Theory Final Exam (M 217A)

Date: Time: TUS 1 / 6 / 2010 12:50 2:00 pm

Location: 10H1, 10H2, N2 (Medical Buldg.) G2 (Eng. Building)

Practical Final Exam (M 217B)

Date:
Time:

TUS 1 / 6 / 2010
2:00 3:00 pm

Location: 10H1, 10H2, N2 (Medical Bldg.) G2 (Eng. Building)

The Autonomic Nervous System in The Head & Neck

Nervous Tissue

CNS

PNS

Brain

Spinal Cord

(under control)

Somatic

Autonomic (no conscious control)

Somatic Nervous System

Sensory: general sensations pain, thermal (hot & cold), tactile sensation, pressure special sensations (In Medicine?) vision, smell, hearing, taste Motor: (1 Fxn.) contraction of Sk. Muscle (voluntary movement)

Autonomic Nervous System

Sensory: include internal receptors chemoreceptors ?? & mechanoreceptors ?? Motor: (2 Fxn.s) either exciting or inhibiting effects cardiac muscle, smooth muscles, & glands 2 divisions: Sympathetic (from sympathy) under dangerous situations & stress (Fight-or-Flight response) Parasympathetic under normal situations & relaxation

Somatic Vs. Autonomic

Somatic
1. General & special sensations

Autonomic
1. Non conscious sensations
2. Involuntary control

2. Voluntary movement
3. On sk. Muscle

3. On smooth, cardiac, & glands

4. Dual functions (excitation & inhibition) 5. Two neuron pathway

4. Single function (contraction of sk. Muscle)

5. Single neuron pathway

ANS
Anatomically 1. Preganglionic Neurons from CNS autonomic ganglia, myelinated 2. Autonomic Ganglia ganglion: aggregation of neuronal cell bodies & supporting cells 3. Postganglionic Neurons from autonomic ganglia effector tissue unmyelinated

Autonomic NS (Motor Fxn.)

Preganglionic N. Sympathetic ganglia Postganglionic N.

Sympathetic:

Parasympathetic:
Preganglionic N. Parasymp. ganglia Postganglionic N.

Sympathetic (Thoracolumbar)

Parasympathetic (Craniosacral)

Preganglionic:

Preganglionic: Brain (C.N.) & sacral

Thorax & Abd.

Ganglia: Sympathetic chain Ganglia: Terminal ganglia

Sympathetic Ganglia in Head & Neck

3 cervical ganglia sup., middle, & inf. *Part of the sympathetic chain in the body

Location: ??

Stellate Ganglion?

Parasympathetic Ganglia in Head & Neck

4 ganglia Ciliary ganglion: constriction of pupil Pterygopalatine ganglion: lacrimal gland secretion Otic ganglion: parotid gland secretion Submandibular ganglion: submand. & sublingual gland secretions

Ciliary Ganglion
Location: between ?? Suspended by ?? Pregang. Parasym. Fibers: ?? Postgang. Parasymp.: ?? Sphincter pupillae m. & ? Postgang. Sympathetic :

Sup. Cervical ganglion

Long ciliary n. (from ?) Dilator pupillae m.

Horners Syndrome
Damage to sympathetic innervation through sup. Cervical ganglion Symptoms: - Ptosis: dropping of upper eyelid (why?)

- pupil constriction (miosis)

- Anhydrosis: lack of sweating

- Flushing of the face (why?)

Pterygopalatine Ganglion
Location: ?? Suspended by V2 Pregang. Parasymp.: ?? Postgang. Parasymp.:

Zygomaticotemporal of V2
Lacrimal of V1 Lacrimal gland

Postgang. Sympathetic: From sup. Cervical ganglion Deep petrosal nerve Joins greater petrosal n.

To form = vidian nerve (or ?)

Otic Ganglion
Location: ?? Suspended by ? Pregang. Parasymp.: IX Tympanic n. Plexus (??) Lesser petrosal nerve Postgang. Parasymp.: Auriculotemporal n. to ??

Postgang. sympathetic.: Sup. Cervical ganglion Parotid g.

Submandibular Ganglion
Location: lat. to ?? Suspended by? Pregang. Parasymp.: VII chorda tympani joins the ?? Postgang. Parasymp: Distributed directly to Submand. & sublingual glands Postgang. Sympathetic: From sup. Cervical ganglion.