21. Cranial Nerves 7-12 Flashcards
What are the 3 types of motor fibres?
Somatic
Branchiomotor
Parasympathetic
What are the 3 types of sensory fibres?
Somatic
Visceral and taste
Special
Which cranial nerves have somatic motor fibres?
3, 4, 6, 12
Which cranial nerves have branchiomotor fibres?
5c, 7, 9, 10, 11
Which cranial nerves have parasympathetic motor fibres?
3, 7, 9, 10
Which cranial nerves have somatic sensory fibres?
5, 7, 9, 10
Which cranial nerves have visceral sensory fibres?
7, 9, 10
Which cranial nerves have special sensory fibres?
1, 2, 8
What are the motor functions of CN VII?
Branchiomotor to second arch (facial expresion
Parasympathetic secretomotor
What ganglion contains the sensory nerve bodies of VII?
Geniculate ganglion
What are the sensory functions of VII?
Somatosensory to the ear
Visceral sensory taste to hard palate and anterior 2/3 of tongue
How can you test CN VII?
Test each facial muscle
Corneal reflex
Where does CN VIII emerge?
Cerebellopontine angle
Where are the vestibular and cochlear nuclei found?
Floor of the 4th ventricle
Where do signals from the cochlear nuclei go?
Inferior coliculi
Medial geniculate body
Where does CN IX emerge?
Behind the olives of the medulla
What are the motor functions of CN IX?
Branchiomotor to 3rd arch: stylopharyngeus
Parasympathetic to otic ganglion
What ganglion is associated with branchiomotor CN IX?
Nucleus ambiguus
What are the sensory functions of CN IX?
Somatic (superior ganglion) to the tympanic membrane and posterior 1/3 of tongue
Visceral (inferior ganglion) to oropharynx and taste to posterior 1/3 of tongue, carotid body
What will happen to the uvula if the nucleus ambiguus is damaged?
Uvula deviates away from the side of the lesion
What are the motor functions of CN X?
Branchiomotor to 4th and 6th arches: swallowing and phonation
Parasympathetic to thoracoabdominal region
What are the sensory functions of CN X?
Somatic to internal laryngeal nerve
Visceral taste to valleculae and to viscera in heart and abdomnen
What are the two parts of CN XI?
Cranial
Spinal
What is the course of the cranial accessory nerve?
Runs with X in the nucleus ambiguus
How is the spinal accessory nerve tested?
Test sternocleidomastoid and trapezius
What is the motor function of CN XII?
Somatic to the tongue
Where does CN XII emerge from?
between pyramids and olives of the medulla
What will happen to the tongue if there is a lesion of XII?
Tongue will deviate towards the side of the lesion
What does a lesion of III cause?
Occular palsy
What does a lesion of V cause?
Weakness of jaw and numbness of face
What does a lesion of VII cause?
Facial palsy and loss of taste
What does a lesion of VIII cause?
Deafness and vertigo
What does a lesion of IX, X, cranial XI and XII cause?
Bulbar palsy
What does a lesion of spinal XI cause?
Weakness of head, neck and shoulder muscles
Where do sympathetic nerves come from?
T1 to L2
What nerves are damaged in Pancoast’s tumour?
T1 to small muscles of the hand
Sympathetic chain to head
What nucleus is associated with III?
Edinger Westphal nucleus
in periaqueductal grey matter of the midbrain
What nucleus is associated with VII?
Superior salivatory nucleus
in the pons
What nucleus is associated with IX?
Inferior salviatory nucleus
in the medulla
What is the innervation of the ciliary ganglion?
Va, III and sympathetics from internal carotid
What are the parasympathetic actions of the ciliary ganglion?
Acts on sphincter pupillae
Pupillary light reflex
Accommodation
What are the sympathetic actions of the ciliary ganglion?
Dilator pupillae
Levator palpebrae superioris
Vasoconstriction
What is the innervation to the pterygopalatine ganglion?
Vb, VII, internal carotid
What are the parasympathetic actions of the pterygopalatine ganglion?
Act on the lacrimal gland, nasal cavity, hard palate
What are the sympathetic actions of the pterygopalatine ganglion?
Vasoconstriction
What is the innervation to the submandibular ganglion?
Vc, VII, external carotid
What are the parasympathetic actions of the submandibular ganglion?
Secretomotor to the submandibular and sublingual glands
Taste to the anterior 2/3 of tongue
What are the sympathetic actions of the submandibular ganglion?
Vasoconstriction
What is the innervation to the otic ganglion?
Vc, IX, external carotid