Anatomy: Cranial Nerves Flashcards
Which cranial nerve innervates a contralateral muscle (decussates)?
Trochlear nerve (CN IV)
Which cranial nerve does eye movement, accommodation, and pupil constriction (miosis?
Oculomotor (CN III)
Which cranial nerve innervates only the superior oblique muscle?
Trochlear (CN IV)
Which cranial nerve innervates only the lateral rectus muscle?
Abducens (CN VI)
What is the function of the abducens nerve?
Innervates lateral rectus which abducts the eye (points it out)
Which nerves allow for the gag reflex?
Glossopharyngeal (CN IX) - sensory
Vagus (CN X) - motor
If there is a lesion to a cranial nerve affecting the tongue which way will the tongue deviate?
Towards the lesion
Tongue Toward
If there is a lesion to the vagus nerve (CN X), which way will the uvula deviate?
Away from the lesion
Uvula Away
Which part of the colon is innervated by the vagus nerve?
Ascending and first 2/3 of transverse
What functions are stimulated by the accessory nerve (CN XI)?
Head turning, shoulder shrugging (SCM and trapezius)
Where do the fibers from the optic nerve travel to?
The lateral geniculate nucleus in the thalamus -> occipital cortex
*some go to the pretectal nucleus for CN III stimulation
Describe the pathway for CN III (oculomotor)?
Pupillary fibers start in the Edinger-Westphal nucleus (midbrain) -> ciliary ganglion -> eye
Which nerve and muscle provide for intorsion of the eye?
Trochlear (CN IV) and superior oblique
A patient with right superior oblique palsy (right superior oblique muscle doesn’t work) would compensate how?
Tilt head to the left
What are the branches of V3?
Auriculotemporal, long buccal, lingual, IAN, nerve to mylohyoid
What are the three major branches of V1?
Nasocilliary
Frontal
Lacrimal
What are the two branches of the frontal nerve (via V1)?
Supraorbital and supratrochlear
What type of facial paralysis would be seen if there was an upper motor neuron injury (stroke, supranuclear) to the facial nerve (CN VII)?
Contralatteral paralysis to lower face only
What type of injury is Bell’s palsy?
Lower motor neuron injury - will affect ipsilateral of whole face
Which cranial nerve opens the eye?
Oculomotor (CN III) via levator muscle
Which cranial nerve closes the eye?
Facial (CN VII) via obicularis oculi
What are the 5 sensory branches of the facial nerve?
- Temporal
- Zygomatic
- Buccal
- Mandibular
- Cervical
The greater petrosal nerve is a branch of which cranial nerve?
Facial
What types of sensory fibers are carried via the greater petrosal nerve?
Taste and parasympathetics
Where does the greater petrosal provide taste?
Palate
How does the greater petrosal provide parasympathetic innervation for lacrimation?
Superior salivatory nucleus -> greater petrosal -> pterygopalatine ganglion -> lacrimal gland
What structure does the chorda tympani pass through before joining the lingual nerve?
petrotympanic fissure