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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.
loss of ciliospinal reflex; bloodshot conjunctiva, depending on the site of lesion. unilateral straight hair (in congenital Horner's syndrome); the hair on the affected side may be straight in some cases. heterochromia iridum (in congenital Horner's syndrome) [4] Interruption of sympathetic pathways leads to several implications.
The responses can have a variety of causes, from an involuntary reflex reaction to exposure or inexposure to light—in low light conditions a dilated pupil lets more light into the eye—or it may indicate interest in the subject of attention or arousal, sexual stimulation, [4] uncertainty, [5] decision conflict, [6] errors, [7] physical ...
Schematic diagram of pupillary light reflex neural pathway. Left direct light reflex involves neural segments 1, 5, and 7. Segment 1 is the afferent limb, which includes the retina and optic nerve. Segments 5 and 7 form the efferent limb. Left consensual light reflex involves neural segments 2, 4, and 7. Segment 2 is the afferent limb.
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.
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]
Hering–Breuer reflex — is a reflex triggered to prevent over-inflation of the lung; Hoffmann's reflex — also known as the finger flexor reflex; middle finger and thumb response. Test can indicate both neurological damage and nerve regeneration; often combined with the Babinski reflex test. Jaw jerk reflex