Pharmacology Notes

Differences between Autonomic and Somatic Nerves. The efferent nerves of the involuntary system supply all innervated structures of the body except skeletal muscle, which is served by somatic nerves. The most distal synaptic junctions in the autonomic reflex arc occur in ganglia that are entirely outside the cerebrospinal axis. These ganglia are small but complex structures that contain axodendritic synapses between preganglionic and postganglionic neurons. Somatic nerves contain no peripheral ganglia, and the synapses are located entirely within the cerebrospinal axis. Many autonomic nerves form extensive peripheral plexuses, but such networks are absent from the somatic system. Whereas motor nerves to skeletal muscles are myelinated, postganglionic autonomic nerves generally are nonmyelinated. When the spinal efferent nerves are interrupted, the denervated skeletal muscles lack myogenic tone, are paralyzed, and atrophy, whereas smooth muscles and glands generally retain some level of spontaneous activity independent of intact innervation.