anatomy: cranial nerves Flashcards

1
Q

What is cranial nerves

A

Nerves that are directly attached to a part of the brain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What cranial nerves attach directly to the forebrain & where

A

CN I & II
Cerebrum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What cranial nerves attach to the brainstem

A

CN III to XII

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What cranial nerves attach directly to the midbrain

A

CN III & IV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What cranial nerves attach directly to the pons

A

CN V, VI, VII & VIII

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What cranial nerves attach directly to the medulla

A

CN IX, X, XI & XII

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the 12 cranial nerves

A

Oh: olfactory
Oh: optic
Oh: oculomotor
To: trochlear
Touch: trigeminal
And: abducens
Feel: facial
Very: vestibulocochlear
Good: glossopharyngeal
Velvet: vagus
Such: accessory
Heaven: hypoglossal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the primary function, origin, structures it pass through & destination of CN I

A

Function: smell
Origin: receptors of olfactory epithelium
Passing structures: olfactory foramina in
cribriform plate of ethmoid
plate
Destination: olfactory bulb

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the primary function, origin, structures it pass through & destination of CN II

A

Function: vision
Origin: ganglionic cells in retina of eye
Passing structures: optic canal of sphenoid Destination: diencephalon via optic chiasma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the primary function, origin, structures it pass through & destination of CN III

A

Function: eye motor
Origin: midbrain at oculomotor nucleus & parasympathetic
Passing structures: superior orbital fissure of sphenoid
Destination: somatic motor to superior,
inferior & medial rectus muscles, inferior oblique & levator superioris & visceral motor to intrinsic eye muscles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the primary function, origin, structures it pass through & destination of CN IV

A

Function: eye movement
Origin: trochlear nucleus in midbrain
Passing structures: superior orbital fissure of sphenoid & lateral cavernous sinus
Destination: superior oblique

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the primary function, origin, structures it pass through & destination of CN V

A

Function: sensory & motor
Origin: sensory (V1-2) mixed (V3)
Passing structures: V1 superior orbital fissure, V2 foramen rotundum & V3 foramen ovale
Destination: sensory nuclei in pons & V3 muscles of mastication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the primary function, origin, structures it pass through & destination of CN VI

A

Function: eye movement
Origin: pons
Passing structures: superior orbital fissure of
sphenoid & cavernous sinus
Destination: lateral rectus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the primary function, origin, structures it pass through & destination of CN VII

A

Function: sensory & motor
Origin: sensory taste receptors & motor is motor nuclei of pons
Passing structures: internal acoustic meatus to
canal leading to
stylomastoid foramina
Destination: sensory to sensory nuclei of pons, somatic motor to muscle of facial expression& visceral motor to lacrimal gland & nasal mucous glands

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the primary function, origin, structures it pass through & destination of CN VIII

A

Function: balance
& equilibrium (vestibular) & hearing (cochlear)
Origin: receptors of internal ear (vestibule- ganglion & nucleus & cochlea- organ of Corti & nucleus)
Passing structures: internal acoustic meatus of
temporal bones
Destination: vestibular & cochlear nuclei of
pons & medulla oblongata

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the primary function, origin, structures it pass through & destination of CN IX

A

Function: sensory &
motor to head & neck
Origin: sensory to tongue, part of pharynx,
palate & carotid artery of
neck & motor to motor nuclei of medulla oblongata
Passing structures: jugular foramina between
occipital & temporal bones
Destination: sensory to sensory nuclei of medulla oblongata, somatic motor to pharyngeal muscles for swallowing & visceral motor to parotid gland
via otic ganglion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is the primary function, origin, structures it pass through & destination of CN X

A

Function: sensory &
motor to thorax &
abdomen
Origin: sensory to pharynx, auricle, external acoustic meatus, diaphragm, & visceral organs & motor to motor nuclei of medulla oblongata
Passing structures: jugular foramina between
occipital & temporal bones
Destination: sensory to sensory nuclei & autonomic centers of medulla oblongata & visceral motor to muscles of palate, pharynx, digestive, respiratory & cardiovascular
system

18
Q

What is the primary function, origin, structures it pass through & destination of CN XI

A

Function: muscles of
neck & upper back
Origin: motor nuclei of spinal cord & medulla oblongata
Passing structures: jugular foramina between occipital bone & temporal bones
Destination: internal branch to voluntary
muscles of plate, pharynx & larynx & external branch to
sternocleidomastoid & trapezius

19
Q

What is the primary function, origin, structures it pass through & destination of CN XII

A

Function: tongue movement
Origin: motor nuclei of medulla oblongata
Passing structures: hypoglossal canals of
occipital bone
Destination: muscles of tongue

20
Q

What is the course of CN II

A

Pass through optic canal & forms optic chiasma & continue as optic tracts ending in LGB & radiations go to end visual cortex

21
Q

What is the course of CN III

A

Via interpeduncular fossa through lateral wall of cavernous sinus & enters orbits through superior orbit fissure dividing into superior & inferior division
Parasympathetic passes via inferior division

22
Q

What is the course of CN X

A

Via jugular foramen passing within carotid sheath, oesophageal opening & plexuses

23
Q

What is it called when you lose the ability to smell

24
Q

What is the three instances where CN I is damaged

A
  1. Head injury: tear nerve (anterior cranial fossa injury)
  2. Leakage of CSF: tearing of meningeal covering of nerve
  3. Tumour at skull base
25
What is five dysfunction of CN III
1. **Eye deviation:** down & out due to lateral rectus & superior oblique unopposed 2. **Ptosis:** drooping of eyelid 3. **Mydriasis:** fully dilated pupil 4. **Loss of power of accommodation** 5. **Diplopia:** double vision
26
What is a dysfunction of CN IV
**Diplopia:** double vision when looking down
27
What is six dysfunction of CN V
1. **Trigeminal neuralgia:** pain in distribution of maxillary/mandibular nerve 2. Decreased **forehead** pain & touch 3. **Corneal** reflex 4. **Cheek** touch & pain 5. **Jaw** touch, pain & jerk 6. Weakness of **mastication muscles**
28
What is a dysfunction of CN VI
Convergent squint with inability to abduct affected eye
29
What is the three classifications of CN VII dysfunction
1. Supranuclear 2. Nuclear 3. Infranuclear
30
Where is supranuclear CN VII damage
Corticobulbar & corticospinal fiber at/above level of internal capsule
31
What is two dysfunctions of supranuclear CN VII
1. Vasular stroke 2. Contralateral motor weakness of lower part of face & limbs
32
Where is nuclear CN VII damage
Main motor nucleus due to thrombosis at pontine branches of basilar artery
33
What is three dysfunctions of nuclear CN VII
1. Alternating hemiplegia 2. Complete paralysis of facial &/ abducens nerve on side of lesion 3. Combined with motor weakness of limbs on opposite side
34
What is a dysfunctions of infranuclear CN VII
Bell's palsy
35
What is four symptoms of Bell's palsy
1. Facial muscle paralysis/weakness with asymmetry of corner of mouth 2. Inability to close eye/wrinkle forehead on affected side 3. Excessive acuteness of hearing 4. Decreased tearing, salivation & taste
36
What is three dysfunction of CN VIII
1. **Vestibular nerve** disequilibrium & vertigo 2. Decreased hearing/nerve deafness due to *cochlear lesion** 3. Conduction deafness due to **external/middle ear damage**
37
What is a dysfunction of CN IX
Decreased salivation, sensation to back of ear, gag reflex & taste
38
When does CN X dysfunctions occur
Malignant disease & surgical damage
39
What is four symptoms of CN X damage
Hoarseness & dysphagia Decreased gag reflex, sensation in external acoustic meatus, pharynx Tachycardia
40
What is two dysfunctions of CN XI
Decreased ability to shrug shoulders & turn neck to opposite side
41
What is a dysfunction of CN XII
Weakness of tongue movement