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Autonomic Nervous System I. Introduction The autonomic nervous system is an efferent system which controls the so called “visceral” functions of the body and plays an important role in homeostasis. II. Nervous System Organization A. Central Nervous System (CNS) 1. Brain 2. Spinal Cord B. Peripheral Nervous System (PNS) 1. Afferent fibers 2. Efferent fibers a. Somatic nervous system (Voluntary)- motor to skeletal muscle b. Autonomic nervous system (Involuntary)- Motor to smooth muscle, cardiac muscle and glands (these are the “involuntary effectors”). III. Autonomic Nervous System Organization A. General Organization 1. Consists basically of a two neuron chain a. Preganglionic neuron- the cell body of this neuron is located within the CNS (brain or spinal cord). b. Postganglionic neuron- The cell body of this neuron is located in an autonomic ganglion outside the CNS. 2. Only three types of structures are innervated by the autonomic nervous system (ANS). a. Smooth muscle (viscera, blood vessels, etc.) b. Cardiac Muscle c. Glands d. Note: some research papers suggest that adipose tissue could be included as a new involuntary effector. However, this is mostly through hormonal control of the sympathetic nervous system, not neurotransmitter. 3. Note that although the ANS is an efferent, or motor system, structures which it innervates often receive additional afferent innervation. These afferent fibers are important in reflex autonomic activity (e.g., regulation of blood pressure) and conscious sensation (discomfort, pain, etc.) B. Subdivisions of the ANS-Defined by location of cell body of preganglionic neuron 1. Sympathetic system (thoracolumbar). Cell bodies of preganglionic neurons are located in the intermediolateral cell column of spinal cord segments T1 to L2. 2. Parasympathetic system (craniosacral) - Cell bodies of preganglionic neurons are located in either brainstem nuclei (associated with cranial nerves III, VII, IX, and X) or the sacral autonomic nucleus (lateral gray column) of spinal cord segments S2 to S4. 1 A. Dorsal Horn B. Intermediolateral Cell Column F. Dorsal root ganglion J. Dorsal ramus N. Sympathetic chain ganglion E. Ventral root I. Sympathetic trunk M. Gray ramus C. Ventral Horn D. Dorsal Root G. Spinal nerve K. Ventral ramus O. Prevertebral ganglion H. Visceral nerve L. White ramus P. Splanchnic nerve A. D. F. J. K. H. E. C. I. P. N. O. B. L. M. J. K G. K.J C. Sympathetic Nervous System 1. Preganglionic and postganglionic neurons. a. Cell body of preganglionc neuron is located in intermediolateral cell column of spinal cord T1 to L2. b. Myelinated axon of preganglionic neuron passes through ventral root, enters spinal nerve and travels in the ventral primary ramus for a short distance. c. The axon of the preganglionic neuron then passes through a white ramus communicans to enter into a paravertebral (sympathetic) ganglion of the sympathetic trunk. The sympathetic trunks are paired, each consisting of a series of ganglia (accumulations of neuronal cell bodies located outside the CNS) connected by intervening fibers. The 2 ganglia are roughly segmentally arranged except in the cervical region where they become fused into larger ganglia (e.g., superior cervical ganglion (C1, 2, 3, 4). Options for preganglionic fibers: The fiber of the preganglionic neuron may do one of the following after passing into a sympathetic trunk ganglion: OPTION 1 Preganglionic fiber- the preganglionic fiber may synapse in that ganglion. Draw this option here! 3 OPTION 2 The preganglionic fiber may pass up or down the trunk to synapse in another ganglion of the sympathetic chain. Draw this option here: D. Parasympathetic Nervous System 1.Preganglionic Neuron a. Cell body in cranial division is located in one brainstem nuclei for cranial nerves III, VII, IX, and X.The preganglionic efferent fiber leaves the brainstem in the respective cranial nerves indicated. b. Cell body in sacral division is located in sacral lateral gray column of spinal cord levels S2-4. The preganglionic fiber enters the ventral root, passes through the spinal nerve and enters the ventral primary ramus. It leaves the ventral primary ramus by passing through a pelvic splanchnic nerve which passes to the pelvic nerve plexus. Draw this option here: 4 2. Postganglionic neuron a. Cell bodies associated with cranial division of this system are located in the following parasympathetic ganglia. (See table on next page). b. In sacral division, postganglionic neurons are located in terminal ganglia, either near to or in the wall of the organs innervated. (preganglionic neurons, you’ll remember, are in the sacral spinal cord S2-4). Postganglionic fibers innervated pelvic viscera and the alimentary canal beyond the splenic flexure. c. In the parasympathetic system, the cell body of the postganglionic neuron is usually located close to or in the wall of the structure innervated. Thus, when the parasympathetic system is compared to the sympathetic system, preganglionic fibers are, in general, long and postganglionic fibers short . IV. Functions and General Principles of the ANS A. “The most succinct summary of the functions of the sympathetic and parasympathetic systems is that the sympathetic system is primarily an emergency one, preparing the body so that the individual can flee or fight, whichever seems wisest, when faced with danger; the parasympathetic system, in contrast, is primarily a homeostatic one, tending to promote quiet and orderly processes of the body.” (Hollinshead and Rosse, p. 63). B. The sympathetic system often acts en masse while this is generally not true of the parasympathetic system. C. Both subdivisions (sympathetic and parasympathetic) can cause excitatory effects in some organs and inhibitory effects in others. D. When one division stimulates a particular organ, the other often inhibits it, illustrating that the two systems can act reciprocally. However, many organs are dominantly controlled by one division or the other. E. Effects on specific organs (see table) F. Note that while sympathetic innervation is distributed throughout the body, parasympathetic distribution is confined to the head, neck and trunk. 5 Autonomic Effects on Various Organs of the Body- FOR REFERENCE ORGAN SYMPATHETIC EFFECTS PARASYMPATHETIC EFFECTS Eye: pupil/ciliary muscle Lacrimal gland Salivary gland Heart Lungs: bronchi Blood vessels Gut Dilation Vasoconstriction Scanty, thick secretion Increased rate and force of contraction Dilates air passages Vasoconstriction Decreased peristalsis and secretion Constriction/contraction Secretion Copious thin secretion Slowed rate Constriction dilation Increased peristalsis and secretion Bladder detrusor Penis Adrenal medulla Skin of head, neck, and extremities Inhibits urination Ejaculation Secretion Vasoconstriction, sweat secretion, piloarrection Contraction Erection None none 6