BMS2011 Lecture Notes - Lecture 13: Facial Nerve, Trochlear Nerve, Sternocleidomastoid Muscle

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Week 6. PNS & ANS vessels, Brain and Cranial
nerves
PERIPHERAL NERVOUS SYSTEM
Cranial and spinal nerves
Corresponding nerve with each vertebra
o Major dividing line: coronal; dorsal = sensory, ventral = motor
o Grey matter = soma, dendrites (unmyelinated)
o Anterior horns: motor dedicated
o Lateral horns: autonomic nervous system
o Posterior, dorsal horn: sensory
-dorsal root ganglion: where we have first cell bodies
o Root level = sensory or motor
Dorsal root = only sensory
Ventral root = only motor
o Dedicated roots together = true mixed spinal nerve (only exists for limited time)
-> rami
Ramus = mixed sensory and motor
Dorsal ramus: much smaller
Ventral ramus: innervates hypaxial -> dermis/dermatome of that segment
Epaxial (dorsal) are much smaller -> dorsal ramus much smaller -> goes to less content
Peripheral nervous system = ventral rami
Hypaxial and Epaxial are roughly distributed the same in fish
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Major change from fins -> limbs:
o Shift in HOX genes for limb bud
-from occipital to distal region of spinal cord
-fish dot eed to look aroud
-driven by having a neck (we need to look around independent of positioning of
limbs
Decoupling limb, upper limbs are separate
Modified segments: Limbs and plexuses
Nerve plexus = interwoven network of mixed spinal nerves
-ventral ramus derived structures
-ventral rami -> merge together -> complex patterns
Impacting factors
o Limb bud only develops from ventral hypaxial mesoderm
o Limb has a front and back (dorsal and ventral parts)
-need to divide nerve, anterior and posterior portion
o >1 segment of embryo contributes to limb
-somites migrate out
-each has a ventral rami
-each has anterior and posterior part
o Limb rotation:
Cellular division and cell death -> shapes limb
More rotation in mammals than in reptiles
-dropping elbows to side (face posteriorly)
-different for upper and lower limbs (knee anterior)
Innervation of
upper limbs
Brachial plexus:
o Ventral ramus derived (C5-T, reeer theres C8)
-merge together -> divide out
o Ventral ramus = roots of brachial plexus
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o Provides all innervation (motor, sensory) to upper limbs
o Stretches through root of neck to axillar
-> as we leave axillar, no longer plexus -> terminal nerves:
Musculocutaneous (proximal):
-anterior muscles of arm (flexor groups eg. bicep)
Axillary:
-shoulder
Radial:
-posterior muscles of arm and forearm (extensors)
-most widely distributed of these nerves
-damage has profound effects on overall function of forelimb
Ulnar and median (distal):
-pass through arm without innervating anything
-innervates muscles of forearm anteriorly and hand
-ulnar = primary hand nerve
**know compartmentalisation: different nerves going to particular region of
arm/forearm, anteriorly and posteriorly, proximal vs distal
Innervation of
lower limbs
Two plexi:
Lumbar (L1-L5)
o Main branches:
1. Femoral nerve: anterior muscles in thigh
2. Obturator nerve: medial muscles in thigh
Sacral (L4-S3)
o Sciatic nerve:
not really a nerve
always 2 separate nerves that share a common epineurium
(fibrous connective tissue layer that binds them together)
nothing is innervated by this nerve
nerve components that span posterior thigh, leg and foot
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Document Summary

Pns & ans vessels, brain and cranial nerves. Dorsal root ganglion: where we have first cell bodies: root level = sensory or motor. Ventral root = only motor: dedicated roots together = true mixed spinal nerve (only exists for limited time) From occipital to distal region of spinal cord. Driven by having a neck (we need to look around independent of positioning of limbs: decoupling limb, upper limbs are separate, modified segments: limbs and plexuses. Nerve plexus = interwoven network of mixed spinal nerves. Ventral rami -> merge together -> complex patterns. Impacting factors: limb bud only develops from ventral hypaxial mesoderm, limb has a front and back (dorsal and ventral parts) Need to divide nerve, anterior and posterior portion: >1 segment of embryo contributes to limb. Each has anterior and posterior part: limb rotation: Cellular division and cell death -> shapes limb. More rotation in mammals than in reptiles. Different for upper and lower limbs (knee anterior)

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