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As with most nerves in the neck, multiple anatomic variants have been described. Notably, there may be variability in the course of the phrenic nerve in the retro-clavicular region such that the nerve courses anterior to the subclavian vein, rather than its typical position posterior to the vein (between the subclavian vein and artery). [3]
The phrenic nerve is oriented vertically as it passes in front of the anterior scalene, while the subclavian vein is oriented horizontally as it passes in front of the anterior scalene muscle. [ 4 ] The passing of the brachial plexus and the subclavian artery through the space of the anterior and middle scalene muscles constitute the scalene ...
They course through the fibrous pericardium. [2] The pericardiacophrenic artery accompanies the phrenic nerve between the pleura and pericardium, to the diaphragm. [3] This is where both the artery and the phrenic nerve are distributed.
There is anastomosis with accessory nerve, hypoglossal nerve and sympathetic trunk. It is located in the neck, deep to the sternocleidomastoid muscle. [5] The branches of the cervical plexus emerge from the posterior triangle at the nerve point, a point which lies midway on the posterior border of the sternocleidomastoid.
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: Inferior belly of omohyoid ...
In the cervical region, the spinal nerve roots come out above the corresponding vertebrae (i.e., nerve root between the skull and 1st cervical vertebrae is called spinal nerve C1). From the thoracic region to the coccygeal region, the spinal nerve roots come out below the corresponding vertebrae. This method creates a problem when naming the ...
The subclavian nerve may issue a branch called the accessory phrenic nerve [3] [2] which innervates the diaphragm. [3] The accessory phrenic nerve may rather branch from the C4 or C6 segments or ansa cervicalis. [4] This nerve usually joins with the phrenic nerve before innervating the diaphragm, ventral to the subclavian vein. [5]
Pericardiacophrenic vessels accompany the phrenic nerve in the middle mediastinum of the thorax. The vein drains into the internal thoracic vein , or brachiocephalic vein . [ 1 ]