Rami communicans

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Nerve: Rami communicans
Scheme showing structure of a typical spinal nerve. 1. Somatic efferent. 2. Somatic afferent. 3,4,5. Sympathetic efferent. 6,7. Sympathetic afferent.
Diagram of the course and branches of a typical intercostal nerve. (Rami communicantes labeled at center.)
Latin	rami communicantes nervorum spinalium
Dorlands / Elsevier	r_02/12689477

Rami communicans (plural rami communicantes) is the term used for a nerve which connects two other nerves.

When used without further definition, it almost always refers to a communicating branch between a spinal nerve and the sympathetic trunk. More specifically, it usually refers to one of the following:

• Gray ramus communicans
• White ramus communicans

v • d • e Nerves - autonomic nervous system (sympathetic nervous system/ganglion/trunks and parasympathetic nervous system/ganglion) Head/cranial Ciliary ganglion: roots (Sensory, Parasympathetic, Sympathetic) - Short ciliary Pterygopalatine ganglion: deep petrosal - nerve of pterygoid canal branches of distribution: greater palatine (inferior posterior nasal branches) - lesser palatine - nasopalatine (medial superior posterior nasal branches) - pharyngeal Submandibular ganglion Otic ganglion Neck/cervical paravertebral ganglia: Cervical ganglia (Superior, Middle, Inferior) - Stellate ganglion prevertebral plexus: Cavernous plexus - Internal carotid Chest/thorax paravertebral ganglia: Thoracic ganglia prevertebral plexus: Cardiac plexus - Esophageal plexus - Pulmonary plexus - Thoracic aortic plexus splanchnic nerves: cardiopulmonary - thoracic cardiac nerves: Superior - Middle - Inferior Abdomen/Lumbar paravertebral ganglia: Lumbar ganglia prevertebral ganglia: Celiac ganglia (Aorticorenal) - Superior mesenteric ganglion - Inferior mesenteric ganglion prevertebral plexus: Celiac plexus - (Hepatic, Splenic, Pancreatic) - aorticorenal (Abdominal aortic plexus, Renal/Suprarenal) - Superior mesenteric (Gastric) - Inferior mesenteric (Spermatic, Ovarian) - Superior hypogastric (hypogastric nerve, Superior rectal) - Inferior hypogastric (Vesical, Prostatic/Cavernous nerves of penis, Uterovaginal, Middle rectal) splanchnic nerves: Lumbar splanchnic nerves enteric nervous system: Meissner's plexus • Auerbach's plexus Pelvis/sacral paravertebral ganglia: Sacral ganglia - Ganglion impar splanchnic nerves: Pelvic splanchnic nerves - Sacral splanchnic nerves All Rami communicans (White, Gray) - Preganglionic fibers - Postganglionic fibers

v • d • e Anatomy of torso (primarily): the spinal cord Spinal nerve Dorsal (Root, Ganglion, Ramus) • Ventral (Root, Ramus) • Sympathetic trunk • rami communicantes (Gray, White) Gray matter/Rexed laminae Posterior horn (Posteromarginal nucleus, Column of Clarke, Substantia gelatinosa of Rolando, Nucleus proprius) Lateral horn/Anterior horn (Intermediolateral nucleus) Central canal/Substantia gelatinosa centralis - Gray commissure White matter somatic/ascending (blue) Posterior/PCML: touch: Gracilis • Cuneatus Lateral: proprioception: Spinocerebellar (Dorsal, Ventral) • pain/temp: Spinothalamic (Lateral, Anterior) • Posterolateral (Lissauer) • Spinotectal motor/descending (red) Lateral: Corticospinal (Lateral) • Ep (Rubrospinal, Olivospinal) Anterior: Corticospinal (Anterior) • Ep (Vestibulospinal, Reticulospinal, Tectospinal) Layers Epidural space • Dura mater • Subdural space • Arachnoid mater • Subarachnoid space • Pia mater Other structures Denticulate ligaments • Conus medullaris • Cauda equina • Filum terminale • Cervical enlargement • Lumbar enlargement Anterior median fissure • Posterior median sulcus Anterior white commissure