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The

Peripheral
Nervous System
(PNS)
The PNS
• Consists of the nerves that
branch out from the central
nervous system (CNS) and
connect it to other body
parts

• Includes the cranial nerves


that arise from the brain
and the spinal nerves that
arise from the spinal cord
The PNS
• Can be subdivided into
somatic and autonomic
nervous system
• Somatic nervous system
✓ Consist of the cranial and
spinal nerve fibers that
connect the CNS to the skin
and skeletal muscles, so it is
involved with conscious
activities

• Autonomic nervous system


✓ Includes the fibers that
connect the CNS to visceral
organs, thus is concerned with
unconscious actions
The PNS
(Structure)
• Consists of bundles of nerve
fibers surrounded by
connective tissues

• Epineurium
✓ outermost later
✓ Dense and is made up of many
collagenous fibers

• Perineurium
✓ Encloses each bundle of nerve
fibers (fascicle)
✓ A sleeve of less dense
connective tissue
The PNS
(Structure)
• Endoneurium
✓ Surrounds individual nerve
fibers
✓ Small amount of loose
connective tissue

• Blood vessels are usually


found in the epineurium and
perineurium and they give
rise to network of capillaries
in the endoneurium
Cranial Nerves

• Designated either by
number or by name

• Numbers indicate the order


in which the nerves arise
from the brain, going from
anterior to posterior

• Names describe their


primary functions or the
general distribution of their
fibers
Cranial Nerves
Olfactory (I)

Sensory

• Sensory fibers transmit impulses associated with the sense


of smell
Cranial Nerves
Optic (II)

Sensory

• Sensory fibers transmit impulses associated with the sense


of vision
Cranial Nerves
Oculomotor (III)

Motor

• Motor fibers transmit impulses to muscles that raise the


eyelids, move the eyes, adjust the amount of light entering
the eyes and focus the lenses
• Some sensory fibers transmit impulses associated with the
condition of muscles
Cranial Nerves
Trochlear (IV)

Motor

• Motor fibers transmit impulses to muscles that move the


eyes

• Some sensory fibers transmit impulses associated with the


condition of muscles
Cranial Nerves
Trigeminal (V)
(Ophthalmic Division)

Mixed

• Sensory fibers transmit impulses from the surface of the


eyes, tear glands, scalp, forehead and upper eyelids
Cranial Nerves
Trigeminal (V)
(Maxillary Division)

Mixed

• Sensory fibers transmit impulses from the upper teeth,


upper gum, upper lip, lining of the palate and skin of the
face
Cranial Nerves
Trigeminal (V)
(Mandibular Division)

Mixed

• Sensory fibers transmit impulses from the scalp, skin of the


jaw, lower teeth, lower gum and lower lip

• Motor fibers transmit impulses to muscles of mastication


and to muscles in the floor of the mouth
Cranial Nerves
Abducens (VI)

Motor

• Motor fibers transmit impulses to the muscles that move


the eyes

• Some sensory fibers transmit impulses associated with the


condition of the muscles
Cranial Nerves
Facial (VII)

Mixed

• Sensory fibers transmit impulses associated with taste


receptors of the anterior tongue

• Motor fibers transmit impulses to the muscles of facial


expression, tear glands and salivary glands
Cranial Nerves
Vestibulocochlear
(VIII)
(Vestibular Branch)

Sensory

• Sensory fibers transmit impulses associated with the sense


of equilibrium
Cranial Nerves
Vestibulocochlear
(VIII)
(Cochlear Branch)

Sensory

• Sensory fibers transmit impulses associated with the sense


of hearing
Cranial Nerves
Glossopharyngeal
(IX)

Mixed

• Sensory fibers transmit impulses from the pharynx, tonsils,


posterior tongue and carotid arteries

• Motor fibers transmit impulses to salivary glands and to


muscles of the pharynx used in swallowing
Cranial Nerves
Vagus (X)

Mixed

• Somatic sensory fibers transmit impulses to muscles


associated with speech and swallowing; autonomic motor
fibers transmit impulses to the heart and to smooth muscles
and glands of visceral organs in the thorax and abdomen
• Sensory fibers transmit impulses from the pharynx, larynx,
esophagus and visceral organs of the thorax and abdomen
Cranial Nerves
Accessory (XI)
(Cranial Branch)

Motor

• Motor fibers transmit impulses to the muscles of the soft


palate, pharynx and larynx
Cranial Nerves
Accessory (XI)
(Cranial Branch)

Motor

• Motor fibers transmit impulses to the muscles of the neck


and back
Cranial Nerves
Hypoglossal (XII)

Motor

• Motor fibers transmit impulses to the muscles that move


the tongue
Spinal Nerves

• 31 pairs originating from


the spinal cord

• Mixed nerves and they


provide two-way
communication between
the spinal cord and parts
of the arms, legs, neck
and trunk
Spinal Nerves

• Grouped according to the level


from which they arise and
each nerve is numbered in
sequence

✓ Cervical nerves (C1-C8) – 8 pairs


✓ Thoracic nerves (T1-T12) – 12
pairs
✓ Lumbar nerves (L1-L5) – 5 pairs
✓ Sacral nerves (S1-S5) – 5 pairs
✓ Coccygeal nerves (S1-S5) – 1 pair
Spinal Nerves

• Cauda equina

✓ Horse’s tail
✓ Structure formed by descending
nerves

• Each spinal nerve emerges from the


cord by two short branches or roots
which lie within the vertebral
column
Spinal Nerves
• Dorsal root (posterior o
sensory root) – can be
identified by an enlargement
called the dorsal root ganglion
✓ Contains cell bodies of sensory
neurons whose dendrites
conduct impulses inward from
the peripheral body parts
✓ The axons of these neurons
extend through the dorsal root
and into the spinal cord, where
they form synapses with
dendrites of other neurons
Spinal Nerves
• Ventral Root (anterior or
motor root) of each spinal
nerve consists of axons from
the motor neurons whose cell
bodies are located within the
gray matter of the cord

• Both roots unite to form a


spinal nerve which extends
outward from the vertebral
canal through an
intervertebral foramen

• Beyond its foramen, each


spinal nerve divides into
Spinal Nerves
• Meningeal branch

✓ Reenters the vertebral canal


through the invertebral foramen
and supplies the meninges and
blood vessels of the cord as well
as the intervertebral ligaments
and the vertebrae
Spinal Nerves
• Posterior branch
✓ Turns posteriorly and innervates
the muscles and skin of the back

• Anterior branch
✓ Continues forward to supply
muscles and skin on the front
and sides of the trunk and limbs

• Visceral branch
✓ Fourth branch of the thoracis
nerves in the thoracic and
lumbar regions which is part of
the autonomic nervous system
Spinal Nerves
• Except in the thoracic region,
anterior branches of the spinal
nerves combine to form
complex networks called
plexuses instead of continuing
directly to the peripheral body
parts

• In a plexus, the fibers of


various spinal nerves are
sorted and recombined so that
fibers associated with a
particular peripheral body
part reach it in the same
nerve, even though the fibers
originate from different spinal
Spinal Nerves
• Cervical Plexus
✓ Lie deep in the neck on either
side

✓ Formed by the anterior branches


of the first four cervical nerves

✓ Fibers supply the muscles and


skin of the neck

✓ Fibers from the 3rd, 4th and 5th


cervical nerves pass into the
right and left phrenic nerves
which conducts motor impulses
to the muscle fibers of the
diaphragm
Spinal Nerves
• Brachial plexuses
✓ Anterior branches of the lower
four cervical nerves and first
thoracic nerve
✓ Located deep within the
shoulders between the neck and
the axillae

✓ Major branches:

1. Musculocutaneous nerves
• Muscles of the arms on the
anterior sides and the skin
of the forearms
Spinal Nerves
• Brachial plexuses
✓ Major branches:

2. Ulnar nerves
• Muscles of the forearms
and hands and the skin of
the hands

3. Median nerves
• Muscles of the forearms
and muscles and skin of
the hands
Spinal Nerves
• Brachial plexuses
✓ Major branches:

4. Radial nerves
• Muscles of the arms on the
posterior sides and the
skin of the forearms and
hands

3. Axillary nerves
• Muscles and skin of the
upper, lateral and
posterior regions of the
arm
Spinal Nerves
• Brachial plexuses
✓ Other branches:

1. Lateral and medial pectoral


nerves
• Pectoralis major and
pectoralis minor muscles

2. Dorsal scapular nerves


• Rhomboideus major and
levator scapulae muscles

3. Lower subscapular nerves


• Subscapularis and teres
major muscles
Spinal Nerves
• Brachial plexuses
✓ Other branches:

4. Thoracodorsal nerves
• Latissimus dorsi muscle

5. Suprascapular nerves
• Supraspinatus and
infraspinatus
Spinal Nerves
• Lumbosacral plexuses
✓ Formed by the last thoracic
nerve and the lumbar, sacral and
coccygeal nerves

✓ Extends from the lumbar region


of the back into the pelvic cavity
giving rise to a number of motor
and sensory fibers associated
with the lower abdominal wall,
external genitalia, buttocks,
thighs, legs and feet
Spinal Nerves
• Lumbosacral plexuses
✓ Major branches:

1. Obturator nerves
• Adductor muscles of the
thigh

2. Femoral nerves
• Divide into many branches
supplying motor impulses
to muscles of the thigh
and legs, receiving sensory
impulses from the skin of
the thighs and lower leg
Spinal Nerves
• Lumbosacral plexuses
✓ Major branches:
3. Sciatic nerves
• Largest and longest nerves
in the body
• Pass downward into the
buttocks and descend into
the thighs where they
divide into tibial and
common peroneal nerves
• Many branches of these
nerves supply muscles and
skin in the thighs, legs and
feet
Spinal Nerves
• Lumbosacral plexuses
✓ Other branches:
1. Pudendal nerves
• Muscles of the perineum
2. Inferior and superior gluteal
nerves
• Gluteal muscles and the
tensor fasiae latae muscle
Spinal Nerves
• Anterior branches of the
thoracic spinal nerves do not
enter a plexus
• They travel into spaces
between the ribs and become
intercostal nerves
• Supply motor impulses to the
intercostal muscles and the
upper abdominal wall muscles
• Receive sensory impulses from
the skin of the thorax and
abdomen
The
Autonomi
c Nervous
System
(ANS)
The ANS
• Portion of the peripheral
nervous system that functions
independently and
continuously without conscious
effort
• Controls visceral activities by
regulating the actions of
smooth muscles, cardiac
muscles and various glands
• Concerned with regulating
heart rate, blood pressure,
breathing rate, body
temperature and other
visceral activities that aid in
The ANS
• Portions are also responsive
during times of emotional
stress
• Prepare the body to meet the
demands of strenuous physical
activity

• Two divisions: sympathetic and


parasympathetic
ANS
Sympathetic
Divisions

• Paraganglionic (axon) fibers


originate from neurons within
the lateral horn of the spinal
cord
ANS
Parasympathetic
Divisions

• Arise from neurons in the


midbrain, pons and medulla
oblongata of the brain stem
and from the sacral region of
the spinal cord
Assignment

Describe a sympathetic
nerve pathway and a
parasympathetic nerve
pathway using a diagram.

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