The white ramus communicans (plural: rami communicantes) from Latin ramus (branch) and communicans (communicating) is the preganglionic sympathetic outflow nerve tract from the spinal cord. Each of the thoracic, and the first and second lumbar nerves contribute a white ramus communicans to the adjoining

sympathetic ganglion The sympathetic ganglia, or paravertebral ganglia are autonomic ganglia, of the sympathetic nervous system. Ganglia are 20,000 to 30,000 afferent and efferent nerve cell bodies that run along on either side of the spinal cord. Afferent nerve ce ...

, unlike the gray rami which are located at each spinal level. White rami communicantes contain both

myelin Myelin is a lipid-rich material that surrounds nerve cell axons (the nervous system's "wires") to insulate them and increase the rate at which electrical impulses (called action potentials) are passed along the axon. The myelinated axon can ...

ated and unmyelinated

preganglionic In the autonomic nervous system, fibers from the CNS to the ganglion are known as preganglionic fibers. All preganglionic fibers, whether they are in the sympathetic division or in the parasympathetic division, are cholinergic (that is, these ...

sympathetic fibers, ( GVE and GVA). The white ramus appears white because there are more myelinated than unmyelinated fibers unlike the gray rami.

Structure

The white rami communicantes are the preganglionic sympathetic outflow from the spinal cord. The cell bodies for the

preganglionic sympathetic In the autonomic nervous system, fibers from the CNS to the ganglion are known as preganglionic fibers. All preganglionic fibers, whether they are in the sympathetic division or in the parasympathetic division, are cholinergic (that is, these f ...

myelinated Myelin is a lipid-rich material that surrounds nerve cell axons (the nervous system's "wires") to insulate them and increase the rate at which electrical impulses (called action potentials) are passed along the axon. The myelinated axon can be l ...

fibers in the white rami communicantes lie in the ipsilateral (same sided) intermediolateral cell column in the spinal cord which extends from T1-L2. These rami also contain general visceral afferent fibers (sensory from the organs) whose primary cell bodies reside dorsal root ganglia (which then

synapse In the nervous system, a synapse is a structure that permits a neuron (or nerve cell) to pass an electrical or chemical signal to another neuron or to the target effector cell. Synapses are essential to the transmission of nervous impulses from ...

in the dorsal horn). The preganglionic sympathetic fibers will enter into the sympathetic trunk and either synapse at the ganglion on the same level, or travel up or down the sympathetic trunk to arrive at the correct spinal level for their action. Once they synapse in the sympathetic ganglion in the

sympathetic trunk The sympathetic trunks (sympathetic chain, gangliated cord) are a paired bundle of nerve fibers that run from the base of the skull to the coccyx. They are a major component of the sympathetic nervous system. Structure The sympathetic trunk lies j ...

, they exit the trunk as gray rami to join the

spinal nerve A spinal nerve is a mixed nerve, which carries motor, sensory, and autonomic signals between the spinal cord and the body. In the human body there are 31 pairs of spinal nerves, one on each side of the vertebral column. These are grouped into the ...

and innervate the appropriate structure. Even though the sympathetic trunk extends below L2, there are no more white rami communicantes below L2 because the

intermediolateral cell column The intermediolateral nucleus (IML) is a region of grey matter found in one of the three grey columns of the spinal cord, the lateral grey column. This is Rexed lamina VII. The intermediolateral cell column exists at vertebral levels T1 – L ...

ends before this. The fibers of the sympathetic trunk above and below T1-L2 originate from white rami communicantes within T1-L2. Above and below T1-L2 there are only gray rami. Cell column are the important features of white rami communicates.

Additional Images

Image:Gray824.png, Deep and superficial dissection of the lumbar plexus. Image:Gray846.png, Thoracic portion of the sympathetic trunk.

References

External links

* - "Autonomic Connections of the Spinal Cord"
Overview and diagram
{{Authority control Nerves of the torso

Structure

Additional Images

See also

References

External links