Phrenic Nerve: Difference between revisions
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'''Phrenic Nerve''' | == '''Phrenic Nerve''' == | ||
It is a nerve of the thoracic region. | It is a nerve of the thoracic region. | ||
'''Origin''' | |||
==== '''Origin''' ==== | |||
The Phrenic nerve arise from the neck from the anterior rami of the third, fourth and fifth cervical nerve | The Phrenic nerve arise from the neck from the anterior rami of the third, fourth and fifth cervical nerve | ||
'''Course''' | |||
==== '''Course''' ==== | |||
The '''''right Phrenic nerve''''' descends in the thorax along the right side of the right brachiocephalic vein and the superior vena cava. It passes in front of the root of the right lung and runs along the right side of the pericardium, which separates the nerve from the right atrium. it then descends on the right side of the inferior vena cava to the diaphragm. its terminal branches pass through the caval opening in the diaphragm to supply the central part of the peritoneum on its under aspect. | |||
The '''''left Phrenic nerve''''' descends in the thorax along the left side of the left subclavian artery. It crosses the left side of the aortic arch and here crosses the left side of the left Vagus nerve. It passes in front of the root of the left lung and then descends over the left surface of the pericardium which separates the nerve from the left ventricle. On reaching the diaphragm, the terminal branches pierce the muscle and supply the central part of the peritoneum on its under aspect. | |||
Anteriorly : The preverterbral layer of deep fascia, the internal jugular vein, the superficial cervical and suprascapular arteries and, on the left, thoracic duct; the beginning of the brachiocephalic vein. | The phrenic nerves possess efferent and afferent fibres. The efferent fibres are the '''sole nerve supply''' to the muscle of the diaphragm. | ||
Posteriorly : The scalenus anterior the subclavian artery, and the cervical dome of pleura. | |||
Paralysis of the Diaphragm | The afferent fibres carry sensation to the central nervous system from the peritoneum covering the central region of the under-surface of the diaphragm, the pleura covering the central region of the upper surface of the diaphragm, and the pericardium md mediastinal parietal pleura. | ||
==== '''Relations in the Neck''' ==== | |||
===== ''Anteriorly'' : The preverterbral layer of deep fascia, the internal jugular vein, the superficial cervical and suprascapular arteries and, on the left, thoracic duct; the beginning of the brachiocephalic vein. ===== | |||
===== ''Posteriorly'' : The scalenus anterior the subclavian artery, and the cervical dome of pleura. ===== | |||
==== '''Paralysis of the Diaphragm''' ==== | |||
The phrenic nerve may be paralyzed because of pressure from malignant tumours in the mediastinum. Surgical crushing or sectioning of the phrenic nerve in the neck, producing paralysis of the diaphragm on one side, was once used as a part of the treatment of lung tuberculosis, especially of the lower lobes. the immobile dome of the diaphragm rests the lung. | The phrenic nerve may be paralyzed because of pressure from malignant tumours in the mediastinum. Surgical crushing or sectioning of the phrenic nerve in the neck, producing paralysis of the diaphragm on one side, was once used as a part of the treatment of lung tuberculosis, especially of the lower lobes. the immobile dome of the diaphragm rests the lung. | ||
Revision as of 22:04, 17 August 2017
Phrenic Nerve[edit | edit source]
It is a nerve of the thoracic region.
Origin[edit | edit source]
The Phrenic nerve arise from the neck from the anterior rami of the third, fourth and fifth cervical nerve
Course[edit | edit source]
The right Phrenic nerve descends in the thorax along the right side of the right brachiocephalic vein and the superior vena cava. It passes in front of the root of the right lung and runs along the right side of the pericardium, which separates the nerve from the right atrium. it then descends on the right side of the inferior vena cava to the diaphragm. its terminal branches pass through the caval opening in the diaphragm to supply the central part of the peritoneum on its under aspect.
The left Phrenic nerve descends in the thorax along the left side of the left subclavian artery. It crosses the left side of the aortic arch and here crosses the left side of the left Vagus nerve. It passes in front of the root of the left lung and then descends over the left surface of the pericardium which separates the nerve from the left ventricle. On reaching the diaphragm, the terminal branches pierce the muscle and supply the central part of the peritoneum on its under aspect.
The phrenic nerves possess efferent and afferent fibres. The efferent fibres are the sole nerve supply to the muscle of the diaphragm.
The afferent fibres carry sensation to the central nervous system from the peritoneum covering the central region of the under-surface of the diaphragm, the pleura covering the central region of the upper surface of the diaphragm, and the pericardium md mediastinal parietal pleura.
Relations in the Neck[edit | edit source]
Anteriorly : The preverterbral layer of deep fascia, the internal jugular vein, the superficial cervical and suprascapular arteries and, on the left, thoracic duct; the beginning of the brachiocephalic vein.[edit | edit source]
Posteriorly : The scalenus anterior the subclavian artery, and the cervical dome of pleura.[edit | edit source]
Paralysis of the Diaphragm[edit | edit source]
The phrenic nerve may be paralyzed because of pressure from malignant tumours in the mediastinum. Surgical crushing or sectioning of the phrenic nerve in the neck, producing paralysis of the diaphragm on one side, was once used as a part of the treatment of lung tuberculosis, especially of the lower lobes. the immobile dome of the diaphragm rests the lung.
