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Introduction to Nervous System and Spinal Nerves

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    The Nervous SystemThe Nervous System

    Alex Forrest

    Associate Professor of Forensic OdontologyForensic Science Research & Innovation Centre, Griffith University

    Consultant Forensic Odontologist,

    Queensland Health Forensic and Scientific Services,

    39 Kessels Rd, Coopers Plains, Queensland, Australia 4108

    Oral Biology

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    COMMONWEALTH OF AUSTRALIA

    Copyright Regulations 1968

    WARNING

    This material has been reproduced and communicated to you by, or onbehalf of, Griffith University, pursuant to Part VB of The Copyright Act 1968

    (The Act; a copy of the Act is available at SCALEPlus, the legal

    information retrieval system owned by the Australian Attorney Generals

    Department, at http://scaleplus.law.gov.au).

    The material in this communication may be subject to copyright under the

    Act. Any further reproduction or communication of this material by you may

    be the subject of Copyright Protection under the Act.

    Information or excerpts from this material may be used for the purposes of

    private study, research, criticism or review as permitted under the Act, and

    may only be reproduced as permitted under the Act.

    Do not remove this notice.

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    Learning ObjectivesLearning Objectives

    1. You should be able to construct a concept map of the

    nervous system.

    2. You should understand and be able to explain the

    basic structural organization of the human nervous

    system.

    3. You should be able to explain the major structural and

    functional characteristics of the somatic components ofthe nervous system.

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    Intercellular CommunicationIntercellular Communication

    The body depends not only on proper structure of its billions of

    cells to function, but also on communication between those

    cells.

    Sometimes this is automatic, and sometimes it is under

    conscious control.

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    There are two major communication systems in the body.

    These are the nervous system and the endocrine system.

    While both systems are designed to transmit information from

    one area of the body to others, they do it in quite different ways.

    Intersystem CommunicationIntersystem Communication

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    The nervous system is specialized to transmit selected

    information very rapidly from one part of the body to another.

    This information is often quite specific, and it can be very

    accurately targeted.

    Intersystem CommunicationIntersystem Communication

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    The endocrine system, by contrast, works far more slowly.

    It operates by secreting hormones from ductless glands into theblood-vascular system, and these are then circulated to other

    organs and parts of the body.

    Intersystem CommunicationIntersystem Communication

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    These two systems operate to control and integrate the body'sfunctions, enabling the body to look after itself and take care of

    its needs.

    Intersystem CommunicationIntersystem Communication

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    Nervous SystemNervous System

    Today we examine aspects of the anatomy of the human

    nervous system.

    We will begin by discussing the basic layout of the nervous

    system and its various divisions.

    Then, we shall discuss the voluntary or somatic nervous

    structures, and examine the mechanisms by which they

    communicate with the brain through the spinal cord.

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    The organs of the nervous system include the brain and the

    spinal cord as well as the various nerves of the body.

    Also included are the specialised sense organs such as the

    ears and eyes, and the tiny sense organs found in the skin and

    in other organs of the body.

    Nervous SystemNervous System

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    We can divide thenervous system into

    two major parts:

    Central Nervous System

    Peripheral Nervous System

    Copyright Alex Forrest 2013

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    The central nervous

    system comprisesthe brain and spinal

    cord.

    It is called the CNSbecause it occupies

    a central midline

    position in the body.

    Copyright Alex Forrest 2013

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    The peripheral

    nervous system (PNS)

    comprises the afferent

    (sensory) fibres, whichconnect the sensory

    end organs to the

    central nervous

    system, and theefferent (motor) fibres,

    which connect the

    central nervoussystem to the effector

    organs.

    Copyright Alex Forrest 2013

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    It can be divided into a

    somatic or voluntarycomponent, and a

    visceral, or autonomic

    or involuntary part.

    The visceral system is

    further subdivided into

    a sympathetic and a

    parasympathetic part.

    Copyright Alex Forrest 2013

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    Nervous SystemNervous System

    The peripheral nervous system includes the 31 pairs of spinal

    nerves and the 12 cranial nerves.

    The sympathetic trunks with their ganglia and branches also

    belong to this system.

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    Individual spinal nerves can contain fibres of both somatic and

    visceral nerves, and there is a very clear pattern of distribution

    of such fibres throughout the peripheral nervous system, as we

    shall see.

    They contain both afferent (incoming sensory) and efferent

    (outgoing motor) fibres.

    Nervous SystemNervous System

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    Sensory fibres connect with general sensory endings, which

    are scattered profusely throughout the body.

    These are biological transducers in which physical stimulicreate action potentials in nerve endings.

    On reaching the central nervous system, the resulting nerve

    impulse gives rise to reflex response, awareness of the

    stimulus, or both.

    Nervous SystemNervous System

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    Sensory Nerve EndingsSensory Nerve Endings

    General sensory nerve endings may be divided into:

    Exteroceptors

    Proprioceptors

    Interoceptors

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    Cutaneous endings are called exteroceptors and are sensitive

    to stimuli for pain, temperature, touch and pressure.

    Proprioceptors in muscles, tendons and joints provide data for

    reflex adjustments of muscle action, and for awareness of

    position and movement.

    Interoceptors arise within the viscera. Central conduction is

    through sensory visceral neurons, and will be discussed in thenext session.

    Sensory Nerve EndingsSensory Nerve Endings

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    GangliaGanglia

    Nerve ganglia (singular = ganglion) are aggregations of nerve

    cell bodies found on some peripheral nerves.

    They contain nerve cell bodies and their nerve fibres (axons),

    as well as fibres derived from cells elsewhere which pass right

    through or terminate within the ganglion.

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    They are present in the dorsal roots of the spinal nerves and

    the sensory roots of V, VII, VIII, IX, X.

    They also occur in association with visceral (or autonomic)

    nerves.

    GangliaGanglia

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    Cells of the Nervous SystemCells of the Nervous System

    The two types of cell found in the nervous system are called

    neurons (or nerve cells), and glia (specialised connective tissuesupporting cells).

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    Each neuron comprises

    three parts:

    NeuronsNeurons

    https://reader008.{domain}/reader008/html5/0417/5ad58ff55fb98/

    A cell body

    One or more branchingprojections called dendrites

    An axon

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    Sensory neurons (afferent neurons) transmit information to the

    brain and spinal cord from the various parts of the body.

    Motor neurons (efferent neurons) transmit information awayfrom the brain and out to various glands and muscles.

    Interneurons connect sensory and motor neurons and transmit

    information between the two.

    NeuronsNeurons

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    Some neurons are myelinated. This means the axon is

    surrounded by a whitish material called myelin.

    NeuronsNeurons

    http://ccins.camosun.bc.ca/~tonks/courses/psyc110/neuron.jpg

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    Myelin issecreted by a

    special cell

    called a

    Schwann cell,

    which wraps

    around the

    axons of somecells in the PNS.

    NeuronsNeurons

    https://reader008.{domain}/reader008/html5/0417/5ad58ff55fb98/5ad59008e6ad

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    Nodes occur in betweenmyelinated segments of axon,

    and these are termed the

    Nodes of Ranvier.

    The presence of myelin tends

    to speed up conduction in an

    axon.

    NeuronsNeurons

    http://www.bmb.psu.edu/courses/bisci004a/nerve/ner

    veb4.htm

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    GliaGlia

    Glial cells, also known as neuroglia, are cells in the nervous

    system that are not specialised for transmitting electrical

    signals.

    http://www.bmb.psu.edu/courses/bisci004a/nerve/nerveb4.htm

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    GliaGlia

    Glial cells are actually a

    specialised type of

    connective tissue cell,

    and they hold thefunctioning neurons

    together and protect

    them.

    They includeAstrocytes,

    Oligodendrocytes (which

    produce the CNS myelinhttp://www.bmb.psu.edu/courses/bisci004a/nerve/nerveb4.htm

    sheath), Microglia (CNS macrophages) and Ependymal cells inthe CNS, and the Schwann cells in the PNS.

    They are implicated in some of the most serious central

    nervous system neoplasia (cancers).

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    Central Nervous SystemCentral Nervous System

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    BrainBrain

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    CNS - BrainCNS - Brain

    The cerebrum is the largest and most superior part of the brain

    in man.

    It features numerous gyri and sulci (or folds and valleys).

    http://projects.edtech.sandi.net/brooklyn/humanbody/images/brain.gif

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    CNS - BrainCNS - Brain

    It is divided by a large longitudinal fissure into right and left

    cerebral hemispheres.

    http://www.neuroscience.pomona.edu/Menu/Brain.JPG

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    CNS - BrainCNS - Brain

    These hemispheres are connected by the corpus callosum which

    comprises vast bundles of connections (myelinated axons).

    https://reader008.{domain}/reader008/html5/0417/5ad58ff55fb98/5ad5900e564a0.jpg

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    http://www.ai.mit.ed

    u/people/ekm/homer

    -brain.jpg

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    The surface of the cerebrum is madeof gray matter. It is called the cerebral

    cortex.

    Gray matter comprises nerve cell

    bodies and dendrites with some glial

    cells.

    Inside the cerebrum lies white matter,

    which is made up of bundles ofmyelinated nerve axons or tracts.

    CNS - BrainCNS - Brain

    http://www.csit.fsu.edu/~beason/ph

    oto2002/hw06/brain.jpg

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    CNS - BrainCNS - Brain

    http://faculty.washington.edu/chudler/functional.html

    Specific areas of the cerebral cortex have quite specificfunctions.

    For instance, the areas for vision lie in the occipital lobe.

    Damage to this area can impair or destroy the ability to see.

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    The areas for auditory function lie in the temporal lobes.

    General sensory and motor areas are mapped out on the post-

    central and pre-central gyri respectively.

    CNS - BrainCNS - Brain

    http://www.ling.upenn.edu/undergrad/brain_regions.gif

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    CNS - BrainCNS - Brain

    http://sds1.files.wordpress.com/2007/10/male_brain.gif

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    Gary Larsen,

    from:

    http://www.th.physik.un

    i-

    frankfurt.de/~jr/gif/carto

    on/brain.jpg

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    CNS - BrainCNS - Brain

    http://www.astro.univie.ac.at/~dsn/gerald/brain.jpg

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    Spinal CordSpinal Cord

    CNS S i l C dCNS S i l C d

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    CNS Spinal CordCNS Spinal Cord

    The adult spinal cord is about half

    a metre long, quite short when

    you think of the overall length of

    the body trunk.

    It lies inside the vertebral column

    in the spinal canal.

    The core of the cord consists of

    gray matter, and the outside is

    white matter, the opposite of whatwe find in the cerebrum.

    http://www.back.com/anatomy-lumbar.html

    CNS S i l C dCNS S i l C d

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    The white matter comprises bundles of myelinated nerve fibres- spinal tracts - which provide conduction paths to and from the

    brain.

    Ascending tracts send information to the brain (sensory), and

    descending tracts carry information from the brain (motor).

    The spinal cord provides the link between the CNS and the rest

    of the body through the PNS. It also provides reflex arcs for

    rapid control.

    CNS Spinal CordCNS Spinal Cord

    CNS Spinal CordCNS Spinal Cord

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    The spinal cord andthe dorsal root ganglia

    are directly

    responsible for

    innervation of thebody, except for most

    of the head and

    viscera, which are

    innervated by CranialNerves.

    CNS Spinal CordCNS Spinal Cord

    Grays Anatomy, London, Longman, 37th Ed, 1989, p.924

    CNS Spinal CordCNS Spinal Cord

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    Afferent (sensory)fibres enter the cord

    through the dorsal

    roots of the spinal

    nerves, while efferent

    (motor) fibres leave by

    way of the ventral

    roots.This is known as the

    Bell-Magendie Law.

    CNS Spinal CordCNS Spinal Cord

    Grays Anatomy, London, Longman, 37th Ed, 1989, p.924

    CNS S i l C dCNS S i l C d

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    Grays Anatomy, London, Longman, 37th

    Ed, 1989, p. 1088

    CNS Spinal CordCNS Spinal Cord

    The spinal cord is a

    cylindrical structure, slightlyflattened dorso-ventrally. It

    occupies the spinal canal in

    the vertebral column.

    Protection is provided by the

    vertebrae and their ligaments,

    and by the meninges and a

    cushion of cerebrospinal fluid.

    C S S CC S S C

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    The segmented nature of the

    spinal cord is demonstrated

    by the presence of 31 pairs of

    spinal nerves.There is, however, little

    evidence of segmentation in

    its internal structure.

    CNS Spinal CordCNS Spinal Cord

    http://www.bmb.psu.edu/courses/bis

    ci004a/nerve/fig17-1.jpg

    CNS Spinal CordCNS Spinal Cord

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    In the spinal cord,

    the white matter ofthe cord lies on the

    outside, and

    comprises bundles

    of axons ascendingto the brain and

    brainstem, or

    descending from the

    brain and

    brainstem.

    CNS Spinal CordCNS Spinal Cord

    Grays Anatomy, London, Longman, 37th Ed, 1989, p.924

    CNS Spinal CordCNS Spinal Cord

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    A tract occurs in the central nervous system, and may be

    thought of as a group of axons that serve a similar function, thatare grouped together.

    It is almost the CNS equivalent of a PNS nerve.

    CNS Spinal CordCNS Spinal Cord

    Spinal Cord Grey MatterSpinal Cord Grey Matter

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    Spinal Cord Grey MatterSpinal Cord Grey Matter

    As seen in transversesection, the grey matter

    has a roughly butterfly-

    shaped outline. It contains

    a small central canal.

    Dorsal and ventral grey

    commissures surround the

    central canal.

    Modified from: Grays Anatomy, London, Longman, 37th Ed,

    1989, p.928

    CNS Spinal CordCNS Spinal Cord

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    CNS Spinal CordCNS Spinal Cord

    The cells of the dorsal horn and the intermediate zone consist

    mainly of tract cells, and internuncial neurons which receive

    incoming sensory connections (afferents) from the dorsal root

    fibres, and connect either on motor cells (for reflex loops), oron tract cells for communication with higher centres. Note

    particularly, however, the substantia gelatinosa (see next

    slide).

    The ventral horn consists mostly of motor cell bodies.

    CNS Spinal CordCNS Spinal Cord

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    CNS Spinal CordCNS Spinal Cord

    Modified from: Grays Anatomy, London, Longman, 37th

    Ed, 1989, p.928

    Dorsal HornDorsal Horn

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    Dorsal HornDorsal Horn

    The dorsal horn is where many of the peripheral sensory fibres

    terminate to connect with other neurons that either ascend to

    the brain/brainstem or form reflex loops for rapid reactions.

    As we said previously, the substantia gelatinosa is found here,

    and it plays a major role in the perception of pain.

    Ventral HornVentral Horn

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    e t a oe t a o

    The efferent, or motor, part of the grey matter is found in theventral horn.

    White MatterWhite Matter

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    White MatterWhite Matter

    The white matter consists of nerve fibres, neuroglia and blood

    vessels.

    Its whiteness is due to the large proportion of myelinated

    nerve fibres present.

    White MatterWhite Matter

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    Within each

    funiculus are tractsof fibres, some of

    which may be

    ascending, that is

    taking data tosupraspinal levels,

    descending, or

    carrying efferent

    data from higherlevels, or Modified from: Grays Anatomy, London, Longman, 37

    th Ed, 1989, p.930

    intersegmental, which is to say that they consist of tracts of

    fibres connecting a number of segments.

    White MatterWhite Matter

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    A fibre tract is defined as a bundle of fibres having the same

    origin, termination and function.

    The origin is the locus of the cell bodies, and the termination is

    the point at which the fibres synapse with the cell bodies of the

    next neurons in the chain.

    White MatterWhite Matter

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    Afferent fibres

    from the dorsalroot enter the

    spinal cord in

    an area known

    as thedorsolateral

    tract because

    of its

    relationship tothe dorsolateral

    sulcus.

    Modified from: Grays Anatomy, London, Longman, 37th Ed, 1989, p.930

    White MatterWhite Matter

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    These fibres give off short ascending and descending

    branches, and the entire fibre terminates in the substantia

    gelatinosa of the segment of entry, or the next segmentcaudally or rostrally.

    The dorsolateral tract is sometimes known as the Zone of

    Lissauer.

    MeningesMeninges

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    The central nervous system is delicate and vulnerable todamage.

    It is therefore surrounded and cushioned by a series of

    membranes and fluid spaces which help absorb mechanicalstress.

    These membranes are called the meninges, and they are, in

    turn, surrounded by bone.

    MeningesMeninges

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    The meningeal layers

    are, from superficial

    to deep:

    Dura mater

    Arachnoid mater

    Pia Mater

    Cerebro-spinal fluid

    CSF circulates in the

    subarachnoid space.Grays Anatomy, London, Longman, 37th

    Ed, 1989, p. 1088

    MeningesMeninges

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    CSF circulates in the subarachnoid space.

    It also fills spaces in the brain that are termed ventricles. CSF is

    filtered from the blood by the choroid plexus and passes into

    the ventricles.

    It then circulates around the spinal cord and brain before

    returning to the blood system via the arachnoid granulations

    into the cranial venous sinuses.

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    Peripheral Nervous SystemPeripheral Nervous System

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    Copyright Alex Forrest 2013

    Somatic or"voluntary" nerve

    fibres are found in all

    cranial and spinal

    nerves.

    They are motor in

    function.

    Sensory Somatic FibresSensory Somatic Fibres

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    Nerve impulses from exteroceptors and proprioceptors are

    conducted centrally by primary sensory neurons whose cellbodies are located in the dorsal root ganglia (or a cranial nerve

    ganglion).

    Sensory Somatic FibresSensory Somatic Fibres

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    On entering the spinal cord, the dorsal root fibres divide intoascending and descending branches.

    These are distributed as necessary for reflex responses and for

    transmission of sensory data to the brain.

    They enter the dorsolateral tract of the segment of arrival, or

    ascend or descend a number of segments before entering this

    tract. They then synapse with either an internuncial neuron ordirectly with a tract cell.

    Sensory Somatic FibresSensory Somatic Fibres

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    Note that the dorsal

    root ganglia contain

    no synapses.

    They contain only the

    bodies of the sensory

    neurons, whoseaxons pass from the

    sensory endings.

    These cells arereferred to as

    primary sensory

    neurons. Grays Anatomy, London, Longman, 37th Ed, 1989, p.924

    Motor Somatic FibresMotor Somatic Fibres

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    The somatic efferent neurons for the innervation of skeletal

    muscle are the axons of neurons in the anterior grey column of

    the spinal cord.

    Again, only one cell is required to reach the muscle and

    terminate in a motor end-plate.

    Motor Somatic FibresMotor Somatic Fibres

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    A spinal nerve

    therefore appears to

    arise from the spinal

    cord by two roots.

    The ventral root

    contains efferent or

    motor fibres.

    Grays Anatomy, London, Longman, 37th Ed, 1989, p.924

    Motor Somatic FibresMotor Somatic Fibres

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    The dorsal rootcontains afferent or

    sensory fibres, and

    is associated with a

    dorsal root ganglionwhich contains the

    cell bodies of the

    primary sensoryneurons.

    Grays Anatomy, London, Longman, 37th Ed, 1989, p.924

    Motor Somatic FibresMotor Somatic Fibres

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    Shortly after leaving

    the spinal cord, the

    two roots unite to

    form a common

    spinal nerve whichemerges through

    the intervertebral

    foramen and

    immediately dividesinto a dorsal and a

    ventral ramus.

    Grays Anatomy, London, Longman, 37th Ed, 1989, p.924

    Motor Somatic FibresMotor Somatic Fibres

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    Each ramus will

    therefore contain

    both afferent andefferent somatic

    fibres.

    Grays Anatomy, London, Longman, 37th Ed, 1989, p.924

    Motor Somatic FibresMotor Somatic Fibres

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    The dorsal rami areusually smaller than

    the ventral ones,

    and turn posteriorly

    to innervate

    muscles and skin

    over the posterior

    regions of the neckand trunk.

    Grays Anatomy, London, Longman, 37th Ed, 1989, p.924

    Motor Somatic FibresMotor Somatic Fibres

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    The ventral rami

    form the major

    nerve plexuses of

    the body, andcontribute to the

    nerve trunks seen in

    most of the body

    during dissection.

    Grays Anatomy, London, Longman, 37th Ed, 1989, p.924

    Motor Somatic FibresMotor Somatic Fibres

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    There is no synapse along the length of a somatic efferent

    peripheral nerve (which emerges in the ventral root), and

    therefore no somatic ganglion exists on this root.

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    Copyright Alex Forrest 2013

    We will discuss the

    visceral division of

    the Peripheral

    Nervous System in alater session.

    Cranial NervesCranial Nerves

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    There are twelve cranial nerves.

    They are traditionally numbered using Roman numerals, in the

    order that they emerge from the brainstem.

    Cranial NervesCranial Nerves

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    I

    II

    III

    IV

    V

    VI

    VII

    VIII

    IX

    X

    XI

    XII

    Olfactory

    Optic

    Oculomotor

    Trochlear

    Trigeminal

    Abducens

    Facial

    Vestibulocochlear

    Glossopharyngeal

    Vagus

    Accessory

    Hypoglossal

    Smells

    Sees

    Moves eye

    Moves eye

    Eats, feels face

    Moves eye

    Moves face, salivates

    Hears and balances

    Swallows, feels throat, salivates

    Speaks, swallows, digests, controls heart

    Shrugs shoulders, turns head

    Moves tongue

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    The End


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