Early conflicting reports and the lack of sensitive anatomical methods
have led to an oversimplified view of adrenal gland innervation. It w
as hot until the introduction of nerve fibre tracing techniques in the
mid-1970s that the true complexity of adrenal innervation began to em
erge. The first part of this article comprises a brief review of these
and other relevant reports dealing with both medullary and cortical i
nnervation. In the second part a detailed account is given of the work
undertaken in Rex Coupland's Department relating to the innervation o
f the rodent and primate adrenal medulla using a retrograde fluorescen
t tracer technique. It was concluded that, in all 3 species studied, t
he adrenal medulla receives a sympathetic and parasympathetic efferent
and an afferent innervation. The possible interrelationship between n
eural control of cortical and medullar secretions is discussed briefly
.