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What Nerve Does C3 C4 And C5 Makeup

Phrenic nerve

The phrenic nerve is a mixed nerve arising from the anterior rami of C3-C5 spinal nerves, which are components of the cervical plexus. It arises in the neck and descends vertically through the thorax to end on the diaphragm. The phrenic nerve is a bilateral nerve, and its left and right counterparts have some important differences in terms of form and relations with surrounding structures.

The master function of the phrenic nerve is to provide the entire motor innervation to the diaphragm, which makes it a vital component in the physiology of breathing. In addition, the phrenic nerve supplies sensory innervation to the key function of the diaphragm and adjacent fascial coverings.

This article will discuss the anatomy and role of the phrenic nerve.

Key facts about the phrenic nerve
Origin C3-C5 spinal nerves
Supply Motor: Diaphragm
Sensory
: Central part of diaphragm, pericardium, mediastinal pleura, diaphragmatic pleura, diaphragmatic peritoneum

Contents

  1. Origin and course
    1. Left phrenic nerve
    2. Right phrenic nervus
  2. Function
  3. Clinical relations
    1. Phrenic nerve damage
  4. Sources

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Origin and grade

The phrenic nerve is a deep branch of the cervical plexus arising mainly from the C4 spinal nerve, merely also receives contributions from C3 and C5 spinal nerves. This fact can exist remembered past the mnemonic: C3, iv, 5, keep the diaphragm alive.

The phrenic nervus arises in the cervix, at the upper lateral border of the scalenus anterior muscle, and descends along its anterior surface, deep to the prevertebral layer of the deep cervical fascia. The nerve runs posterior to the sternocleidomastoid muscle, the inferior abdomen of omohyoid musculus, the internal jugular vein, transverse cervical and suprascapular arteries.

From this point on, the pathway of the left and correct phrenic nerves has several differences. Withal, on both sides, the nerves run backside the subclavian vein and anterior to the internal thoracic avenue to enter the thoracic cavity through the superior thoracic aperture. In addition, both phrenic nerves are accompanied past the pericardiacophrenic vessels along their course in the thorax.

This epitome shows the left and right phrenic nerve in a cadaver, forth with surrounding neurovascular structures.

Left phrenic nerve

  • Passes anteriorly over the starting time part of the left subclavian artery and deep to the thoracic duct.
  • Runs anterior to the hilum of the left lung.
  • Crosses anterior to the aortic arch and the vagus nerve.
  • Passes over the fibrous pericardium of the left ventricle and pierces the diaphragm close to the apex of the heart to accomplish the inferior (intestinal) surface of the diaphragm.

Right phrenic nervus

  • Descends anteriorly over the 2nd part of the correct subclavian avenue.
  • Passes lateral to the right brachiocephalic vein and the superior vena cava.
  • Runs anterior to the hilum of the right lung.
  • Passes along the gristly pericardium of the right atrium and pierces the diaphragm near the inferior vena cava opening.

Office

The phrenic nerve is a mixed nerve, carrying motor, sensory and sympathetic fibers. It is the only nerve that provides motor innervation to the diaphragm, with the left and right phrenic fretfulness innervating their corresponding ipsilateral hemidiaphragms. Thus, the phrenic nerve stimulates the movements of the diaphragm and plays a crucial role in breathing.

The phrenic nervus besides provides sensory innervation to the central part of the diaphragm, too as the pericardium, mediastinal pleura, diaphragmatic pleura and diaphragmatic peritoneum.

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