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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 .
The posterior divisions of the lower five cervical nerves divide into medial and lateral branches. The medial branches of the fourth and fifth run between the Semispinales cervicis and capitis, and, having reached the spinous processes, pierce the Splenius and Trapezius to end in the skin.
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.
The ansa cervicalis (or ansa hypoglossi in older literature [citation needed]) is a loop formed by muscular branches of the cervical plexus formed by branches of cervical spinal nerves C1-C3. The ansa cervicalis has two roots - a superior root (formed by branch of C1) and an inferior root (formed by union of branches of C2 and C3) - that unite ...
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 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 sympathetic trunk is a fundamental part of the sympathetic nervous system, and part of the autonomic nervous system.It allows nerve fibres to travel to spinal nerves that are superior and inferior to the one in which they originated.
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.