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The Autonomic Nervous System

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IntroductionThe Autonomic Nervous System (ANS) is the system of motor neurons that innervate the smooth muscle, cardiac muscle, and glands of the bodyBy controlling these effectors, the ANS regulates such visceral

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Слайд 1The Autonomic Nervous System

Chapter 15

The Autonomic Nervous SystemChapter 15

Слайд 2Introduction
The Autonomic Nervous System (ANS) is the system of motor

neurons that innervate the smooth muscle, cardiac muscle, and glands

of the body
By controlling these effectors, the ANS regulates such visceral functions as …
Heart rate
Blood pressure
Digestion
Urination
IntroductionThe Autonomic Nervous System (ANS) is the system of motor neurons that innervate the smooth muscle, cardiac

Слайд 3Introduction
The ANS is the general visceral motor division of the

peripheral nervous system and is distinct from the general somatic

motor and brachial motor divisions which innervate skeletal muscles
IntroductionThe ANS is the general visceral motor division of the peripheral nervous system and is distinct from

Слайд 4Introduction
The general visceral sensory system continuously monitors the activities of

the visceral organs so that the autonomic motor neurons can

make adjustments as necessary to ensure optimal performance of the visceral organs

IntroductionThe general visceral sensory system continuously monitors the activities of the visceral organs so that the autonomic

Слайд 6Introduction
The stability of our internal environment depends largely on the

autonomic nervous system
Autonomic nervous system(ANS) receives signals from visceral organs
The

ANS makes adjustments as necessary to ensure optical support for body systems

IntroductionThe stability of our internal environment depends largely on the autonomic nervous systemAutonomic nervous system(ANS) receives signals

Слайд 7Comparison of ANS & PNS
Recall that the somatic motor system

innervates skeletal muscles
Each somatic motor neuron runs from the central

nervous system all the way to the muscle being innervated, and that each motor unit consists of a single neuron plus the skeletal muscle cells it innervates
Typical somatic motor axons are thick, heavily myelinated fibers that conduct nerve impulses rapidly
Comparison of ANS & PNSRecall that the somatic motor system innervates skeletal musclesEach somatic motor neuron runs

Слайд 8Comparison of ANS & PNS

Comparison of ANS & PNS

Слайд 9Comparison of ANS & PNS
In the somatic system
Cell bodies are

within the central nervous system
Axons extend to the muscles they

serve
Somatic motor fibers are thick, heavily myelinated Type A fibers that conduct impulses very rapidly
Comparison of ANS & PNSIn the somatic systemCell bodies are within the central nervous systemAxons extend to

Слайд 10Comparison of ANS & PNS
In the autonomic nervous system
The motor

unit is a two neuron chain
The cell body of the

first neuron, the preganglionic neuron, resides in the brain or spinal cord
Its axon, the preganglionic axon, synapses with the second motor neuron, the post- ganglionic neuron, in an autonomic ganglion outside the central nervous system
The postganglionic axon then extends to the effector organ

Comparison of ANS & PNSIn the autonomic nervous systemThe motor unit is a two neuron chainThe cell

Слайд 11Comparison of ANS & PNS
Compare the one motor neuron of

the somatic motor division with the two neuron chain of

the autonomic nervous system
Comparison of ANS & PNSCompare the one motor neuron of the somatic motor division with the two

Слайд 12Efferent Pathways and Ganglia
Axons of most preganglionic neurons run from

the CNS to synapse in a peripheral autonomic ganglion with

a postganglionic neuron
Efferent Pathways and GangliaAxons of most preganglionic neurons run from the CNS to synapse in a peripheral

Слайд 13Efferent Pathways and Ganglia
Axons of postganglionic neurons run from the

ganglion to the effectors (cardiac and smooth muscle fibers and

glands)
Efferent Pathways and GangliaAxons of postganglionic neurons run from the ganglion to the effectors (cardiac and smooth

Слайд 14Efferent Pathways and Ganglia
Preganglionic axons are lightly myelinated thin fibers
Postganglionic

axons are even thinner and are unmyelinated
Conduction though the autonomic

chain is slower than through the somatic motor
Many pre and postganglionic fibers are incorporated into spinal or cranial nerves for most of their course
Efferent Pathways and GangliaPreganglionic axons are lightly myelinated thin fibersPostganglionic axons are even thinner and are unmyelinatedConduction

Слайд 15Efferent Pathways and Ganglia
Remember that autonomic ganglion are motor ganglia,

containing the cell bodies of motor neurons
They are sites of

synapse and information transmission from pre to postganglionic neurons
Also note that the somatic motor division lacks ganglia entirely
Efferent Pathways and GangliaRemember that autonomic ganglion are motor ganglia, containing the cell bodies of motor neuronsThey

Слайд 16Neurotransmitter Effects
All somatic motor neurons release acetylcholine at their synapses

with their effectors, skeletal muscle fibers
The effect is always excitatory,

and if stimulation reaches threshold, the skeletal muscle fibers contacts
Neurotransmitter EffectsAll somatic motor neurons release acetylcholine at their synapses with their effectors, skeletal muscle fibersThe effect

Слайд 17Neurotransmitter Effects
Neurotransmitters released onto visceral effector organs by postganglionic autonomic

fibers include
Norepinephrine secreted by most sympathetic fibers
Acetylcholine released by parasympathetic

fibers
Depending on the receptors present on the target organ, its response to these neuro- transmitters may be either excitation or inhibition
Neurotransmitter EffectsNeurotransmitters released onto visceral effector organs by postganglionic autonomic fibers includeNorepinephrine secreted by most sympathetic fibersAcetylcholine

Слайд 18Overlap of Somatic & Autonomic
Higher brain centers regulate and coordinate

both somatic and visceral motor activities
Nearby spinal nerves and many

cranial nerves contain both somatic and autonomic fibers
Most of the body’s adaptations to changing internal and external conditions involve both skeletal activity and enhanced response of visceral organs
Overlap of Somatic & AutonomicHigher brain centers regulate and coordinate both somatic and visceral motor activitiesNearby spinal

Слайд 19Divisions of ANS
There are two division of the ANS
Parasympathetic
Sympathetic
Generally the

two divisions have chains of two motor neurons that innervate

same visceral organs but cause essentially opposite effects
If one division stimulates certain smooth muscle to contract or a gland to secrete, the other division inhibits that action
Through this process of duel innervation the two systems counterbalance each other
Divisions of ANSThere are two division of the ANSParasympatheticSympatheticGenerally the two divisions have chains of two motor

Слайд 20Divisions of ANS
The sympathetic part mobilizes the body during extreme

situations (such as fear, exercise or rage)
The parasympathetic division allows

us to unwind as it performs maintenance activities and conserves body energy
Divisions of ANSThe sympathetic part mobilizes the body during extreme situations (such as fear, exercise or rage)The

Слайд 21Divisions of ANS
Both the sympathetic and parasympathetic divisions issue from

the brain and spinal cord
Two neuron pathways are shown for

both divisions
Solid lines indicate pre-ganglionic axons while broken lines indicate post-ganglionic axons
Divisions of ANSBoth the sympathetic and parasympathetic divisions issue from the brain and spinal cordTwo neuron pathways

Слайд 22Sympathetic Division
The sympathetic division is responsible for the “fight, flight,

or fright” response
Its activity is evident during vigorous exercise, excitement,

or emergencies
Physiological changes like a pounding heart, fast and deep breathing, dilated eye pupils, and cold, sweaty skin are signs of the mobilization of the sympathetic division, which help us survive danger
Sympathetic DivisionThe sympathetic division is responsible for the “fight, flight, or fright” responseIts activity is evident during

Слайд 23Sympathetic Division
Sympathetic responses prepare our bodies to cope with physiological

stressors
While sympathetic response may increases the capacities of some systems

they may in fact inhibit “non-essential” functions such as digestion and urinary tract motility
Sympathetic DivisionSympathetic responses prepare our bodies to cope with physiological stressorsWhile sympathetic response may increases the capacities

Слайд 24Sympathetic Division
The sympathetic system also innervates blood vessels, sending signals

to the smooth muscles in their walls
Even though sympathetic input

causes the smooth muscle in some vessels (in skeletal muscle) to relax so that the vessel dilates, the bulk of sympathetic input signals smooth muscle in blood vessels to contract, producing vasoconstriction
Sympathetic DivisionThe sympathetic system also innervates blood vessels, sending signals to the smooth muscles in their wallsEven

Слайд 25Sympathetic Division
Vasoconstriction results in the narrowing of vessel diameter which

forces the heart to work harder to pump blood around

the vascular circuit
As a result sympathetic activity results in blood pressure to rise during excitement and stress
Sympathetic DivisionVasoconstriction results in the narrowing of vessel diameter which forces the heart to work harder to

Слайд 26Role of Sympathetic Division
During exercise the sympathetic division also promotes

physiological adjustments
Visceral blood supply is diminished
Blood is shunted to working

musculature
Bronchioles of the lungs dilate to increase ventilation
Liver releases more sugar into blood stream to support metabolism
Role of Sympathetic DivisionDuring exercise the sympathetic division also promotes physiological adjustmentsVisceral blood supply is diminishedBlood is

Слайд 27Role of Sympathetic Division
Its activity is evident when we are

excited or find ourselves in emergency or threatening situations (frightened)
Pounding

heart; rapid, deep breathing; cold, sweaty skin; and dilated eyes are signs
Also changes in brain wave patterns
Its function is to provide the optimal conditions for an appropriate response to some threat (run / see / think)
Role of Sympathetic DivisionIts activity is evident when we are excited or find ourselves in emergency or

Слайд 28Parasympathetic Division
The parasympathetic division is most effective in non-stressful situations
This

division is chiefly concerned with keeping body energy use as

low as possible, even as it directs body processes such as digestion and elimination
Resting and digesting division
Parasympathetic DivisionThe parasympathetic division is most effective in non-stressful situationsThis division is chiefly concerned with keeping body

Слайд 29Autonomic Homeostasis
Autonomic homeostasis is the dynamic counteraction between the two

divisions such that they balance each other during times when

we are neither highly excited nor completed at rest
Autonomic HomeostasisAutonomic homeostasis is the dynamic counteraction between the two divisions such that they balance each other

Слайд 30Divisions of ANS
In addition to the functional differences between the

parasympathetic and sympathetic divisions , there are also anatomical and

biochemical differences
Divisions of ANSIn addition to the functional differences between the parasympathetic and sympathetic divisions , there are

Слайд 31Divisions of ANS
The two divisions issue from different regions of

the CNS
The sympathetic can also be called the thoracolumbar division

because its fibers emerge from the thoracic and lumbar parts of the spinal cord
Divisions of ANSThe two divisions issue from different regions of the CNSThe sympathetic can also be called

Слайд 32Divisions of ANS
The parasympathetic division can also be termed the

craniospinal division because its fibers emerge from the brain and

spinal cord (sacral)
Divisions of ANSThe parasympathetic division can also be termed the craniospinal division because its fibers emerge from

Слайд 33Comparison of ANS & PNS
A second difference between the two

divisions is that sympathetic pathways have short pre-ganglionic fibers and

long post-ganglionic fibers
Comparison of ANS & PNSA second difference between the two divisions is that sympathetic pathways have short

Слайд 34Comparison of ANS & PNS
Parasympathetic pathways in contrast have long

pre-ganglionic fibers and short post-ganglionic fibers

Comparison of ANS & PNSParasympathetic pathways in contrast have long pre-ganglionic fibers and short post-ganglionic fibers

Слайд 35Divisions of ANS
Therefore, all sympathetic ganglia lie near the spinal

cord and vertebral column, and all parasympathetic ganglia lie far

from the CNS, in or near the organs innervated
Divisions of ANSTherefore, all sympathetic ganglia lie near the spinal cord and vertebral column, and all parasympathetic

Слайд 36Divisions of ANS
The third anatomical difference between the two divisions

is that sympathetic axons branch profusely, while parasympathetic fibers do

not
Divisions of ANSThe third anatomical difference between the two divisions is that sympathetic axons branch profusely, while

Слайд 37Divisions of ANS
Extensive branching allows each sympathetic neuron to influence

a number of different visceral organs, enabling many organs to

mobilize simultaneously during the “fight, flight or fright” response
Parasympathetic effects, by contrast are more localized and discrete
Divisions of ANSExtensive branching allows each sympathetic neuron to influence a number of different visceral organs, enabling

Слайд 38Divisions of ANS
The main biochemical difference between the two divisions

involves the neurotransmitter release by the postganglionic axons

Divisions of ANSThe main biochemical difference between the two divisions involves the neurotransmitter release by the postganglionic

Слайд 39Divisions of ANS
In the sympathetic division, most postganglionic axons release

norepinephine (also called noradrenaline) these fibers are termed adrenergic
The postganglionic

neurotransmitter in the parasympathetic division is acetycholine (Ach) these fibers are termed cholinergic
The preganglionic axon terminals of both divisions always release acetylcholine
Divisions of ANSIn the sympathetic division, most postganglionic axons release norepinephine (also called noradrenaline) these fibers are

Слайд 40Divisions of ANS
The main anatomical and physiological differences between the

parasympathetic and sympathetic divisions are summarized in Table 15.1

Divisions of ANSThe main anatomical and physiological differences between the parasympathetic and sympathetic divisions are summarized in

Слайд 41Anatomy of ANS
The sympathetic and parasympathetic divisions are distinguished by
Unique

sites of origin
Different lengths of their fibers
Location of their ganglia

Anatomy of ANSThe sympathetic and parasympathetic divisions are distinguished byUnique sites of originDifferent lengths of their fibersLocation

Слайд 42Anatomy of ANS
Unique origin sites
Parasympathetic fibers emerge from the brain

and from the spinal cord at the sacral level
Sympathetic fibers

originate from the thoracic and lumbar regions of the spinal cord
Anatomy of ANSUnique origin sitesParasympathetic fibers emerge from the brain and from the spinal cord at the

Слайд 43Anatomy of ANS
Different Lengths of their Fibers
Parasympathetic division has long

preganglionic and short postganglionic fibers
Sympathetic is the opposite with short

preganglionic and long postganglionic fibers
Anatomy of ANSDifferent Lengths of their FibersParasympathetic division has long preganglionic and short postganglionic fibersSympathetic is the

Слайд 44Anatomy of ANS
Length of their Ganglia
Most parasympathetic ganglia are located

in the visceral effector organs
Sympathetic ganglia lie close to the

spinal cord
Anatomy of ANSLength of their GangliaMost parasympathetic ganglia are located in the visceral effector organsSympathetic ganglia lie

Слайд 45Parasympathetic Division
The parasympathetic emerge from opposite ends of the central

nervous system
The preganglionic axons extend from the CNS nearly all

the way to the structures to be innervated

Parasympathetic DivisionThe parasympathetic emerge from opposite ends of the central nervous systemThe preganglionic axons extend from the

Слайд 46Parasympathetic Division
The preganglionic neurons synapse with the ganglionic neurons located

in terminal ganglia
Very short post ganglionic axons issue from the

terminal ganglia and synapse with effector cells in their immediate area
Parasympathetic DivisionThe preganglionic neurons synapse with the ganglionic neurons located in terminal gangliaVery short post ganglionic axons

Слайд 47Parasympathetic Division
Several cranial nerves contain outflow of the parasympathetic
Preganglionic fibers

run in the oculomotor, facial, glossopharyngeal, and vagus nerve

Parasympathetic DivisionSeveral cranial nerves contain outflow of the parasympatheticPreganglionic fibers run in the oculomotor, facial, glossopharyngeal, and

Слайд 48Cranial Outflow
Oculomotor nerve III
The parasympathetic fibers of the oculomotor

nerves innervate smooth muscles of the eye
Constrictor muscles of iris

cause pupil to constrict
Ciliary muscle within the orbits of the eye controls lense shape for visual focusing
Allow the eye to focus on close objects in the visual field
Cranial Outflow Oculomotor nerve IIIThe parasympathetic fibers of the oculomotor nerves innervate smooth muscles of the eyeConstrictor

Слайд 50Cranial Outflow
Facial Nerves VII
The parasympathetic fibers of the facial nerves

stimulate the secretory activity of many large glands of the

head
The pathway activates the nasal glands and the lacrimal glands of the eyes
The preganglionic fibers then run to synapse with ganglionic neurons in the pterygopalatine ganglia stimulating the submandibular and sublingual salivary glands
Cranial OutflowFacial Nerves VIIThe parasympathetic fibers of the facial nerves stimulate the secretory activity of many large

Слайд 52Cranial Outflow
Glossopharyngeal (IX)
The parasympathetic nerves originate in the medulla and

activate the parotid salivary gland

Cranial OutflowGlossopharyngeal (IX)The parasympathetic nerves originate in the medulla and activate the parotid salivary gland

Слайд 53Cranial Outflow
Vagus nerves (X)
The major portion of the parasympathetic cranial

outflow is via the vagus nerves
The two vagus nerves account

for an estimated 90% of all preganglionic parasympathetic fibers in the body
They provide fibers to the neck and contribute to nerve plexuses that serve virtually every organ in the thoracic and abdominal cavity
Cranial OutflowVagus nerves (X)The major portion of the parasympathetic cranial outflow is via the vagus nervesThe two

Слайд 54Cranial Outflow
The vagus nerve fibers arise from the dorsal motor

of the medulla and terminate by synapsing in terminal ganglia

that are usually located in the walls of the target organ
Cranial OutflowThe vagus nerve fibers arise from the dorsal motor of the medulla and terminate by synapsing

Слайд 55Cranial Outflow
Most of the terminal ganglia are not individually named;

instead they are collectively called intramural ganglia, literally ganglia “within

the walls”
As the vagus nerves passes into the thorax, they send branches to autonomic plexuses
Cardiac plexuses
Pulmonary plexuses
Esophageal plexuses
Cranial OutflowMost of the terminal ganglia are not individually named; instead they are collectively called intramural ganglia,

Слайд 56Cranial Outflow
When the vagus nerves reach the esophagus, their fibers

intermingle to form the anterior and posterior vagal trunks
Each trunk

carries fibers from both vargus nerves
Cranial OutflowWhen the vagus nerves reach the esophagus, their fibers intermingle to form the anterior and posterior

Слайд 57Cranial Outflow
The vagal trunks ride the esophagus down to enter

the abdominal cavity
They send fibers to form the aortic plexuses

(formed by the celiac, superior mesenteric and hypogastric)
Cranial OutflowThe vagal trunks ride the esophagus down to enter the abdominal cavityThey send fibers to form

Слайд 58Cranial Outflow
Abdominal organs which receive vagal innervation include the liver,

gallbladder, stomach, small intestine, kidneys, pancreas, and the proximal half

of the large intestine
The rest of the cavity are innervated by the sacral outflow
Cranial OutflowAbdominal organs which receive vagal innervation include the liver, gallbladder, stomach, small intestine, kidneys, pancreas, and

Слайд 59Sacral Outflow
The sacral outflow arises from neurons located in the

lateral horn of the spinal cord at S2 - S4
The

axons of these neurons run in the ventral roots of the spinal nerves to the ventral rami
Sacral OutflowThe sacral outflow arises from neurons located in the lateral horn of the spinal cord at

Слайд 60Sacral Outflow
From the ventral rami the neurons branch to form

the pelvic splanchnic nerves
Most neurons synapse in the intramural ganglia

located in the walls of the distal large intestine, urinary bladder and reproductive organs
Sacral OutflowFrom the ventral rami the neurons branch to form the pelvic splanchnic nervesMost neurons synapse in

Слайд 61Sympathetic Division
The sympathetic division innervates more organs
It supplies not only

the visceral organs in the internal body cavities, but also

the visceral structures in the superficial part of the body
Sweat glands
Arrector pili
Arteries and veins
Sympathetic DivisionThe sympathetic division innervates more organsIt supplies not only the visceral organs in the internal body

Слайд 62Sympathetic Division
All preganglionic fibers in the sympathetic division arise

from cell bodies of preganglionic neurons located in spinal cord

segments from T1 through L2
It is also called the thoracolumbar
Sympathetic Division All preganglionic fibers in the sympathetic division arise from cell bodies of preganglionic neurons located

Слайд 63Sympathetic Division
After leaving the cord via the ventral root, the

preganglionic sympathetic fibers pass through a white ramus communicans to

enter the adjoining chain (paravertebral) ganglion forming part of the sympathetic trunk or chain
Sympathetic DivisionAfter leaving the cord via the ventral root, the preganglionic sympathetic fibers pass through a white

Слайд 64Sympathetic Division
The sympathetic trunks flank each side of the vertebral

column and appear as strands of white beads

Sympathetic DivisionThe sympathetic trunks flank each side of the vertebral column and appear as strands of white

Слайд 65Sympathetic Division
Although the sympathetic trunks extend from the neck

to the pelvis, sympathetic fibers arise only from the thoracic

and lumbar spinal cord segments
Sympathetic Division Although the sympathetic trunks extend from the neck to the pelvis, sympathetic fibers arise only

Слайд 66Sympathetic Division
The ganglia vary in size, position, and number, but

there are typically 23 ganglia in each sympathetic chain…
3 cervical
11

thoracic
4 lumbar
4 sacral
1 coccygeal
Sympathetic DivisionThe ganglia vary in size, position, and number, but there are typically 23 ganglia in each

Слайд 67Sympathetic Division
Once a preganglionic axon reaches a paravertebral ganglion one

of three things can happen to it

Sympathetic DivisionOnce a preganglionic axon reaches a paravertebral ganglion one of three things can happen to it

Слайд 68Sympathetic Division
Once a preganglionic axon reaches a paravertebral ganglion one

of three things can happen to it…
1. It can synapse

with a ganglionic neuron within the same chain ganglion
Sympathetic DivisionOnce a preganglionic axon reaches a paravertebral ganglion one of three things can happen to it…1.

Слайд 69Sympathetic Division
Once a preganglionic axon reaches a paravertebral ganglion one

of three things can happen to it…
2. It can ascend or

descend the sympathetic chain to synapse in another chain ganglion
Sympathetic DivisionOnce a preganglionic axon reaches a paravertebral ganglion one of three things can happen to it…2.	It

Слайд 70Sympathetic Division
Once a preganglionic axon reaches a paravertebral ganglion one

of three things can happen to it…
3. It can pass through

the chain ganglion and emerge from the sympathetic chain without synapsing
Sympathetic DivisionOnce a preganglionic axon reaches a paravertebral ganglion one of three things can happen to it…3.	It

Слайд 71Sympathetic Division
Preganglionic fibers which emerge from the sympathetic chain without

synapsing help to form the splanchnic nerves which synapse with

prevertebral or collateral ganglia
Sympathetic DivisionPreganglionic fibers which emerge from the sympathetic chain without synapsing help to form the splanchnic nerves

Слайд 72Sympathetic Division
The prevertebral ganglia are located anterior to the vertebral

column

Sympathetic DivisionThe prevertebral ganglia are located anterior to the vertebral column

Слайд 73Sympathetic Division
Unlike the paravertebral ganglia the prevertebral ganglia . .

.
Are neither paired nor segmentally arranged
They occur only in the

abdomen and pelvis
Sympathetic DivisionUnlike the paravertebral ganglia the prevertebral ganglia . . .Are neither paired nor segmentally arrangedThey occur

Слайд 74Sympathetic Division
Note:
Regardless of where the synapse occurs, all sympathetic

ganglia lie close to the spinal cord
The postganglionic fibers which

run from the ganglion to the organs are typically much longer than the preganglionic fibers
Sympathetic DivisionNote: Regardless of where the synapse occurs, all sympathetic ganglia lie close to the spinal cordThe

Слайд 75Visceral Reflexes
The visceral sensory neurons are the first link in

the autonomic reflexes
These neurons send information concerning chemical changes, stretch,

and irritation of the viscera

Visceral ReflexesThe visceral sensory neurons are the first link in the autonomic reflexesThese neurons send information concerning

Слайд 76Visceral Reflexes
Visceral reflex arcs have essentially the same components as

somatic reflex arcs
Receptor
Sensory neuron
Integration center
Motor neuron
Effector

Visceral ReflexesVisceral reflex arcs have essentially the same components as somatic reflex arcsReceptorSensory neuronIntegration centerMotor neuronEffector

Слайд 77Visceral Reflexes
Visceral reflex arcs differ in that they have a

two-neuron chain

Visceral ReflexesVisceral reflex arcs differ in that they have a two-neuron chain

Слайд 78Visceral Reflexes
Nearly all sympathetic and parasympathetic fibers are accompanied by

afferent fibers conducting sensory impulses from glands or muscular structures
Thus,

peripheral processes of visceral sensory neurons are found in cranial nerves, VII, IX, and X, the splanchnic nerves, and the sympathetic trunk, as well as the spinal nerves
Visceral ReflexesNearly all sympathetic and parasympathetic fibers are accompanied by afferent fibers conducting sensory impulses from glands

Слайд 79Visceral Reflexes
Like sensory neurons serving somatic structures (skeletal muscles and

skin)
The cell bodies of visceral sensory neurons are located in

the sensory ganglia of associated cranial nerves or in the dorsal root ganglia of the spinal cord

Visceral ReflexesLike sensory neurons serving somatic structures (skeletal muscles and skin)The cell bodies of visceral sensory neurons

Слайд 80Visceral Reflexes
Visceral sensory reflexes are also found within sympathetic ganglia

where synapses with preganglionic neurons occur
Complete three-neuron reflex arcs

(sensory, motor, and intrinsic neurons) exist within the walls of the gastro-intestinal tract
Enteric nervous system
Controls gastrointestinal activity
Visceral ReflexesVisceral sensory reflexes are also found within sympathetic ganglia where synapses with preganglionic neurons occur Complete

Слайд 81Visceral Reflexes
The fact that visceral pain travels along the same

pathways as somatic pain fibers helps to explain the phenomenon

of referred pain in which pain stimuli arising in the viscera is perceived as somatic in origin
Visceral ReflexesThe fact that visceral pain travels along the same pathways as somatic pain fibers helps to

Слайд 82Visceral Reflexes
A heart attach may produce a sensation of pain

that radiates to the superior thoracic wall and along the

medial aspect of the left arm
Visceral ReflexesA heart attach may produce a sensation of pain that radiates to the superior thoracic wall

Слайд 83Visceral Reflexes
Since the same spinal segments (T1-T5) innervate both the

heart and the regions to which pain signals from heart

tissue are referred, the brain interprets most such inputs as coming from the somatic pathway
Visceral ReflexesSince the same spinal segments (T1-T5) innervate both the heart and the regions to which pain

Слайд 84Visceral Reflexes
Additional cutaneous areas to which visceral pain is referred

Visceral ReflexesAdditional cutaneous areas to which visceral pain is referred

Слайд 85Overview of the ANS
The autonomic nervous system differs in…
Its effectors
Its

efferent pathways
Its target organs

Overview of the ANSThe autonomic nervous system differs in…Its effectorsIts efferent pathwaysIts target organs

Слайд 86Effectors of ANS
The somatic nervous system stimulates skeletal muscles
The ANS

innervates cardiac and smooth muscles and glands

Effectors of ANSThe somatic nervous system stimulates skeletal musclesThe ANS innervates cardiac and smooth muscles and glands

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