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The carotid tubercle is also used as a landmark for anaesthesia of the brachial plexus and cervical plexus. The cervical spinal nerves emerge from above the cervical vertebrae. For example, the cervical spinal nerve 3 (C3) passes above C3.
The spinal nerves arise from the spinal column. The top section of the spine is the cervical section, which contains nerves that innervate muscles of the head, neck and thoracic cavity, as well as transmit sensory information to the CNS. The cervical spine section contains seven vertebrae, C-1 through C-7, and eight nerve pairs, C-1 through C-8.
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.
Sensation to the front areas of the neck comes from the roots of the spinal nerves C2-C4, and at the back of the neck from the roots of C4-C5. [8] In addition to nerves coming from and within the human spine, the accessory nerve and vagus nerve travel down the neck. [1]
They allow for flexion and extension and limit lateral flexion in the cervical spine. Pathological processes that can occur in these joints include degenerative changes or hypertrophic arthritis, resulting in foraminal stenosis and nerve compression. Foraminal stenosis at this joint is the most common cause of cervical nerve root pressure.
There is anastomosis with accessory nerve, hypoglossal nerve and sympathetic trunk. It is located in the neck, deep to the sternocleidomastoid muscle. [5] The branches of the cervical plexus emerge from the posterior triangle at the nerve point, a point which lies midway on the posterior border of the sternocleidomastoid.
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.
A dermatome is an area of skin that is mainly supplied by afferent nerve fibres from the dorsal root of any given spinal nerve. [1] [2] There are 8 cervical nerves (C1 being an exception with no dermatome), 12 thoracic nerves, 5 lumbar nerves and 5 sacral nerves.