Cervical plexus
{{Short description|Network of nerves in the neck}}
{{More citations needed |date=April 2014}}
{{Infobox Nerve
| Name = Cervical plexus
|Latin = plexus cervicalis
|Image = Gray784.png
|Caption = Dermatome distribution of the trigeminal nerve (Superficial cervical plexus visible in purple, at center bottom.)
|Image2 =
|Caption2 =
|Innervates =
|BranchFrom = C1-C4
|BranchTo =
}}
The cervical plexus is a nerve plexus of the anterior rami of the first (i.e. upper-most) four cervical spinal nerves C1-C4.{{Cite book |last=Standring |first=Susan |url=https://www.worldcat.org/oclc/1201341621 |title=Gray's Anatomy: The Anatomical Basis of Clinical Practice |year=2020 |isbn=978-0-7020-7707-4 |edition=42nd |location=New York |pages=595–596 |oclc=1201341621}}{{Citation|last1=Donofrio|first1=P. D.|title=Neuropathies, Iatrogenic|date=2014-01-01|url=http://www.sciencedirect.com/science/article/pii/B9780123851574006795|encyclopedia=Encyclopedia of the Neurological Sciences (Second Edition)|pages=481–484|editor-last=Aminoff|editor-first=Michael J.|place=Oxford|publisher=Academic Press|language=en|doi=10.1016/b978-0-12-385157-4.00679-5|isbn=978-0-12-385158-1|access-date=2020-10-25|last2=Clarke|first2=C. D.|editor2-last=Daroff|editor2-first=Robert B.|url-access=subscription}}{{Citation|last=Cesmebasi|first=Alper|title=Chapter 31 - Anatomy of the Cervical Plexus and Its Branches|date=2015-01-01|url=http://www.sciencedirect.com/science/article/pii/B9780124103900000329|work=Nerves and Nerve Injuries|pages=441–449|editor-last=Tubbs|editor-first=R. Shane|place=San Diego|publisher=Academic Press|language=en|doi=10.1016/b978-0-12-410390-0.00032-9|isbn=978-0-12-410390-0|access-date=2020-10-25|editor2-last=Rizk|editor2-first=Elias|editor3-last=Shoja|editor3-first=Mohammadali M.|editor4-last=Loukas|editor4-first=Marios|url-access=subscription}}{{Citation|last1=Jo|first1=Jasmin|title=Chapter 26 - Metastatic Disease and the Nervous System|date=2014-01-01|url=http://www.sciencedirect.com/science/article/pii/B9780124077102000266|work=Aminoff's Neurology and General Medicine (Fifth Edition)|pages=539–562|editor-last=Aminoff|editor-first=Michael J.|place=Boston|publisher=Academic Press|language=en|doi=10.1016/b978-0-12-407710-2.00026-6|isbn=978-0-12-407710-2|access-date=2020-10-25|last2=Schiff|first2=David|s2cid=78276004 |editor2-last=Josephson|editor2-first=S. Andrew|url-access=subscription}} The cervical plexus provides motor innervation to some muscles of the neck, and the diaphragm; it provides sensory innervation to parts of the head, neck, and chest.
Anatomy
They are located laterally to the transverse processes between prevertebral muscles from the medial side and vertebral (m. scalenus, m. levator scapulae, m. splenius cervicis) from lateral side. There is anastomosis with accessory nerve, hypoglossal nerve and sympathetic trunk. It is located in the neck, deep to the sternocleidomastoid muscle.{{Citation|last1=Moskovitz|first1=Joshua B.|title=Chapter 11 - Regional Nerve Blocks of the Head and Neck|date=2015-01-01|url=http://www.sciencedirect.com/science/article/pii/B9780124103900000111|work=Nerves and Nerve Injuries|pages=147–151|editor-last=Tubbs|editor-first=R. Shane|place=San Diego|publisher=Academic Press|language=en|doi=10.1016/b978-0-12-410390-0.00011-1|isbn=978-0-12-410390-0|access-date=2020-10-25|last2=Choi|first2=Andrew|editor2-last=Rizk|editor2-first=Elias|editor3-last=Shoja|editor3-first=Mohammadali M.|editor4-last=Loukas|editor4-first=Marios|url-access=subscription}}
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.
= Relations =
The cervical plexus is situated deep to the sternocleidomastoid muscle, internal jugular vein, and deep cervical fascia.
It is situated anterior to the middle scalene muscle, and levator scapulae muscle.
= Branches =
The cervical plexus has two types of branches: cutaneous and muscular.
- Cutaneous (4 branches):
- Lesser occipital nerve - innervates the skin and the scalp posterosuperior to the auricle (C2)
- Great auricular nerve - innervates skin near concha auricle (outer ear) and external acoustic meatus (ear canal) (C2-C3)
- Transverse cervical nerve - innervates anterior region of neck (C2 and C3)
- Supraclavicular nerves - innervate the skin above and below the clavicle (C3-C4)Clinically Oriented Anatomy by Moore and Dally's {{Clarify|date=July 2023|reason=Clarify preceeding reference - which edition?}}
- Muscular
- Ansa cervicalis - a loop formed by C1-C3 that supplies most infrahyoid (a.k.a. "strap") muscles (sternothyroid, sternohyoid, omohyoid muscles) etc.
- Nerve to thyrohyoid - fibres from C1 that run with the hypoglossal nerve (cranial nerve XII) and do not participate in the formation of the superior root of ansa cervicalis, instead continuing for some further distance to reach and innervate the thyrohyoid muscle and the geniohyoid muscle.
- Phrenic (C3-C5, but mostly C4) - innervates thoracic diaphragm and the pericardium.
- Segmental branches (C1-C4) - innervate anterior and middle scalene muscles
- Levator scapulae muscle (C3-C4) (also innervated by dorsal scapular nerve (C5) of the brachial plexus)
Diagram
Additional images
Image:Gray804.png|Plan of the cervical plexus.
Image:Gray805.png|The nerves of the scalp, face, and side of neck.
Image:Gray838.png|The right sympathetic chain and its connections with the thoracic, abdominal, and pelvic plexuses.
Image:Gray1210.png|Side of neck, showing chief surface markings.
References
External links
- {{SUNYAnatomyFigs|25|03|02}} - "Diagram of the cervical plexus"
- {{MedicalMnemonics|268|||}}
- [http://kobiljak.msu.edu/cai/ANT551/Unit02/Topic04/U2_L4_O6.html Diagram at msu.edu] {{Webarchive|url=https://web.archive.org/web/20190603153001/http://kobiljak.msu.edu/cai/ANT551/Unit02/Topic04/U2_L4_O6.html |date=2019-06-03 }}
{{Spinal nerves}}
{{Cervical plexus}}
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