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.

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