SYMPATHETIC NERVOUS SYSTEM

 

Origin

  • Lateral horns of T1 - L1

Components

  • Myelinated fibres emerge through ventral roots of corresponding spinal nerves
  • Join spinal nerve trunks
  • White rami communicante
  • Sympathetic trunks- inter connected ganglia

Distribution of postganglionic fibres

  • Plexuses on arteries
  • Spinal nerves
  • Cranial nerves
  • Directly

Targets

  • Glands
  • Smooth / cardiac muscle

Parts of sympathetic trunk  
 

Cervical part

  • Receive preganglionic fibres T1- T5
  • Lies on the pre-vertebral muscles behind the carotid sheath.
  • Three interconnected ganglia respectively known as superior, middle and inferior cervical sympathetic ganglia
  • Post ganglionic fibres distributed with neighboring arteries to head, neck and upper limb

Thoracic

  • Receives preganglionic fibres T1- T5
  • Lies on the necks of the ribs in the upper part of the thorax and the sides of the vertebra in the lower part.
  • Behind pleura
  • Distributed to thoracic visceral

Abdominal

  • T6- T12
  • Lies on the anterolateral surface of the lumbar vertebrae
  • Right trunk lies behind the inferior vena cava
  • Crosses sacral promontory to become continuous with the pelvic trunk.
  • Distributed to abdominal viscera.

The Pelvic

  • Pelvic splanchnic L1-L2
  • Downwards on the pelvic surface of the sacrum,
  • The two trunks usually unite in front of the coccyx and end in a small-unpaired ganglion (ganglion impar).

Autonomic ganglia and plexus

 

Thorax

Cardiac and pulmonary

Abdomen

Celiac, superior mesenteric, inferior mesenteric

Pelvic

Hypogastric