1. Peripheral Nervous System General anatomy of PNS Cranial nerves Spinal nerves Autonomic Nervous System

2. I. Subdivisions of the PNS A. Major Components –Sensory (afferent) division carries sensory signals from receptors to CNS –Motor (efferent) division carries motor signals from CNS to effectors (glands and muscles) B.Subdivisions –Somatic Nervous System (SNS) includes all nerves controlling the muscular system and external sensory receptors. External sense organs (including skin) are receptors. –The Autonomic Nervous System (ANS) consists of motor neurons that control internal organs. Sympathetic Division- involved in the fight or flight response. Parasympathetic Division- involved in conservation of energy

3. II. Anatomy of Nerves A. A nerve is a bundle of nerve fibers (axons) B. Epineurium covers nerves, perineurium surrounds a fascicle and endoneurium separates individual nerve fibers- room for capillaries

4. III. The Cranial Nerves A.12 pair of nerves arise from brain & exit through foramens leading to muscles, glands & sense organs in head & neck B.Named for location (I, II, III…) and functional types

5. How to remember cranial nerves ON OLD OLYMPUS TOWERING TOPS A FRIENDLY VIKING GREW VINES AND HOPS ON OCCASION OUR TRUSTY TRUCK ACTS FUNNY, VERY GOOD VEHICLE ANYHOW O O O T T A F V G V A H- olfactory, optic, oculomotor, trochlear, trigeminal, abducens, facial, vestibulocochlear, glossopharyngeal, vagus, accessory, hypoglossal

6. C. Olfactory Nerve (I)- Sensory Provides sense of smell Damage causes impaired sense of smell

7. D. Optic Nerve (II)- Sensory Provides vision Damage causes blindness in visual field

8. E. Oculomotor Nerve (III)- Motor Provides some eye movement, opening of eyelid, constriction of pupil, focusing Damage causes drooping eyelid, dilated pupil, double vision, difficulty focusing & inability to move eye in certain directions

9. F. Trochlear Nerve (IV)-Motor Provides eye movement Damage causes double vision & inability to rotate eye inferolaterally

10. G. Trigeminal Nerve (V)- Mixed Main sensory nerve to face (touch, pain and temperature) and muscles of mastication Damage produces loss of sensation & impaired chewing

11. H. Abducens Nerve (VI)-Motor Provides eye movement Damage results in inability to rotate eye laterally & at rest eye rotates medially

12. I. Facial Nerve (VII)-Mixed Provides facial expressions, sense of taste on anterior 2/3’s of tongue, salivary glands and tear, nasal & palatine glands Damage produces sagging facial muscles & disturbed sense of taste (missing sweet & salty)

13. Branches of Facial Nerve

14. J. Vestibulocochlear Nerve (VIII)-Sensory Provides hearing & sense of balance Damage produces deafness, dizziness, nausea, loss of balance

15. K. Glossopharyngeal Nerve (IX)-Mixed Provides control over swallowing, salivation, gagging, sensations from posterior 1/3 of tongue, control of BP and respiration Damage results in loss of bitter & sour taste & impaired swallowing

16. L. Vagus Nerve (X)- Mixed Provides swallowing, speech, regulation of most of major viscera Damage causes hoarseness or loss of voice, impaired swallowing & fatal if both are cut

17. M. Accessory Nerve (XI)- Motor Provides swallowing, head, neck & shoulder movement Damage causes impaired head, neck & shoulder movement, head turns towards injured side

18. N. Hypoglossal Nerve (XII)- Motor Provides tongue movements of speech, food manipulation & swallowing Damage results in inability to protrude tongue if both are damaged or deviation towards injured side

19. IV. The Spinal Nerves A. Spinal nerves – 31 pairs – originate from spinal cord – 8 cervical (C), 12 thoracic(T), 5 lumbar(L), 5 sacral(S), 1 coccygeal (Co or Cx). –All mixed nerves, Numbered – as they fall on the spinal cord. Major nerve plexuses and peripheral nerves –Cervical – C1 to C5 - Phrenic (C5) – Most important – sends impulses to the diaphragm – without we cannot do pulmonary ventilation. –Brachial – C5 to C8 and T1 - In charge of arm and shoulder.

20. –Lumbar – L2 to L5 – larger area - Femoral nerve – nerves of the leg. –Sacral – L4 to L5, S1 to S4 - Sciatic nerve (largest of body) causes immobilization in leg and affects foot –Coccygeal (Cx) – mainly nerve function to pelvic region.

21. Structure of a Nerve Plexus Notice the branching and merging of nerves in this example of a plexus “means braid”

22. Cutaneous Innervation & Dermatomes Each spinal nerve receive sensory input from a specific area of skin called dermatome Overlap at edges by 50% –a total loss of sensation requires anesthesia of 3 successive spinal nerves

23. V. ANS Divisions A. Sympathetic nervous system – “ stress division” or fight or flight – body readying itself to handle stressful/emergency situations – high heart rate, dilation of pupils and bronchial, constriction of blood vessels, sweat glands active, mouth dry (digestive process decreases redirecting blood to heart), faster respiration, bladder relaxes.

24. B. Parasympathetic nervous system – “peaceful/housekeeping” maintenance division – conservation and storage of energy, has no effects – sets self back to a normal pace