Thoracic splanchnic nerves | |
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Details | |
From | Thoracic ganglia |
Innervates | Greater splanchnic nerve: celiac ganglia lesser splanchnic nerve: superior mesenteric ganglion and aorticorenal ganglion Contentsleast splanchnic nerve: renal plexus |
Identifiers | |
TA98 | A14.3.01.028 A14.3.01.032 A14.3.01.030 |
TA2 | 6631, 6632, 6634 |
FMA | 6280 |
Anatomical terms of neuroanatomy |
Thoracic splanchnic nerves are splanchnic nerves that arise from the sympathetic trunk in the thorax and travel inferiorly to provide sympathetic supply to the abdomen. The nerves contain preganglionic sympathetic fibers and general visceral afferent fibers.
There are three main thoracic splanchnic nerves. [1]
Name | Spinal Nerve Roots | Ganglia | Structure | Function |
---|---|---|---|---|
Greater splanchnic nerve | T5–T9 | T5–T9 T5–T10 | The greater splanchnic nerve travels through the diaphragm and enters the abdominal cavity. Its fibers synapse at the celiac ganglia. [4] The nerve contributes to the celiac plexus, a network of nerves located in the vicinity of where the celiac trunk branches from the abdominal aorta. | The greater splanchnic nerve modulates the activity of the enteric nervous system of the foregut. It stimulates contraction of the splanchnic vasculature, increasing blood pressure. [5] It also provides sympathetic innervation to the adrenal medulla, stimulating catecholamine release. It may provide sensory innervation to the pancreas. [1] |
Lesser splanchnic nerve | T9–T12 | T9–T12 T9–T10 T10–T12 T10–T11 | The lesser splanchnic nerve travels inferiorly, lateral to the greater splanchnic nerve. Its fibers synapse with their postganglionic counterparts in the superior mesenteric ganglion, or in the aorticorenal ganglion. [4] | The lesser splanchnic nerve modulates the activity of the enteric nervous system of the midgut. |
Least splanchnic nerve | T12 | T12–L2 T11–T12 [6] | The least splanchnic nerve travels into the abdomen medial to the sympathetic trunk. [6] Its fibers synapse in the renal plexus. [4] [6] |
The parasympathetic nervous system (PSNS) is one of the three divisions of the autonomic nervous system, the others being the sympathetic nervous system and the enteric nervous system. The enteric nervous system is sometimes considered part of the autonomic nervous system, and sometimes considered an independent system.
The celiac plexus, also known as the solar plexus because of its radiating nerve fibers, is a complex network of nerves located in the abdomen, near where the celiac trunk, superior mesenteric artery, and renal arteries branch from the abdominal aorta. It is behind the stomach and the omental bursa, and in front of the crura of the diaphragm, on the level of the first lumbar vertebra.
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 iliohypogastric nerve is a nerve that originates from the lumbar plexus that supplies sensation to skin over the lateral gluteal and hypogastric regions and motor to the internal oblique muscles and transverse abdominal muscles.
The renal plexus is a complex network of nerves formed by filaments from the celiac ganglia and plexus, aorticorenal ganglia, lower thoracic splanchnic nerves and first lumbar splanchnic nerve and aortic plexus.
The sympathetic trunks are a paired bundle of nerve fibers that run from the base of the skull to the coccyx. They are a major component of the sympathetic nervous system.
The abdominal aortic plexus is formed by branches derived, on either side, from the celiac plexus and ganglia, and receives filaments from some of the lumbar ganglia.
Each spinal nerve receives a branch called a gray ramus communicans from the adjacent paravertebral ganglion of the sympathetic trunk. The gray rami communicantes contain postganglionic nerve fibers of the sympathetic nervous system and are composed of largely unmyelinated neurons. This is in contrast to the white rami communicantes, in which heavily myelinated neurons give the rami their white appearance.
The superior hypogastric plexus is a plexus of nerves situated on the vertebral bodies anterior to the bifurcation of the abdominal aorta. It bifurcates to form the left and the right hypogastric nerve. The SHP is the continuation of the abdominal aortic plexus.
The celiac ganglia or coeliac ganglia are two large irregularly shaped masses of nerve tissue in the upper abdomen. Part of the sympathetic subdivision of the autonomic nervous system (ANS), the two celiac ganglia are the largest ganglia in the ANS, and they innervate most of the digestive tract.
The sympathetic ganglia, or paravertebral ganglia, are autonomic ganglia of the sympathetic nervous system. Ganglia are 20,000 to 30,000 afferent and efferent nerve cell bodies that run along on either side of the spinal cord. Afferent nerve cell bodies bring information from the body to the brain and spinal cord, while efferent nerve cell bodies bring information from the brain and spinal cord to the rest of the body. The cell bodies create long sympathetic chains that are on either side of the spinal cord. They also form para- or pre-vertebral ganglia of gross anatomy.
The pelvic cavity is a body cavity that is bounded by the bones of the pelvis. Its oblique roof is the pelvic inlet. Its lower boundary is the pelvic floor.
The lateral grey column is one of the three grey columns of the spinal cord ; the others being the anterior and posterior grey columns. The lateral grey column is primarily involved with activity in the sympathetic division of the autonomic motor system. It projects to the side as a triangular field in the thoracic and upper lumbar regions of the postero-lateral part of the anterior grey column.
The aorticorenal ganglion is composed of the superior mesenteric, renal, and inferior mesenteric ganglia. This is distinct from the celiac ganglia. However, they are part of the preaortic ganglia.
The inferior cervical ganglion is one of the three cervical sympathetic ganglia. It is situated between the base of the transverse process of the last cervical vertebra and the neck of the first rib, on the medial side of the costocervical artery.
Pelvic splanchnic nerves or nervi erigentes are splanchnic nerves that arise from sacral spinal nerves S2, S3, S4 to provide parasympathetic innervation to the organs of the pelvic cavity.
Sacral splanchnic nerves are splanchnic nerves that connect the inferior hypogastric plexus to the sympathetic trunk in the pelvis.
The lumbar splanchnic nerves are splanchnic nerves that arise from the lumbar ganglia and travel to an adjacent plexus near the aorta. They originate from L1 and L2. Together with fibres from the aortic plexus, they form the superior hypogastric plexus.
The esophageal plexus is formed by nerve fibers from two sources, branches of the vagus nerve, and visceral branches of the sympathetic trunk. The esophageal plexus and the cardiac plexus contain the same types of fibers and are both considered thoracic autonomic plexus.
The hypogastric nerves are the continuation of the superior hypogastric plexus that descend into the pelvis anterior the sacrum and become the inferior hypogastric plexuses on either side of pelvic organs. The hypogastric nerves serve as a pathway for autonomic fibers to communicate between the lower abdomen and pelvis.
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