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Page Title: Spinal Nerves
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PERIPHERAL  NERVOUS  SYSTEM
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AUTONOMIC  NERVOUS  SYSTEM

The  OCULOMOTOR  nerve  (motor)  con- trols most muscles that move the eyeball and  some  of  those  in  the  iris  of  the  eye. The TROCHLEAR nerve (motor) controls the muscles that turn the eyeball down and to the side. The   TRIGEMINAL   nerve   (sensory   and some motor) is divided into three branches: ophthalmic, maxillary, and mandibular. It sometimes is called the great sensory nerve of the head because it supplies the sense of touch, pain, heat, and cold to the skin of  the  face,  eyelids,  cornea,  conjunctival, tongue, teeth, and mucous membranes of the  head.  A  branch  of  the  mandibular  divi- sion supplies motor fibers to the muscles of   mastication. The  ABDUCENS  nerve  (motor)  controls the muscles that turn the eye outward. The  FACIAL  nerve  (motor  and  sensory) control the muscles of the face, scalp, and ears.  It  contains  autonomic  motor  fibers, which  cause  the  salivary  glands  to  secrete, and sensory fibers, which carry taste sen- sations from the anterior two-thirds of the tongue  to  the  brain. The ACOUSTIC (vestibulocochlear) nerve (sensory)  is  the  nerve  of  hearing  and equilibrium. The   GLOSSOPHARYNGEAL   nerve (motor  and  sensory)  carries  sensation  from the pharynx and posterior one-third of the tongue  and  transmits  motor  impulses  to the parotid gland and to one of the small muscles  of  swallowing. The VAGUS nerve (motor and some sen- sory)  is  composed  of  motor  fibers  (some of  which  are  parasympathetic)  and  sensory fibers. It extends down through the neck to   the   pharynx,   larynx,   trachea, esophagus,  and  thoracic  and  abdominal viscera. The ACCESSORY nerve (motor) supplies nerves   to   muscles   of   the   neck   (ster- nocleidomastoid,   trapezius,   pharyngeal, and laryngeal). .  The  HYPOGLOSSAL  nerve  (motor)  con- trols  the  muscles  of  the  tongue. Spinal  Nerves Spinal nerves arise from the spinal cord and leave the vertebral canal in the spaces between the vertebrae. These nerves send fibers to sensory sur- faces and all muscles of the trunk and extremities. Also, involuntary fibers go to the smooth muscles and glands of the gastrointestinal tract, urogenital system, and cardiovascular system. There are 31 pairs  of  spinal  nerves:  8  cervical,  12  thoracic,  5 lumbar,  5  sacral,  and  1  coccygeal.  The  lower spinal  nerves  going  to  the  legs  and  feet  extend below the level of the spinal cord. The nerve roots arising from the lumbar and sacral regions pass some  distance  down  the  canal  before  making  their exit. This bundle of nerve roots is called the cauda equina  because  it  resembles  a  horse’s  tail.  The various  roots  emerge  through  openings  in  the sacrum  and  extend  to  the  areas  they  supply. Spinal nerves contain all types of sensory and motor fibers of both the voluntary and autonomic nervous  systems.  In  some  regions  of  the  body  they Figure  3-44.—The peripheral nervous system. 3-33

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