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    Cervical Plexus

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    sharathb771
    The cervical plexus is a network of nerves that provides nerves to the head, neck and shoulder. It is formed from the anterior rami of the first four cervical nerves and has cutaneous and muscular branches that provide innervation to the surrounding areas.

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    Cervical Plexus

    Uploaded by

    sharathb771
    17 views14 pages
    The cervical plexus is a network of nerves that provides nerves to the head, neck and shoulder. It is formed from the anterior rami of the first four cervical nerves and has cutaneous and muscular branches that provide innervation to the surrounding areas.

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    CERVICAL-PLEXUS

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    The cervical plexus is a network of nerves that provides nerves to the head, neck and shoulder. It is formed from the anterior rami of the first four cervical nerves and has cutaneous and muscular branches that provide innervation to the surrounding areas.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    17 views14 pages

    Cervical Plexus

    Uploaded by

    sharathb771
    The cervical plexus is a network of nerves that provides nerves to the head, neck and shoulder. It is formed from the anterior rami of the first four cervical nerves and has cutaneous and muscular branches that provide innervation to the surrounding areas.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 14

    Cervical Plexus

    Introduction
    o A nerve plexus is a network of
    interwoven nerves.

    o Cervical plexus provides nerves to:


    • Head.
    • Neck and
    • Shoulder.

    • Supplies skin and muscles of neck


    and thoraco-abdominal diaphragm.
    Introduction contd…
    • It is a plexus of loops.

    • Formed from the anterior rami of


    the first four cervical nerves(C1-
    C4).

    • Lies beneath the prevertebral


    fascia on the scalenus medius and
    levator scapulae, and under cover
    of sternocleidomastoid.
    Formation of Cervical Plexus
    • Each formative ramus divides
    into upper and lower
    branches, except the first
    cervical.
    U
    • C1 joins with the upper branch
    of C2. U
    L

    • Upper branch of C2 joins with L


    upper branch of C3, & upper U
    branch of C3 joins with upper
    branch of C4 forming loops.
    L
    • Hence a.k.a. Plexus of Loops.

    U- Upper Branch, L- Lower Branch


    Branches Of Cervical Plexus
    SUPERFICIAL BRANCHES: 4 cutaneous
    branches:
    o Provides cutaneous innervation to head,
    neck, and shoulder area.
    o 3 ascending branches and 1 descending
    branch.
    o Arise from near the middle of posterior
    border of sternocleidomastoid.
    SCM

    Ascending Branches:-
    o Lesser Occipital Nerve(C2)
    o Greater Auricular Nerve(C2 & C3)
    o Transverse Cutaneous Nerve(C2 &
    C3) sa- spinal accessory, lo- lesser occipital,
    ga- greater auricular, tc- transverse
    cutaneous, sc- supraclavicular, SCM-
    Descending Branch:- Sternocleidomastoid
    o Supraclavicular Nerve(C3 & C4)
    Image showing dermatomes of cutaneous branches of cervical plexus
    Branches of Cervical Plexus Contd…
    DEEP BRANCHES: Muscular branches.
    o Divide into medial and lateral series.

    Medial Series:-

    1. Nerve to Rectus capitis lateralis (C1)

    2. Nerve to Rectus capitis anterior (C1,C2)

    3. Nerve to Longus capitis (C1-C4)

    4. Nerve to Longus colli (C2-C4)

    5. Inferior root of ansa cervicalis (C2, C3)

    6. Phrenic nerve (C3, C4, C5)


    [see image of 5th slide]
    Deep Branches of Cervical Plexus Contd…
    Lateral Series:- Nerve to
    • Sternocleidomastoid ( C2 )
    • Trapezius ( C3 & C4 )
    • Levator scapulae ( C3 & C4 )
    • Scalenus medius ( C3 & C4 )
    • Scalenus anterior (C4)
    Communicating Branches of Cervical Plexus
    With Superior Cervicalsympathetic
    Ganglion:

    • All formative rami of cervical plexus


    receives grey rami communicans
    from superior cervical sympathetic
    Grey Rami communicans
    ganglion.
    Communicating Branches of Cervical Plexus Contd…
    With Hypoglossal Nerve:

    o A branch from the loop between C1


    &C2 joins the hypoglossal nerve.

    o After a short course with the


    hypoglossal nerve, leaves that
    nerve as:-

    • Meningeal branch.
    • Superior root of ansa cervicalis
    (descends hypoglossi).
    • Nerve to Thyrohyoid (C1)
    • Nerve to Geniohyoid (C1)
    Phrenic Nerve ( C3,C4 &C5 )
    • Descends through the neck and Scalenus
    Anterior
    thorax to supply the diaphragm.

    • It lies on the scalenus anterior


    muscle and enters the thorax
    between subclavian artery and
    subclavian vein.

    • Only motor nerve to the


    diaphragm.
    Thank you

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