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Cervical spinal nerve 4, also called C4, is a spinal nerve of the cervical segment. It originates from the spinal cord above the 4th cervical vertebra (C4). It contributes nerve fibers to the phrenic nerve , the motor nerve to the thoracoabdominal diaphragm .
At each cervical level, the vertebral artery sends branches to the surrounding musculature via the anterior spinal arteries. Segments of vertebral artery anterior projection. The vertebral artery may be divided into four parts: The first (preforaminal) part runs upward and backward between the anterior scalene and the longus colli muscles.
A) Nerves and plexuses: Spinal accessory nerve (Cranial Nerve XI) Branches of cervical plexus; Roots and trunks of brachial plexus; Phrenic nerve (C3,4,5) B) Vessels: Subclavian artery (Third part) Transverse cervical artery; Suprascapular artery; Terminal part of external jugular vein; C) Lymph nodes: Occipital; Supraclavicular; D) Muscles:
The superior cervical ganglion (SCG) is the upper-most and largest [1] of the cervical sympathetic ganglia of the sympathetic trunk. [1] [2] It probably formed by the union of four sympathetic ganglia of the cervical spinal nerves C1–C4. [1] It is the only ganglion of the sympathetic nervous system that innervates the head and neck.
Preganglionic nerves from the thoracic spinal cord enter into the cervical ganglions and synapse with its postganglionic fibers or nerves. The cervical ganglion has three paravertebral ganglia : superior cervical ganglion (largest) – adjacent to C2 & C3; postganglionic axon projects to target: (heart, head, neck) via "hitchhiking" on the ...
The spinal accessory nerve crosses laterally in the middle part of the muscle and the dorsal scapular nerve may lie deep to or pass through it. [ 4 ] The levator scapulae may lie deep to the sternocleidomastoid at its origin, deep or adjacent to the splenius capitis at its origin and mid-portion, and deep to the trapezius in its lower portion.
The posterior spinal artery (dorsal spinal arteries) arises from the vertebral artery in 25% of humans or the posterior inferior cerebellar artery in 75% of humans, adjacent to the medulla oblongata. [citation needed] It is usually double, and spans the length of the spinal cord. It supplies the grey and white posterior columns of the spinal ...
Spinal nerve Typical spinal nerve location. Each spinal nerve is a mixed nerve, formed from the combination of nerve root fibers from its dorsal and ventral roots. The dorsal root is the afferent sensory root and carries sensory information to the brain. The ventral root is the efferent motor root and carries motor information from the brain.
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