Spinal Nerves
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Spinal Nerves
A spinal nerve is a mixed nerve, which carries motor, sensory, and autonomic signals between the spinal cord and the body. In the human body there are 31 pairs of spinal nerves, one on each side of the vertebral column. These are grouped into the corresponding cervical, thoracic, lumbar, sacral and coccygeal regions of the spine. There are eight pairs of cervical nerves, twelve pairs of thoracic nerves, five pairs of lumbar nerves, five pairs of sacral nerves, and one pair of coccygeal nerves. The spinal nerves are part of the peripheral nervous system. Structure Each spinal nerve is a mixed nerve, formed from the combination of nerve fibers from its dorsal and ventral roots. The dorsal root is the afferent sensory root and carries sensory information to the brain. The ventral root is the efferent motor root and carries motor information from the brain. The spinal nerve emerges from the spinal column through an opening (intervertebral foramen) between adjacent vertebrae. Th ...
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Nerve
A nerve is an enclosed, cable-like bundle of nerve fibers (called axons) in the peripheral nervous system. A nerve transmits electrical impulses. It is the basic unit of the peripheral nervous system. A nerve provides a common pathway for the electrochemical nerve impulses called action potentials that are transmitted along each of the axons to peripheral organs or, in the case of sensory nerves, from the periphery back to the central nervous system. Each axon, within the nerve, is an extension of an individual neuron, along with other supportive cells such as some Schwann cells that coat the axons in myelin. Within a nerve, each axon is surrounded by a layer of connective tissue called the endoneurium. The axons are bundled together into groups called fascicles, and each fascicle is wrapped in a layer of connective tissue called the perineurium. Finally, the entire nerve is wrapped in a layer of connective tissue called the epineurium. Nerve cells (often called neurons) are f ...
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Intervertebral Foramen
The intervertebral foramen (also called neural foramen, and often abbreviated as IV foramen or IVF) is a foramen between two spinal vertebrae. Cervical, thoracic, and lumbar vertebrae all have intervertebral foramina. The foramina, or openings, are present between every pair of vertebrae in these areas. A number of structures pass through the foramen. These are the root of each spinal nerve, the spinal artery of the segmental artery, communicating veins between the internal and external plexuses, recurrent meningeal (sinu-vertebral) nerves, and transforaminal ligaments. When the spinal vertebrae are articulated with each other, the bodies form a strong pillar that supports the head and trunk, and the vertebral foramen constitutes a canal for the protection of the medulla spinalis (spinal cord). The size of the foramina is variable due to placement, pathology, spinal loading, and posture. Foramina can be occluded by arthritic degenerative changes and space-occupying lesions ...
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Brachial Plexus
The brachial plexus is a network () of nerves formed by the anterior rami of the lower four cervical nerves and first thoracic nerve ( C5, C6, C7, C8, and T1). This plexus extends from the spinal cord, through the cervicoaxillary canal in the neck, over the first rib, and into the armpit, it supplies afferent and efferent nerve fibers the to chest, shoulder, arm, forearm, and hand. Structure The brachial plexus is divided into five ''roots'', three ''trunks'', six ''divisions'' (three anterior and three posterior), three ''cords'', and five ''branches''. There are five "terminal" branches and numerous other "pre-terminal" or "collateral" branches, such as the subscapular nerve, the thoracodorsal nerve, and the long thoracic nerve, that leave the plexus at various points along its length. A common structure used to identify part of the brachial plexus in cadaver dissections is the M or W shape made by the musculocutaneous nerve, lateral cord, median nerve, medial cord, and ...
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Cervical Plexus
The cervical plexus is a plexus of the anterior rami of the first four cervical spinal nerves which arise from C1 to C4 cervical segment in the neck. They are located laterally to the transverse processes between prevertebral muscles from the medial side and vertebral (m. scalenus, m. levator scapulae, m. splenius cervicis) from lateral side. There is anastomosis with accessory nerve, hypoglossal nerve and sympathetic trunk. It is located in the neck, deep to the sternocleidomastoid muscle. Nerves formed from the cervical plexus innervate the back of the head, as well as some neck muscles. The branches of the cervical plexus emerge from the posterior triangle at the nerve point, a point which lies midway on the posterior border of the sternocleidomastoid. Branches The cervical plexus has two types of branches: cutaneous and muscular. *Cutaneous (4 branches): **Lesser occipital nerve - innervates the skin and the scalp posterosuperior to the auricle (C2) **Great auricular nerve - ...
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Nerve Plexus
A nerve plexus is a plexus (branching network) of intersecting nerves. A nerve plexus is composed of afferent and efferent fibers that arise from the merging of the anterior rami of spinal nerves and blood vessels. There are five spinal nerve plexuses, except in the thoracic region, as well as other forms of autonomic plexuses, many of which are a part of the enteric nervous system. The nerves that arise from the plexuses have both sensory and motor functions. These functions include muscle contraction, the maintenance of body coordination and control, and the reaction to sensations such as heat, cold, pain, and pressure. There are several plexuses in the body, including: *Spinal Plexuses ** Cervical plexus - serves the head, neck and shoulders **Brachial plexus - serves the chest, shoulders, arms and hands **Lumbosacral plexus ***Lumbar plexus - serves the back, abdomen, groin, thighs, knees, and calves **** Subsartorial plexus - below the sartorius muscle of thigh ***Sacral plex ...
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Rami Communicantes
Ramus communicans (plural rami communicantes) is the Latin term used for a nerve which connects two other nerves, and can be translated as "communicating branch". Structure When used without further definition, it almost always refers to a communicating branch between a spinal nerve and the sympathetic trunk. More specifically, it usually refers to one of the following : * Gray ramus communicans * White ramus communicans The grey and white rami communicantes are responsible for conveying autonomic signals, specifically for the sympathetic nervous system. Their difference in coloration is caused by differences in myelination of the nerve fibres contained within, i.e. there are more myelinated than unmyelinated fibres in the white rami communicantes while the converse is true for the grey rami communicantes. Gray ramus communicans The grey rami communicantes exist at every level of the spinal cord and are responsible for carrying postganglionic nerve fibres from the paravertebr ...
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Meningeal Branches Of Spinal Nerve
The meningeal branches of the spinal nerves (also known as recurrent meningeal nerves, sinuvertebral nerves, or recurrent nerves of Luschka) are a number of small nerves that branch from the segmental spinal nerve near the origin of the anterior and posterior rami, but before the rami communicans; rami communicantes are branches which communicate between the spinal nerves and the sympathetic trunk. They then re-enter the intervertebral foramen, and innervate the facet joints, the anulus fibrosus of the intervertebral disc, and the ligaments and periosteum of the spinal canal, carrying pain sensation. The nucleus pulposus An intervertebral disc (or intervertebral fibrocartilage) lies between adjacent vertebrae in the vertebral column. Each disc forms a fibrocartilaginous joint (a symphysis), to allow slight movement of the vertebrae, to act as a ligament to hold t ... of the intervertebral disk has no pain innervation. References * Drake RL, Vogl W, Mitchell AWM. ''Gray's Ana ...
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Hypaxial Muscles
In adult vertebrates, trunk muscles can be broadly divided into hypaxial muscles, which lie ventral to the horizontal septum of the vertebrae and epaxial muscles, which lie dorsal to the septum. Hypaxial muscles include some vertebral muscles, the diaphragm, the abdominal muscles, and all limb muscles. The serratus posterior inferior and serratus posterior superior are innervated by the ventral primary ramus and are hypaxial muscles. Epaxial muscles include other (dorsal) muscles associated with the vertebrae, ribs, and base of the skull. In humans, the erector spinae, the transversospinales (including the multifidus, semispinalis and rotatores), the splenius and suboccipital muscles are the only epaxial muscles. Hypaxial and epaxial muscles develop directly from somitic cells. Differentiation of hypaxial and epaxial muscles is postulated to have evolved as a new trait in vertebrate animals. Location The hypaxial muscles are located on the ventral side of the body, ofte ...
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Ventral Ramus
The ventral ramus (pl. ''rami'') (Latin for ''branch'') is the anterior division of a spinal nerve. The ventral rami supply the antero-lateral parts of the trunk and the limbs. They are mainly larger than the dorsal rami. Shortly after a spinal nerve exits the intervertebral foramen, it branches into the dorsal ramus, the ventral ramus, and the ramus communicans. Each of these three structures carries both sensory and motor information. Each spinal nerve carries both sensory and motor information, via efferent and afferent nerve fibers - ultimately via the motor cortex in the frontal lobe and to somatosensory cortex in the parietal lobe - but also through the phenomenon of reflex. Spinal nerves are referred to as "mixed nerves". In the thoracic region they remain distinct from each other and each innervates a narrow strip of muscle and skin along the sides, chest, ribs, and abdominal wall. These rami are called the intercostal nerves. In regions other than the thoracic, ventra ...
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Epaxial Muscles
In adult vertebrates, trunk muscles can be broadly divided into hypaxial muscles, which lie ventral to the horizontal septum of the vertebrae and epaxial muscles, which lie dorsal to the septum. Hypaxial muscles include some vertebral muscles, the diaphragm, the abdominal muscles, and all limb muscles. The serratus posterior inferior and serratus posterior superior are innervated by the ventral primary ramus and are hypaxial muscles. Epaxial muscles include other (dorsal) muscles associated with the vertebrae, ribs, and base of the skull. In humans, the erector spinae, the transversospinales (including the multifidus, semispinalis and rotatores), the splenius and suboccipital muscles are the only epaxial muscles. Hypaxial and epaxial muscles develop directly from somitic cells. Differentiation of hypaxial and epaxial muscles is postulated to have evolved as a new trait in vertebrate animals. Location The hypaxial muscles are located on the ventral side of the body, often ...
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Dorsal Ramus Of Spinal Nerve
The dorsal ramus of spinal nerve (or posterior ramus of spinal nerve, or posterior primary division) is the posterior division of a spinal nerve. The dorsal ramus (Latin for branch, plural ''rami'' ) is the dorsal branch of a spinal nerve that forms from the dorsal root of the nerve after it emerges from the spinal cord. The spinal nerve is formed from the dorsal and ventral rami. The dorsal ramus carries information that supplies muscles and skin sensation to the human back. Structure Ventral root axons join with dorsal root ganglia to form mixed spinal nerves (below). These then merge to form peripheral nerves. Shortly after this spinal nerve forms, it then branches into the dorsal ramus and ventral ramus. Spinal nerves are mixed nerves that carry both sensory and motor information. It also branches to form the grey and the white rami communicantes which make connections with the sympathetic ganglia. After it is formed, the dorsal ramus of each spinal nerve travels backward, e ...
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