Peripheral Nervous System, Lecture notes of Anatomy

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Typology: Lecture notes

2018/2019

Available from 07/21/2025

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GENERAL ANATOMY-1 Reviewer
Peripheral Nervous System
For Dentistry
Spinal Nerves
Bundles of nerves attached to the spinal cord
Classified as:
a. Sensory nerve fibers
b. Motor nerve fibers
31 pairs attached along the vertebral canal
Emerge through intervertebral foramina
Number of Spinal Nerves
8 cervical
12 thoracic
5 lumbar
5 sacral
1 coccygeal
Attachment to Spinal Cord
Dorsal root: sensory fibers
Ve nt r a l ro o t : m o t o r f i b e rs
Both roots join to form the spinal nerve
Plexuses
Groups of nerve fibers from ventral rami
Posterior rami do not form plexuses
Plexuses arise from cervical, lumbar, sacral, and brachial spinal nerves
Thoracic nerves
T1 to T11: intercostal nerves (do not form plexus)
T12: subcostal nerve (does not form plexus)
Cervical Plexus
From C1 to C4
Supplies back and sides of head, front of neck (sensory)
Most important branch: phrenic nerve (motor to diaphragm)
Brachial Plexus
From C5 to C8 and T1
Supplies skin and muscles of upper limb
Major branches:
a. Radial nerve
b. Ulnar nerve
c. Median nerve
Lumbar Plexus
From L1 to L4
Gives rise to:
a. Femoral nerve (anterior thigh)
pf3
pf4
pf5

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GENERAL ANATOMY-1 Reviewer

Peripheral Nervous System

For Dentistry

Spinal Nerves

  • Bundles of nerves attached to the spinal cord
  • Classified as: a. Sensory nerve fibers b. Motor nerve fibers
  • 31 pairs attached along the vertebral canal
  • Emerge through intervertebral foramina Number of Spinal Nerves
  • 8 cervical
  • 12 thoracic
  • 5 lumbar
  • 5 sacral
  • 1 coccygeal Attachment to Spinal Cord
  • Dorsal root: sensory fibers
  • Ventral root: motor fibers
  • Both roots join to form the spinal nerve Plexuses
  • Groups of nerve fibers from ventral rami
  • Posterior rami do not form plexuses
  • Plexuses arise from cervical, lumbar, sacral, and brachial spinal nerves Thoracic nerves
  • T1 to T11: intercostal nerves (do not form plexus)
  • T12: subcostal nerve (does not form plexus) Cervical Plexus
  • From C1 to C
  • Supplies back and sides of head, front of neck (sensory)
  • Most important branch: phrenic nerve (motor to diaphragm) Brachial Plexus
  • From C5 to C8 and T
  • Supplies skin and muscles of upper limb
  • Major branches: a. Radial nerve b. Ulnar nerve c. Median nerve Lumbar Plexus
  • From L1 to L
  • Gives rise to: a. Femoral nerve (anterior thigh)

b. Obturator nerve (medial thigh) Sacral Plexus

  • From L4, L5, S1, S2, S
  • Gives rise to largest nerve: Sciatic nerve
  • Branches: a. Common peroneal nerve b. Tibial nerve Cranial Nerves
  • Nerves attached directly to the brain
  • Numbered I to XII: Number Name Function I Olfactory Sensory: smell II Optic Sensory: sight III Oculomotor Motor: most extraocular muscles; parasympathetic to pupil sphincter & ciliary muscles IV Trochlear Motor: superior oblique muscle V Trigeminal Mixed: sensory face; motor muscles of mastication VI Abducens Motor: lateral rectus muscle VII Facial Mixed: motor facial muscles; sensory taste anterior 2/3 tongue; parasympathetic glands VIII Vestibulocochlear Sensory: hearing & balance IX Glossopharyngeal Mixed: motor stylopharyngeus; sensory taste posterior 1/3 tongue; parasympathetic parotid gland X Vagus Mixed: sensory & motor to pharynx, larynx, thoracic & abdominal viscera; parasympathetic XI Accessory Motor: trapezius, sternocleidomastoid, pharynx, larynx XII Hypoglossal Motor: muscles of the tongue Classification of Cranial Nerves
  • Purely sensory: CN I, II, VIII
  • Purely motor: CN III, IV, VII, XI, XII
  • Mixed sensory and motor: CN V, VII, IX, X Autonomic Nervous System
  • Efferent fibers to smooth muscle, cardiac muscle, and glands Divisions:
  1. Sympathetic (thoracolumbar) o Arises from all thoracic nerves and first three lumbar nerves o Mobilizes energy; uses epinephrine for fight-or-flight response

Q: Which nerves form the sacral plexus?

A: L4, L5, S1, S2, S3.

Q: What is the largest nerve arising from the sacral plexus?

A: The sciatic nerve.

Q: What are the branches of the sciatic nerve?

A: Common peroneal nerve and tibial nerve.

Q: How many cranial nerves are there?

A: 12 pairs.

Q: Name the cranial nerves that are purely sensory.

A: CN I (olfactory), II (optic), and VIII (vestibulocochlear).

Q: Which cranial nerves are purely motor?

A: CN III (oculomotor), IV (trochlear), VII (facial), XI (accessory), XII (hypoglossal).

Q: Which cranial nerves are mixed sensory and motor?

A: CN V (trigeminal), VII (facial), IX (glossopharyngeal), X (vagus).

Q: What is the function of CN I?

A: Sense of smell.

Q: What muscles does CN III innervate?

A: Most extraocular muscles except superior oblique and lateral rectus.

Q: Which nerve controls the superior oblique muscle?

A: CN IV (trochlear nerve).

Q: What are the three branches of the trigeminal nerve?

A: Ophthalmic (sensory upper face), maxillary (sensory mid face), mandibular (sensory lower

face and motor to mastication muscles).

Q: What does the facial nerve (CN VII) control?

A: Muscles of facial expression, taste on anterior 2/3 of tongue, and parasympathetic to lacrimal,

submandibular, and sublingual glands.

Q: What is the role of CN VIII?

A: Hearing (cochlear) and balance (vestibular).

Q: What does the vagus nerve (CN X) innervate?

A: Sensory to skin of external auditory canal, pharynx, larynx, thoracic and abdominal viscera;

motor to pharynx and larynx; parasympathetic to thoracic and abdominal organs.

Q: What muscles does the accessory nerve (CN XI) supply?

A: Trapezius and sternocleidomastoid muscles.

Q: What is the function of the hypoglossal nerve (CN XII)?

A: Motor to muscles of the tongue.

Q: What are the two divisions of the autonomic nervous system?

A: Sympathetic (thoracolumbar) and parasympathetic (craniosacral).

Q: What is the primary function of the sympathetic division?

A: Mobilizes energy for fight-or-flight responses.

Q: Which spinal segments contribute to the sympathetic division?

A: All thoracic and first three lumbar nerves.

Q: What is the primary function of the parasympathetic division?

A: Conserves energy and promotes rest-and-digest functions.

Q: Which spinal segments contribute to the parasympathetic division?

A: Cranial nerves and sacral spinal nerves 2, 3, and 4.

Q: Describe the structural components of a spinal nerve.

A: A spinal nerve is formed by the joining of dorsal (sensory) and ventral (motor) roots attached

to the spinal cord.

Q: Why don’t posterior rami form plexuses?

A: Because posterior rami supply muscles and skin of the back directly and do not need complex

networks.

Q: What is the significance of the phrenic nerve?

A: It is the motor nerve to the diaphragm, essential for breathing.

Q: How does the brachial plexus serve the upper limb?

A: It provides motor and sensory innervation through major nerves like radial, ulnar, and median

nerves.

Q: What sensory and motor functions does the trigeminal nerve have?

A: Sensory to face and motor to muscles of mastication.

Q: How does the vagus nerve contribute to autonomic functions?

A: It controls parasympathetic innervation to thoracic and abdominal organs, regulating heart

rate, digestion, and more.

Q: What is the difference between sympathetic and parasympathetic divisions in origin and

function?