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McKinley/O’Loughlin Human Anatomy, 2nd Edition CHAPTER 18 Answers to “What Did You Learn?” 1. The autonomic motor pathway involves a series of two neurons in the motor transmission of impulses, while the somatic motor system transmits impulses along a single axon from the spinal cord to the effector. 2. The ANS innervates smooth muscle fibers, cardiac muscle fibers, and glands. 3. The cell body of a ganglionic neuron is located in an autonomic ganglion. 4. In the parasympathetic division, the postganglionic axons are relatively short, whereas in the sympathetic division the postganglionic axons are relatively long. They are unmyelinated in both divisions. 5. Terminal ganglia are located close to the target organ, while intramural ganglia are located within the wall of the target organ. Both ganglia contain parasympathetic ganglionic cell bodies. 6. The cranial nerves involved in the parasympathetic division of the ANS include the oculomotor (CN III), facial (CN VII), glossopharyngeal (CN IX), and vagus nerve (CN X). 7. Some of the effects caused by parasympathetic stimulation include: increased secretion of digestive system glands, increased motility (smooth muscle contraction/movement) in digestive organs, stimulation of defecation, decreased heart rate, constriction of the pupil of the eye (reduction in pupil diameter), and erection of the penis or clitoris. 8. The sympathetic preganglionic neurons originate in the lateral horn of the T1-L2 regions of the spinal cord. McKinley/O’Loughlin 9. Human Anatomy, 2nd Edition Sympathetic trunk ganglia are part of the sympathetic trunks, which are located lateral to the vertebral column. Prevertebral ganglia are located anterior to the vertebral column and cluster around the origins of major abdominal organs. 10. White rami communicantes carry myelinated preganglionic axons to the sympathetic trunk. White rami communicantes are found only on the T1-L2 spinal nerves. In contrast, gray rami communicantes carry postganglionic axons and extend from the sympathetic trunk to ALL spinal nerves. 11. The sympathetic preganglionic axons branch extensively. This broad branching pattern allows the sympathetic nervous system to display great divergence in the innervation transmission. A single preganglionic axon innervates as many as 20 or more ganglionic neurons. A greater degree of divergence in this division provides the means to rapidly activate many visceral organs simultaneously. This results in a mass activation of almost all the ganglionic sympathetic neurons. 12. Splanchnic nerves are preganglionic axons that leave the sympathetic trunk ganglia without synapsing and extend to prevertebral ganglia. Within the prevertebral ganglia, the preganglionic axon will synapse with a ganglionic neuron, and the postganglionic axon will travel to the effector organs. Most abdominal organs and some pelvic organs receive their sympathetic innervation via this pathway. 13. The adrenal medullae secretes epinephrine and norepinephrine 14. Acetylcholine (ACh) is released by all parasympathetic axons, all preganglionic sympathetic axons, and a few postganglionic sympathetic axons. The remaining postganglionic sympathetic axons secrete norepinephrine (NE). McKinley/O’Loughlin 15. Human Anatomy, 2nd Edition Dual innervation means that an organ is innervated by postganglionic axons from both ANS divisions. The actions of the divisions usually oppose each other thus, they are said to exert antagonistic effects on the same organ. 16. The hypothalamus is the integration and command center for autonomic functions. It contains nuclei that control visceral functions in both divisions of the ANS and communicates with other CNS regions, including: the cerebral cortex, thalamus, brainstem, cerebellum, and spinal cord. Answers to “Content Review” 1. The four CNS regions that control the autonomic function are the hypothalamus, brainstem, spinal cord, and cerebrum. 2. The sympathetic trunk ganglia are immediately lateral to the vertebral column (on both sides) and are a part of the sympathetic trunks. The prevertebral ganglia are clusters of sympathetic division neuron cell bodies of ganglionic neurons located anterior to the vertebral column on the anterolateral wall of the abdominal aorta at the base of major abdominal arteries. The terminal ganglia are a collection of parasympathetic division neuron cell bodies of ganglionic neurons located very close to the target organ, while intramural ganglia contain parasympathetic ganglionic cell bodies within the wall of a target organ. 3. The sympathetic preganglionic axon is myelinated, relatively short (compared to the postganglionic axon), and has extensive branching. It releases acetylcholine as its neurotransmitter. The parasympathetic preganglionic axon is myelinated, McKinley/O’Loughlin Human Anatomy, 2nd Edition relatively long (compared to its postganglionic axon), and has little or no branching. It also releases acetylcholine as its neurotransmitter. 4. When preganglionic axons synapse on cells within the adrenal medulla, the adrenal medulla cells release hormones that are circulated within the bloodstream and helps prolong the "fight or flight" response. The cells of the adrenal medulla primarily secrete the hormones epinephrine and, to a lesser degree, the hormone norepinephrine. Once secreted into the bloodstream, these hormones serve to potentiate (prolong) the effects of the sympathetic stimulation. 5. Axons exit the sympathetic trunk ganglia by one of four pathways. These pathways are: the spinal nerve pathway, the postganglionic sympathetic pathway, the splanchnic nerve pathway, and the adrenal medulla pathway. In the spinal nerve pathway, the preganglionic axon synapses in the sympathetic trunk, and the postganglionic axon leaves the trunk via a gray ramus communicans and through a spinal nerve. This pathway is used for innervating sweat glands and blood vessels in the skin. In the postganglionic sympathetic pathway, the preganglionic axon synapses in the sympathetic trunk and the postganglionic axon leaves the trunk anteriorly to go directly to the effector organ. In this pathway, the postganglionic axon does NOT travel back through the spinal nerve, and this pathway is used to innervate most thoracic viscera. In the splanchnic nerve pathway, the preganglionic axon does not synapse in the sympathetic trunk, but leaves as a splanchnic nerve to extend to a prevertebral ganglion. There is a synapse in this ganglion and the postganglionic axons travel to the abdominal and McKinley/O’Loughlin Human Anatomy, 2nd Edition pelvic organs. Finally, in the adrenal medulla pathway, preganglionic axons travel to and synapse on cells in the adrenal medulla. 6. For both divisions, the preganglionic cell bodies are located in the central nervous system, specifically in the T1-L2 regions of the spinal cord (sympathetic) or craniosacral regions (parasympathetic) of the CNS. The postganglionic cell bodies are located in the peripheral nervous system and are given a name (ganglia) that is indicative of a peripheral nervous system structure. 7. White rami communicantes carry myelinated preganglionic sympathetic axons from the T1-L2 spinal nerves from the spinal nerve to the sympathetic trunk. They are the way preganglionic sympathetic axons enter the sympathetic trunk. Gray rami communicantes carry postganglionic sympathetic axons from the sympathetic trunk to the spinal nerve. Gray rami connect to ALL spinal nerves. This way, the sympathetic information that started out in the thoracolumbar region now can be dispersed to all parts of the body. 8. The general functions of the sympathetic division are concerned with fight or flight, such as preparing the body for emergencies [increase blood pressure and rate of heart beat, increased release of stored nutrients, increased respiration rate, dilation of pupils]. The parasympathetic division is primarily involved with maintaining the body’s internal environment (homeostasis) and has been nicknamed the “resting and digesting” system, because it concerns itself with those activities. 9. In a crisis, many effectors innervated by the sympathetic division respond together in what is termed sympathetic mass activation. Preganglionic McKinley/O’Loughlin Human Anatomy, 2nd Edition sympathetic axons form numerous collateral branches in order to synapse with a large number of ganglionic neurons to cause stimulation of many ganglionic sympathetic neurons and simultaneous activation of many effector organs. Mass activation of the sympathetic division causes a heightened sense of alertness. 10. The autonomic nervous system is formed from both the neural tube and the neural crest cells. The neural tube forms the CNS components of the autonomic nervous system, including the preganglionic cell bodies, the hypothalamus and the autonomic nervous system centers in the brainstem. The neural crest cells form the PNS components of the autonomic nervous system, including the rami communicantes, all autonomic ganglia, preganglionic axons, the sympathetic trunk, and the ganglionic neurons.