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The ciliospinal reflex (pupillary-skin reflex) consists of dilation of the ipsilateral pupil in response to pain applied to the neck, face, and upper trunk. If the right side of the neck is subjected to a painful stimulus, the right pupil dilates (increases in size 1-2mm from baseline).
Long ciliary nerve fibers (from the ophthalmic branch of CN 5) are the afferent limb of the blink reflex carrying sensory information from the cornea. Sphincter pupillae (circular fibers) and Dilator pupillae (radial fibers) muscles of the pupil.
Horner's syndrome, also known as oculosympathetic paresis, [1] is a combination of symptoms that arises when a group of nerves known as the sympathetic trunk is damaged. The signs and symptoms occur on the same side (ipsilateral) as it is a lesion of the sympathetic trunk.
The ciliospinal center (also known as Budge's center [1]) is a cluster of [citation needed] pre-ganglionic sympathetic neuron cell bodies located in the intermediolateral cell column (of the cornu laterale) at spinal cord segment (C8: Anatomic variation) T1-T2 [2]
The SCG receives pre-ganglionic sympathetic afferents from the ciliospinal center which synapse in the ganglion. Post-ganglionic efferents then leave the SCG and join the internal carotid nerve plexus of the internal carotid artery, accompanying first this artery and subsequently its branches to reach the orbit and ultimately innervate the dilator pupillae muscle to mediate pupillary dilatation.
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The hypothalamospinal tract includes fibres by which the hypothalamus projects to the ciliospinal center in the spinal cord, a part of a brain circuit regulating pupillary dilatation as part of the pupillary reflex. [3] Some axons of the tract contain oxytocin. [1]
Not from the actual human body, of course, but from the anatomical diagrams that purported to represent it. Goss was the esteemed editor of the 25th edition of the seminal classic Gray’s Anatomy . Internationally lauded as the authority on all things anatomical, Gray’s Anatomy had been considered essential for any would-be physician to own ...