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Organization of neurons in the sympathetic nervous system. Preganglionic neurons arise from the lateral horn of the spinal cord; myelinated fibers enter the sympathetic trunk via the white ramus. Preganglionic fibers may synapse in the sympathetic trunk at the same spinal level; they may ascend or descend within the sympathetic trunk or pass to collateral ganglia. Postganglionic fibers are unmyelinated and leave the sympathetic trunk via the gray ramus. Source: Neurophysiology, Medical Physiology: The Big Picture Citation: Kibble JD, Halsey CR. Medical Physiology: The Big Picture; 2015 Available at: http://mhmedical.com/ Accessed: May 05, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved