Ascending Cranial Pathways Flashcards
CN V
trigeminal nerve
trigeminal nerve
all somatosensory of head
proprio, vib, fine touch
pain, temp, crude touch
also motor to mastication muscles
opthalmic nerve
V1
sensory
maxillary nerve
V2
sensory
mandibular nerve
V3
sensory and motor
dermatomes of trigeminal
V1 - nose and upper forehead
V2 - bottom nose to lips
V3 - chin to temple
ganglia for cranial nerves
named nuclei
mesencephalic nucleus
cell bodies of primary afferents in CNS
trigeminal ganglion
primary afferents in all 3 branches of trigeminal
spinal trigeminal nucleus of five
pain, temp, crude touch
V1,2,3
analagous to dorsal horn nuclei in ATLS (spinothalamic tract)
pontine sensory nucleus of five
aka chief, main, principle
prethalamic relay for proprio, vib, fine touch
analagous to nucleus cuneatus and nucleus gracilis
destinatons for trigeminal after pre-thalamic relay
local reflex arcs thalamus (VPM) reticular formation hypothalamus cerebellum
lower motor neuronal damage
decreased reflexes babinski absent muscle atrophy decreased muscle tone profound weakness fasciculations present (twitching)
segments in spinal cord
31
cord end in adult
L2
C1-C7 exit
above vertebrae
C8 exit
between C7 and T1
below C8 exit
above vetrebrae
sympathetics
T1-L2
parasympathetics
S2-S4
losses in hemisection
lose ipsilateral vibration, proprioception, fine touch
lose contralateral pain, temp, crude touch
brown sequard
dorsal cord syndrome
lose bilateral dorsal columns
ventral cord syndrome
lose anterior 2/3 of cord
ventral column loss
brown-sequard syndrome
hemidisection of spinal cord
central cord syndrome
affect area around ventral commissure
-increased pain with slight stimuli
segmental syndrome
affects all cord functions at one or more levels
transverse cord lesion
lesions above - impotence and spastic paralysis of bladder
cauda equina syndrome
asymmetric multiradicular pain leg weakness sensory loss bowel/bladder dysfunction saddle anesthesia
neuralgia
lancinating pain
sharp
compression of trigeminal nerve
superior cerebellar artery