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Autonomic Nervous System
Week2
27
Veterinary Medicine
Graduate
07/15/2015

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Term
ANS
Definition
Involuntary motor system
Innervates smooth muscle and glands (sweat and salivary)
Term
ANS Functional Sub-divisions
Definition
Parasympathetic – Craniosacral (rest/digest)
Sympathetic – thoracolumbar (fight/Flight)
Each organ receives dual innervation
Term
Central components of the ANS
Definition
Main control centres: hypothalamus and midbrain
Direct control of symp & parasymp divisions
Cerebral cortex can influence but not command the control centres (e.g. emotional status causes blushing (cutaneous vasodilation))
Descending fibres to the brain stem and spinal cord
Term
Peripheral components of the ANS
Definition
Brain stem & sacral cord level: outflow of parasymp innervation
Thoraco-lumbar cord level: outflow of symp innervation
Term
Parasympathetic Fibers
Definition
Long pre-synaptic fibers
Acetylcholine neurotransmitter to
short post-synaptic fibres to
ACH neurotransmitters to
Cardiac muscle, Smooth muscle, and Glands
Term
Sympathetic Fibers
Definition
Short pre-synaptic fibers to
ACh neurotransmitters to
long post-synaptic fibers to either
ACh neuromtransmitters to Sweat glands
OR
Norepinephrine neurotransmitters to
Cardiac muscle, Smooth muscle, Glands
Term
Sympathetic System Trunks
Definition
Vasosympathetic trunk (to head/neck) from T1-5/7
Sympathetic trunk (Branches: Thoracic & lumbar splanchnic nerves) to T1-L2/4
Term
Parasympathetic CN III
Definition
Oculomotor nerve
Origin: Midbrain
Ganglion: close to eye
Target organ: Ciliary muscles (regulate lens curvature)and Muscles of iris (pupil constriction)
Term
Parasympathetic CN VII
Definition
Facial Nerve
Orgin: brainstem)
Ganglions:
Pterygopalatine (sphenopalatine)
Target organ: Lacrimal, nasal & palatine glands (secretion, vasodilation)
AND
Sublingual & mandibular
Target organ: Sublingual & mandibular glands (secretion, vasodilation)
Term
Parasympathetic CN IX
Definition
Glossopharyngeal Nerve
Origin: of origin: brainstem
Ganglion: Otic
Target organ: Parotid & orbital salivary glands (secretion, vasodilation)
Term
Parasympathetic CN X
Definition
Vagus Nerve
Origin: brainstem
Ganglion: Terminal (intramural)
Target organ: parasympathetic supply to neck, thorax and abdomen, Majority of body viscera (cervical, thoracic, abdominal)

Response: Many, e.g. heart rate, peristalsis, sweating, larynx opening
Term
Parasympathetic S1-3
Definition
Pre-synaptic fibres: Axons travel in pelvic nerves (located lateral wall of rectum)
Synapse: terminal ganglia (near the bladder, rectum and sexual organs)
Post-synaptic fibres: distribution to the pelvic viscera, lower intestinal cavity and reproductive organs
Term
Autonomic/Symp Innervation of the Eye
Function
Definition
Supplies the smooth muscle of the orbit & the iris dilators
- Protrusion of the eyeball
- Widening of the palpebral fissure
- Third eyelid retraction
- Dilation of pupils
Term
Autonomic/Symp Innervation of the Eye
Neurons
Definition
First order from brain
Second order: spinal cord segements T1-3, in vasosympathetic trunk
Third order: synapse in cranial cervical ganglion, medial to the tympanic bulla
Term
Horner's Syndrome
Definition
Loss of Sympathetic Input:
Pupillary constriction (miosis)
Prolapse of the third eyelid
Narrowing of the palpebral fissure
Enophthalmos (sinking of the eye)

Underlying disease e.g. disc herniation (neck) or middle ear infection (otitis)
Term
Pupillary Light Reflex (PLR)
Definition
CNIII big part of PLR
Term
miosis
Definition
pupil constriction
Term
mydriasis
Definition
pupil dilation
Term
Symp Innervation of Urinary Tract
Definition
Predominant in storage phase
Hypogastric nerve (L1-4 in dogs, L2-5 in cats)
Relaxes the detrusor muscle in the wall of the bladder
Contraction of the smooth muscle of the bladder neck / internal urethral sphincter
Term
Parasymp Innervation of Urinary Tract
Definition
Predominant in voiding phase
Pelvic nerve (S1-3)
Contraction of detrusor muscle of bladder wall
Also supplies urogenital organs, rectum and descending colon
Term
Somatic Innervation of the Urinary Tract
Definition
Pudendal nerve (S1-3)
Contraction of the striated sphincter muscles for urinary retention
Also innervates the anal sphincter (perineal reflex!)
Term
Equine Dysautonomia
Definition
Equine Grass Sickness
Debilitating and frequently fatal disease
Impaired activity of gut due to ANS damage
Cause still unknown, Clostridium botulinum type C may be involved
April and July
Term
Three main presentations of Equine Dysautonomia
Definition
Acute – severe and sudden onset with 100% mortality within 48 hours.
Sub-acute – milder clinical signs but most usually die within 7 days.
Chronic – Slower onset presenting with rapid weight loss. Some will survive.
Term
Clinical Signs of Acute and Sub-acute Equine Dysautonomia
Definition
Depression
Ileus
Tachycardia
Salivation
Gastric reflux
Fasciculation
Ptosis
Sweating
Dysphagia
Colic
impaction
Term
Clinical Signs of Chronic Equine Dysautonomia
Definition
Rapid and severe weight loss
Rhinitis sicca
Ptosis
Tachycardia
Fasciculation
Patchy sweating
Inappetance
Dysphagia
Term
Feline Dysautonomia
Definition
Key Gaskell syndrome
Widespread dysfuntion of the ANS
All breeds/ages susceptible but commonly in younger cats
Aetiology unknown
Definitive diagnosis relies on histopathology
Radiography, Schirmer teat test and pharmacological testing may aid diagnosis
Treatment is purely supportive
Prognosis is guarded
Term
Clinical signs of Feline Dysautonomia
Definition
Depression
Anorexia
Bilateral pupil dilation non-responsive to light
Third eyelid protrusion and ptosis
Decreased tear and saliva production
Megaoesophagus
Bradycadia
Faecal and urinary incontinence
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