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Cervical plexus | |
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![]() Dermatome distribution of the trigeminal nerve (Superficial cervical plexus visible in purple, at center bottom.) | |
Details | |
From | C1-C4 |
Identifiers | |
Latin | plexus cervicalis |
MeSH | D002572 |
TA98 | A14.2.02.012 |
TA2 | 6374 |
FMA | 5904 |
Anatomical terms of neuroanatomy |
The cervical plexus is a nerve plexus of the anterior rami of the first (i.e. upper-most) four cervical spinal nerves C1-C4. [1] [2] [3] [4] The cervical plexus provides motor innervation to some muscles of the neck, and the diaphragm; it provides sensory innervation to parts of the head, neck, and chest. [1]
They are located laterally to the transverse processes between prevertebral muscles from the medial side and vertebral (m. scalenus, m. levator scapulae, m. splenius cervicis) from lateral side. There is anastomosis with accessory nerve, hypoglossal nerve and sympathetic trunk. It is located in the neck, deep to the sternocleidomastoid muscle. [5]
The branches of the cervical plexus emerge from the posterior triangle at the nerve point, a point which lies midway on the posterior border of the sternocleidomastoid.
The cervical plexus is situated deep to the sternocleidomastoid muscle, internal jugular vein, and deep cervical fascia. [1]
It is situated anterior to the middle scalene muscle, and levator scapulae muscle. [1]
The cervical plexus has two types of branches: cutaneous and muscular. [3]
The axillary nerve or the circumflex nerve is a nerve of the human body, that originates from the brachial plexus at the level of the axilla (armpit) and carries nerve fibers from C5 and C6. The axillary nerve travels through the quadrangular space with the posterior circumflex humeral artery and vein to innervate the deltoid and teres minor.
The lesser occipital nerve is a cutaneous spinal nerve of the cervical plexus. It arises from second cervical (spinal) nerve (C2). It innervates the skin of the back of the upper neck and of the scalp posterior to the ear.
The dorsal scapular nerve is a branch of the brachial plexus, usually derived from the ventral ramus of cervical nerve C5. It provides motor innervation to the rhomboid major muscle, rhomboid minor muscle, and levator scapulae muscle.
The long thoracic nerve is a branch of the brachial plexus derived from cervical nerves C5-C7 that innervates the serratus anterior muscle.
The sternocleidomastoid muscle is one of the largest and most superficial cervical muscles. The primary actions of the muscle are rotation of the head to the opposite side and flexion of the neck. The sternocleidomastoid is innervated by the accessory nerve.
The internal carotid artery is an artery in the neck which supplies the anterior and middle cerebral circulation.
The infrahyoid muscles, or strap muscles, are a group of four pairs of muscles in the anterior (frontal) part of the neck. The four infrahyoid muscles are the sternohyoid, sternothyroid, thyrohyoid and omohyoid muscles.
The levator scapulae is a slender skeletal muscle situated at the back and side of the neck. It originates from the transverse processes of the four uppermost cervical vertebrae; it inserts onto the upper portion of the medial border of the scapula. It is innervated by the cervical nerves C3-C4, and frequently also by the dorsal scapular nerve. As the Latin name suggests, its main function is to lift the scapula.
The omohyoid muscle is a muscle in the neck. It is one of the infrahyoid muscles. It consists of two bellies separated by an intermediate tendon. Its inferior belly is attached to the scapula; its superior belly is attached to the hyoid bone. Its intermediate tendon is anchored to the clavicle and first rib by a fascial sling. The omohyoid is innervated by the ansa cervicalis of the cervical plexus. It acts to depress the hyoid bone.
The ansa cervicalis is a loop formed by muscular branches of the cervical plexus formed by branches of cervical spinal nerves C1-C3. The ansa cervicalis has two roots - a superior root and an inferior root - that unite distally, forming a loop. It is situated within the carotid sheath.
The thyrohyoid muscle is a small skeletal muscle of the neck. Above, it attaches onto the greater cornu of the hyoid bone; below, it attaches onto the oblique line of the thyroid cartilage. It is innervated by fibres derived from the cervical spinal nerve 1 that run with the hypoglossal nerve to reach this muscle. The thyrohyoid muscle depresses the hyoid bone and elevates the larynx during swallowing. By controlling the position and shape of the larynx, it aids in making sound.
A nerve plexus is a plexus of intersecting nerves. A nerve plexus is composed of afferent and efferent fibers that arise from the merging of the anterior rami of spinal nerves and blood vessels. There are five spinal nerve plexuses, except in the thoracic region, as well as other forms of autonomic plexuses, many of which are a part of the enteric nervous system. The nerves that arise from the plexuses have both sensory and motor functions. These functions include muscle contraction, the maintenance of body coordination and control, and the reaction to sensations such as heat, cold, pain, and pressure. There are several plexuses in the body, including:
The thoracodorsal nerve is a nerve present in humans and other animals, also known as the middle subscapular nerve or the long subscapular nerve. It supplies the latissimus dorsi muscle.
The posterior triangle is a region of the neck.
The supraclavicular nerve is a cutaneous (sensory) nerve of the cervical plexus that arises from the third and fourth cervical (spinal) nerves. It emerges from beneath the posterior border of the sternocleidomastoid muscle, then split into multiple branches. Together, these innervate the skin over the shoulder.
The anterior triangle is a region of the neck.
The piriformis nerve, also known as the nerve to piriformis, is the peripheral nerve that provides motor innervation to the piriformis muscle.
The cervical spinal nerve 1 (C1) is a spinal nerve of the cervical segment. C1 carries predominantly motor fibres, but also a small meningeal branch that supplies sensation to parts of the dura around the foramen magnum.
The cervical spinal nerve 2 (C2) is a spinal nerve of the cervical segment. It is a part of the ansa cervicalis along with the C1 and C3 nerves sometimes forming part of superior root of the ansa cervicalis. it also connects into the inferior root of the ansa cervicalis with the C3.
The thyrohyoid branch (also: thyrohyoid branch of ansa cervicalis, or nerve to thyrohyoid (muscle)) is a motor branch derived from the cervical plexus formed by fibres of (the anterior ramus of) the cervical spinal nerve 1 (C1) (and - according to some sources - cervical spinal nerve 2 (C2) as well) that join and travel with the hypoglossal nerve (cranial nerve XII) to reach the suprahyoid region, branching away from CN XII distal to the superior root of ansa cervicalis (which is a branching other fibres of C1-C2 that had traveled with the CN XII), near the posterior border of the hyoglossus muscle. The thyrohyoid branch of ansa cervicalis innervates the thyrohyoid muscle.
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