Sympathetic Division of the Autonomic Nervous System (ANS) Anatomy and Physiology, Horner Syndrome

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  • Опубліковано 6 чер 2013
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    What is the Autonomic Nervous System? What is the Sympathetic nervous system or the Sympathetic division of the Autonomic Nervous System?
    Preganglionic neurons of the sympathetic division originate
    in the intermediolateral horn of the thoracic (T1 to T12)
    and upper lumbar (L1 to L3) spinal cord. The preganglionic
    axons exit the spinal cord in the ventral nerve roots. Immediately
    after the ventral and dorsal roots merge to form the
    spinal nerve, the sympathetic axons leave the spinal nerve
    via the white ramus and enter the paravertebral sympathetic
    ganglia. The paravertebral ganglia form an
    interconnected chain located on either side of the vertebral
    column. These ganglia extend above and below the thoracic
    and lumbar spinal levels, where preganglionic fibers emerge,
    to provide postganglionic sympathetic axons to the cervical
    and lumbosacral spinal nerves. The preganglionic
    axons that ascend to the cervical levels arise from T1 to T5
    and form three major ganglia: the superior, the middle, and
    the inferior cervical ganglia. Preganglionic axons descend
    below L3, forming two additional lumbar and at least four
    sacral ganglia. Th e preganglionic axons may synapse with
    postganglionic neurons in the paravertebral ganglion at the
    same level, ascend or descend up to several spinal levels and
    then synapse, or pass through the paravertebral ganglia en
    route to a prevertebral ganglion.

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