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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.
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 carotid arteries; middle cervical ganglion (smallest) – adjacent to C6; target: heart, neck; inferior cervical ganglion.
There are usually 22–23 pairs of these ganglia: three cervical ganglia, 12 thoracic ganglia (the stellate ganglion (cervicothoracic) is formed from the fusion of the first thoracic ganglion with the inferior cervical ganglion), four lumbar ganglia, and four or five sacral ganglia. In the area of the coccyx there is a small ganglion impar. The ...
The superior aspect is the base of skull, namely the sphenoid and temporal bones. This area includes the jugular and hypoglossal canal and the foramen lacerum (through which the internal carotid artery passes superiorly across). The medial aspect is made up of the pharynx. Anteriorly it is bordered by the pterygomandibular raphe. Posteriorly it ...
The pharyngeal plexus is a nerve plexus located upon the outer surface of the pharynx.It contains a motor component (derived from the vagus nerve (cranial nerve X)), a sensory component (derived from the glossopharyngeal nerve (cranial nerve IX)), and sympathetic component (derived from the superior cervical ganglion).
Postganglionic sympathetic fibres ascend from the superior cervical ganglion, along the walls of the internal carotid artery, to enter the internal carotid plexus.These fibres are then distributed to deep structures, including the superior tarsal muscle and pupillary dilator muscle. [2]
Sympathetic connections of the ciliary and superior cervical ganglia. (Ciliospinal center not labeled, but region is situated in spinal cord segment T1-T2, which is labeled; red dots situated within ciliospinal center.) Pathway in blue actually represents parasympathetic pathway.
The superior cardiac nerve arises by two or more branches from the superior cervical ganglion, and occasionally receives a filament from the trunk between the first and second cervical ganglia. It runs down the neck behind the common carotid artery , and in front of the Longus colli muscle ; and crosses in front of the inferior thyroid artery ...