autonomic nervous system medical neuroscience dr. wiegand
TRANSCRIPT
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Autonomic Nervous System
Medical Neuroscience
Dr. Wiegand
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Autonomic Nervous System
Enteric System Sympathetic Nervous System Parasympathetic Nervous System
All systems have GVE and GVA components
Primarily considered a
two neuron chain motor system
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Aff
ere
nt
Inp
ut
(GV
A)
Limbic System
Hypothalamus
Reticular Formation
Spinal Level
Au
ton
om
ic
Ne
rvo
us
Sys
tem
Periphery
Autonomic Nervous System
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Skeletal vs. Smooth MuscleMotor Systems
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PSNS & SNS – Similarities
Acetylcholine
“B” fiber“B” fiber
Ganglia
Nuclei
Spinal cordor brainstem Periphery
“C” fiber“C” fiber
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PSNS & SNS – Differences
SNS activate body thoracolumbar (T1-L2) short preganglionic/long
postganglionic fibers global responses postganglionic
transmitter: norepinephrine (except sweat glands – ACH)
PSNS prepare body for rest craniosacral (CN III, VII,
IX, X & S2-4) long preganglionics/short
postganglionic fibers discrete/local responses postganglionic
transmitter: acetylcholine
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Sympathetic Nervous System “Fight or Flight” system Activation
increases heart rate increases sweating dilates pupil inhibits GI movement closes sphincters diverts blood from skin and GI tract to
skeletal muscles
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Sympathetic Nervous System- Preganglionic Neuron May:
1. terminate on postganglionic neuron in the sympathetic chain ganglia
2. ascend or descend to higher or lower ganglia and terminate on postganglionic neuron in the sympathetic chain ganglia
3. pass through the sympathetic chain to prevertebral ganglia (celiac, inferior or superior mesenteric)
4. pass through the sympathetic chain ganglia to adrenal medulla
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referred pain•heart – T1-4
•gall bladder – T6-8•stomach – T7-8
referred pain•heart – T1-4
•gall bladder – T6-8•stomach – T7-8
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preganglionic fibers from T1-5 ascend
postganglionic fibers from sup. cervical ganglia follow carotid a.
fibers follow III and V ophthalmic
innervate dilator m, levator palpebrae, sweat & lacrimal glands
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Parasympathetic Nervous System
prepares body for restpromotes digestion, GI peristalsisslows heart rateconstricts pupilempties bladderrelaxes sphinctersmediates genital erection
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Horner’s Syndrome
damage to the descending fibers from the hypothalamus or the superior cervical ganglia
miosis – pupillary constriction anhidrosis – lack of sweating ptosis – drooping of the eye lid enophthalmos – eye appears to sink in to the orbit
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Bladder
SNS – retention PSNS – voiding
(micturation)
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L1 – L2 GVE
S2 – S4 GSE
S2 – S4 GVE
SNS input from L1-2 (int. urinary sphincter)
PSNS input from S2-4 (detrusor mm)
GSE (Onuf) to ext. urinary sphincter
GSA (pain, temp & pressure to T12/L1 & S2-4
GVA to S2-4 paracentral lobule &
brainstem
S2-4 GVA/GSA
(T12/L1)
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Autonomic Nervous System and the Bladder
“UMN bladder” = “spastic bladder” = automatic reflex bladder
“LMN bladder” = “flaccid bladder” = “atonic bladder” = autonomous reflex bladder
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