Sternocleidomastoid muscle,
sternal head
Sternocleidomastoid muscle,
clavicular head
Right subclavian
artery
Ulnar nerve
Coracobrachialis
muscle
Skin
Right brachial
artery
Median
nerve
© 2012 Pearson Education, Inc.
Retractor holding
pectoralis major
muscle (cut and
reflected)
Table 14.2 The Brachial Plexus
© 2012 Pearson Education, Inc.
Nerve Plexus
• The Lumbar and Sacral Plexuses (T12–S4)
• Also called the lumbosacral plexus
• Lumbar plexus nerves
• Genitofemoral nerve
• Lateral femoral cutaneous nerve
• Femoral nerve
• Sacral plexus nerves
• Sciatic nerve (branches to form the common
fibular nerve and the tibial nerve)
• Pudendal nerve
© 2012 Pearson Education, Inc.
Figure 14.12a The Lumbar and Sacral Plexuses, Part I
T12
T12 subcostal nerve
L1
Iliohypogastric nerve
L2
LUMBAR
PLEXUS
Ilioinguinal nerve
L3
Genitofemoral nerve
Lateral femoral
cutaneous nerve
Branches of
Femoral branch
genitofemoral
nerve Genital branch
Femoral nerve
Obturator nerve
L4
L5
Lumbosacral
trunk
The lumbar plexus, anterior view
© 2012 Pearson Education, Inc.
Figure 14.12b The Lumbar and Sacral Plexuses, Part I
L5
Lumbosacral trunk
S1
Superior gluteal nerve
Inferior gluteal nerve
S2
SACRAL
PLEXUS
S3
S4
Sciatic nerve
Posterior femoral
cutaneous nerve
Pudendal nerve
S5
Co1
The sacral plexus, anterior view
© 2012 Pearson Education, Inc.
Figure 14.12c The Lumbar and Sacral Plexuses, Part I
Subcostal nerve
Iliohypogastric nerve
Ilioinguinal nerve
Genitofemoral nerve
Lateral femoral
cutaneous nerve
Femoral nerve
Superior gluteal nerve
Inferior gluteal nerve
Pudendal nerve
Posterior femoral
cutaneous nerve (cut)
Obturator nerve
Sciatic nerve
Saphenous
nerve
Saphenous nerve
Sural
nerve
Fibular
nerve
Common fibular
nerve
Tibial
nerve
Superficial fibular
nerve
Deep fibular
nerve
Sural
nerve
Saphenous
nerve
The lumbar and sacral
plexuses, anterior view
© 2012 Pearson Education, Inc.
Tibial
nerve
Saphenous
nerve
Sural
nerve
Fibular
nerve
Table 14.3 The Lumbar and Sacral Plexuses
© 2012 Pearson Education, Inc.
Figure 14.12d The Lumbar and Sacral Plexuses, Part I
Superior gluteal nerve
Inferior gluteal nerve
Pudendal
nerve
Posterior femoral
cutaneous nerve
Sciatic nerve
Saphenous
nerve
Sural
nerve
Fibular
nerve
Tibial nerve
Common fibular
nerve
Medial sural
cutaneous nerve
Lateral sural
cutaneous nerve
Tibial
nerve
Sural
nerve
Saphenous
nerve
Sural nerve
Saphenous
nerve
Tibial
nerve
© 2012 Pearson Education, Inc.
Sural
nerve
Fibular
nerve
Medial plantar
nerve
Lateral plantar
nerve
The sacral plexus,
posterior view
Figure 14.13c The Lumbar and Sacral Plexuses, Part II (Part 1 of 2)
Gluteus maximus
(cut)
Inferior gluteal
nerve
Pudendal nerve
Perineal branch
Hemorrhoidal
branch
Gluteus medius
(cut)
Gluteus minimus
Superior gluteal
nerve
Piriformis
Posterior femoral
cutaneous nerve
Perineal branches
Sciatic
nerve
Descending
cutaneous
branch
Semitendinosus
A diagrammatic posterior view of the
right hip and lower limb detailing the
distribution of peripheral nerves
© 2012 Pearson Education, Inc.
Biceps femoris
(cut)
Figure 14.13c The Lumbar and Sacral Plexuses, Part II (Part 2 of 2)
Tibial nerve
Popliteal artery
and vein
Medial sural
cutaneous
nerve
Common fibular
nerve
Lateral sural
cutaneous
nerve
Gastrocnemius
Small saphenous
vein
Sural nerve
Calcaneal tendon
Tibial nerve
(medial calcaneal
branch)
A diagrammatic posterior view of the
right hip and lower limb detailing the
distribution of peripheral nerves
© 2012 Pearson Education, Inc.
Figure 14.13a The Lumbar and Sacral Plexuses, Part II
Gluteus maximus
Superior gluteal nerve
Inferior gluteal nerve
Gluteus medius
Gluteus minimus
Internal
pudendal
artery
Pudendal
nerve
Nerve to
gemellus
and
obturator
internus
A dissection of the right gluteal region
© 2012 Pearson Education, Inc.
Tibial branch
Common fibular Components of
sciatic nerve
branch
Greater trochanter of femur
Posterior femoral
cutaneous nerve
Gluteus
maximus
Figure 14.13b The Lumbar and Sacral Plexuses, Part II
Biceps femoris
Sartorius
Gracilis
Semimembranosus
Popliteal artery
Semitendinosus
Nerve to
medial head
of gastrocnemius
Gastrocnemius,
medial head
Medial sural
cutaneous nerve
A dissection of the popliteal fossa
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Tibial nerve
Lateral sural
cutaneous nerve
Common fibular
nerve
Plantaris
Nerve to lateral head
of gastrocnemius
Gastrocnemius,
lateral head
Nerve Plexus
• Summary of the spinal nerves
•
•
•
•
•
Cervical spinal nerves emerge from C1–C8
Thoracic spinal nerves emerge from T1–T12
Lumbar spinal nerves emerge from L1–L5
Sacral spinal nerves emerge from S1–S5
Coccygeal spinal nerves emerge from Co1
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Nerve Plexus
• Summary of the nerve plexuses
•
•
•
•
•
•
Cervical plexus nerves emerge from C1–C5
Brachial plexus nerves emerge from C5–T1
There is not a thoracic plexus
Lumbar plexus nerves emerge from T12–L4
Sacral plexus nerves emerge from L4–S4
There is not a coccygeal plexus
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Figure 14.3 Posterior View of Vertebral Column and Spinal Nerves
Occipital bone
Spinal cord
emerging from
foramen magnum
Cervical
plexus
(C1–C5)
Cervical
spinal
nerves
(C1–C8 )
Brachial
plexus
(C5–T1)
Thoracic
spinal
nerves
(T1–T12)
Lumbar
spinal
nerves
(L1–L5)
Sacral
plexus
(L4–S4)
Coccygeal nerves (Co1)
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Lumbar
plexus
(T12–L4)
Sciatic
nerve
Sacral spinal
nerves (S1–S5)
emerging from
sacral foramina
Reflexes
• Reflex
• An immediate involuntary response
• Reflex arc
• The neural “wiring” of a single reflex
• Begins at a sensory receptor and ends at a
peripheral receptor
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Reflexes
• Reflexes are classified according to:
• Their development
• Innate or acquired
• The site where information is processed
• Spinal or cranial (cerebral)
• The nature of the resulting motor response
• Somatic, visceral, or autonomic
• The complexity of the neural circuit
• Monosynaptic or polysynaptic
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Reflexes
• Pathway of a reflex arc
•
•
•
•
•
1. Activation of a sensory receptor
2. Relay of information to the CNS
3. Information processing
4. Activation of a motor neuron
5. Response by the effector
ANIMATION Components of a Reflex Arc
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Figure 14.14 A Reflex Arc
Dorsal
root
Activation of a
sensory neuron
Arrival of stimulus and
activation of receptor
Sensation
relayed to
the brain by
collateral
REFLEX
ARC
Receptor
Stimulus
Effector
Response by effector
Ventral
root
Activation of a
motor neuron
Information processing
in CNS
KEY
Sensory neuron
(stimulated)
Excitatory
interneuron
Motor neuron
(stimulated)
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Figure 14.15 The Classification of Reflexes
Reflexes
can be classified by
development
response
complexity of circuit
processing site
Innate Reflexes
Somatic Reflexes
Monosynaptic
Spinal Reflexes
• Genetically
determined
• Control skeletal muscle contractions
• Include superficial and stretch reflexes
• One synapse
• Processing in
the spinal cord
Acquired Reflexes
Visceral (Autonomic) Reflexes
Polysynaptic
Cranial Reflexes
• Learned
• Control actions of smooth and
cardiac muscles, glands
• Multiple synapses
(two to several hundred)
• Processing in
the brain
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Reflexes
• Spinal reflexes can be:
• Monosynaptic
• Involves a single segment of the spinal cord
• Polysynaptic
• Integrates motor output from several spinal
segments
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Figure 14.16 Neural Organization and Simple Reflexes
Sensory
receptor
Ganglion
CENTRAL
NERVOUS
SYSTEM
Sensory
neuron
CENTRAL
NERVOUS
SYSTEM
Ganglion
Sensory
neuron
Interneurons
Circuit 2
Motor
neuron
Motor
neurons
Circuit 1
Sensory
receptor
(muscle
spindle)
Skeletal muscle 1
Skeletal muscle
A monosynaptic reflex circuit involves a peripheral
sensory neuron and a central motor neuron. In this
example, stimulation of the receptor will lead to a
reflexive contraction in a skeletal muscle.
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Skeletal muscle 2
A polysynaptic reflex circuit involves a sensory neuron,
interneurons, and motor neurons. In this example, the
stimulation of the receptor leads to the coordinated
contractions of two different skeletal muscles.
Reflexes
• Stretch reflex
•
•
•
•
•
1. Stimulus stretches a muscle
2. Activates a sensory neuron
3. Information is processed in the spinal cord
4. Motor neurons are activated
5. Muscle (effector) contracts
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Figure 14.17a Stretch Reflexes
Activation of a
sensory neuron
Stimulus. Stretching of muscle
stimulates muscle spindles
Information processing
at motor neuron
Response. Contraction
of muscle
Activation of
motor neuron
Steps 1–5 are common to all stretch reflexes.
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KEY
Sensory neuron
(stimulated)
Motor neuron
(stimulated)
Figure 14.17b Stretch Reflexes
Receptor
(muscle
spindle)
Spinal cord
Stretch
REFLEX
ARC
Stimulus
Effector
KEY
Contraction
Sensory neuron
(stimulated)
Motor neuron
(stimulated)
Response
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The patellar reflex is controlled by muscle spindles in the quadriceps group. The
stimulus is a reflex hammer striking the muscle tendon, stretching the spindle
fibers. This results in a sudden increase in the activity of the sensory neurons,
which synapse on spinal motor neurons. The response occurs upon the activation
of motor units in the quadriceps group, which produces an immediate increase in
muscle tone and a reflexive kick.