autonomic nervous system dr dileep verma associate professor deptt of physiology kgmu
TRANSCRIPT
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Autonomic Nervous SystemAutonomic Nervous System
Dr Dileep Verma Associate Professor Deptt of Physiology KGMU
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Lecture-3 :Sympathetic Nervous SystemLecture-3 :Sympathetic Nervous System
Sympathetic Nervous System
Sympathetic Preganglionic Neurons
Sympathetic Ganglia
Postganglionic Sympathetic Neurons
Distribution of Sympathetic neurons
Effect of Sympathetic stimulation
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Organization: Sympathetic NSOrganization: Sympathetic NS
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Sympathetic Nervous SystemSympathetic Nervous System
Also calledThoracolumbar system All preganglionic sympathetic fibers
Arises from lateral horn of spinal cord Leave the spinal cord with the ventral roots of the spinal
nerve Cell body located in gray matter from T1-L2
Sympathetic trunk extend the entire length of spinal cord
Post ganglionic fibers pass to effector organ
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Sympathetic Nervous SystemSympathetic Nervous System
All preganglionic sympathetic fibers- Arises from lateral horn of spinal cordLeave the spinal cord with the ventral
roots of the spinal nerveCell body located in gray matter from
T1-L2
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Sympathetic Nervous SystemSympathetic Nervous System
All preganglionic sympathetic fibers are: Short Myelinated Type B fiber
Leave the spinal cord via ventral rootPass via the white rami communicates to
the paravertebral gangliaTerminates in sympathetic gangliaSynapses with postganglionic neurons
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Sympathetic Nervous System Destination of the preganglionic fibers
after reaching the sympathetic trunk Preganglionic fibres after reaching the
sympathetic trunk may- 1. Terminate in the same ganglia that it
enters2. Pass upward & terminate in the other
ganglia 3. Pass downward & terminate in the other
ganglia 4. Leave the sympathetic trunk without
synapsing & terminate in other ganglia which lies out side the sympathetic trunk
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Sympathetic Ganglia
Ganglia: Structures where synapsing between pre and post ganglionic fibers occurs
One preganglionic fiber synapses with several post ganglionic neurons
Important groups of sympathetic ganglia are-1. Sympathetic trunk (Paravertebral ganglia)2. Prevertebral ganglia3. Peripheral ganglia
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Sympathetic Trunk GangliaSympathetic Trunk Ganglia
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Postganglionic Sympathetic Neuron
All Postganglionic Sympathetic Neuron arises from sympathetic ganglia
Cell body located in ganglion These are -
Short & Nonmyelinated Type C fibers
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Postganglionic Sympathetic Neuron
Postganglionic Sympathetic Fibers may-
Pass through gray ramus communicantes and re-enter ventral root to reach a spinal nerve and innervate the-
Sweat gland Blood vessels Piloerector muscle
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Postganglionic Sympathetic Neuron
Postganglionic Sympathetic Fibers may-
1. Pass through gray ramus communicantes and re-enter ventral root to reach a spinal nerve
2. Reach a cranial nerve through communicating branch & distributed through it
3. Pass into a vascular branch and distributed to branches of vessels
4. Innervate the visceral organs
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Distribution of Sympathetic neurons
Segmental level
1. T1,T22. T3,T43. T5 toT94. T10 to L25. T6 toT126. L1,L27. T1toT12
Area of distribution
Head & NeckThoracic visceraUpper limbLower LimbUpper Abdominal VisceraLower Abdominal VisceraThoracic & abdominal
Vessels
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Effect of Sympathetic stimulationSystem/organ
CVSHeart
SANAVN Purkinje
FibersMyocardiu
mBlood
Vessels
Effects
Cardiac stimulation
+ve Chronotropic Effect +ve Dromotropic Effect
+ve Bathmotropic Effect
+ve Inotropic EffectVasoconstriction – Splanchnic CutaneousVasodilatation-skeletal blood vessels
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Effect of Sympathetic stimulation
System/organ
CVSHRSVCOSBPDBP
PVR
Effects
Cardiac stimulation
IncreasesIncreases Increases Increases Increases Increases
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Effect of Sympathetic stimulation
System/organ
Respiratory
GIT
CNS
Genitourinary
EffectsBronchodilatation
TachypneaRelaxation of smooth muscle
Constriction of sphincters
Increased alertnessLoss of sleep
Relaxation of detruserConstriction of sphinctersEjaculation in male
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Sympathetic responsesSympathetic responses
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1-Sympathetic cholinergic innervations is seen in-
A. Apocrine sweat glandsB. Eccrine sweat glandsC. IrisD. Pancreas
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2-Preganglionic sympathetic fibres are--A. Small & MyelinatedB. Small & NonmyelinatedC. Large & MyelinatedD. Large & Unmyelinated
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3-Preganglionic sympathetic fibers innervating the heart are arises from--
A. C1-C6B. T1-L2C. T12-L5D. T1-T5
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4-Precapillary to post capillary resistance ratio is about--
A. 4:1B. 1:2C. 2:1D. 1:4
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5-Sympathetic Fibres to the heart are-
A. EndocardialB. EpicardialC. SerotonergicD. Glycinergic
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Applied Physiology
1. Horner's syndrome2. Sympathomimetic drugs3. Sympatholytic drugs4. Parasympathomimetic drugs5. Parasympatholytics drugs6. Ganglion blocker
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