CN 1 - Herring Flashcards
inferior frontal gyrus on the LEFT hemisphere
broca’s area
what happens when Broca’s area is damaged
non-fluent aphasia
what is non-fluent aphasia
difficulty finding words but comprehension is intact
where is the precentral gyrus
posterior aspect of frontal lobe
what serves as the primary motor cortex
pre central gyrus
where is the location of the upper motor neurons
precentral gyrus
the pre central gyrus is involved in the pathway to the _________ side of the body (below the head)
contralateral
inferolateral portion of homunculus
head
superolateral portion
upper limb
medial portion
lower limb
postero-inferior aspect of parietal lobe & extending onto superior aspect of the temporal lobe
Wernicke’s area
what happens when wernicke’s area damaged
fluent aphasia
what happens in fluent aphasia
impairment of comprehension and repetition (words may not make contextual sense)
Primary receiving area for somatosensory information (pain, temperature, touch) from
the contralateral side of the body (below the head)
Postcentral gyrus
functions of temporal lobe
language recognition
auditory processing
memory
emotional processing
convergence of temporal, parietal, and frontal cortices
insular lobe / insula
functions of insular lobe / insula
Reception & integration of
taste sensation, olfactory
sensation, pain, & vestibular functions
Insular lobe / insula has autonomic functions by
regulating
sympathetic &
parasympathetic activity
in general, the thalamus serves as
relay and integration centers for motor and sensory information
the thalamus connects to what 4 things
cerebral cortex
basal ganglia
hypothalamus
brainstem
control of motor functions to pre central gyrus
ventral lateral nucleus & ventral anterior nucleus
(VLN and VAN)
Somatosensory information from the body to the postcentral gyrus
Ventral posterior lateral nucleus (VPL)
Somatosensory information from the head to the postcentral gyrus
Ventral Posterior Medial (VPM) nucleus
auditory system - which body?
medial geniculate nucleus (MGN)
visual impulses to visual cortex from both retinas - which body
lateral geniculate nucleus (LGN)
signal direction from the periphery to the brain
sensory (afferent)
sensory (afferent) is divided into
somatic
visceral
special
Touch, vibration, pressure, pain, temperature, proprioception from the
body wall, limbs, & head and neck
somatic
Sensations from internal organs, blood vessels, & glands
Visceral
Vision, Hearing, Balance, Smell, Taste
Special
if you see 1st, 2nd, 3rd order neurons = think
sensory
1st order neurons are located closest to the
periphery (source of stimulus/signal)
2nd order neurons are located in the
spinal cord or brainstem
3rd order neurons are typically located in the
thalamus
Typically, 1st order cell bodies located ________ the CNS as ________
outside (but close to)
DRG
Peripheral / Distal processes extend from
the _____ to the _____
target to cell body
Central / Proximal processes extend from
the ________ to the ________
cell body
spinal cord or brainstem
Proximal / central processes enter CNS via the __________ root of spinal nerves or via cranial nerves
posterior (dorsal)
somatic motor transmits signals from the _______ to __________
CNS to skeletal muscles
Refers to sequence of neurons in a somatic motor (efferent) pathway
upper & lower motor neurons
located in the precentral gyrus of the cerebral cortex of the frontal lobe
upper motor neurons
located either in the brainstem in specific cranial nerve nuclei or in the spinal cord
lower motor neurons
motor signals travel _____ from the CNS
away
where does decussation occur
at the lower brainstem/medulla
cranial nerves do not form ______ and _______ like spinal nerves
dorsal and ventral
fiber type composition of cranial nerves
somatic motor
sensory (somatic, visceral, special)
preGPS
which cranial nerve exits from the cribriform plate
CN I
which cranial nerve exits from the optic canal
CN II
which cranial nerves exit from the Superior Orbital Fissure (4 of them)
CN III
CN IV
CN V1
CN VI
which cranial nerve exits from the foramen rotundum
CN V2
which cranial nerve exits from the foramen ovale
CN V3
which cranial nerves exit from the Internal Acoustic Meatus (2 of them)
CN VII
CN VIII
which cranial nerves exit from the Jugular Foramen (3 of them)
CN IX
CN X
CN XI
which cranial nerve exits from the hypoglossal canal
CN XII
For peripheral pathways –> between the brainstem (or ganglia) & peripheral targets there is NO ___________
decussation
peripheral pathways are __________ only
ipsilateral
central pathways within the CNS may be
ipsilateral, contralateral, or bilateral
a collection of cell bodies
within the CNS
nucleus / nuclei
Cranial nerve nuclei are never ________ fibers
sympathetic
a collection of cell bodies outside the CNS
ganglion / ganglia
Two types of ganglia in the head associated with cranial nerves:
sensory and postGPS
CN V is sensory ________
somatic
CN VII is sensory _______ and ________
somatic and special
CN VIII is sensory ______
special
CN IX is sensory _____ , ______ , _______
somatic, visceral, special
CN X is sensory ________ , ________ , _______
somatic , visceral, special
what are the 3 PostGPS cranial nerves
CN III
CN VII
CN IX
somatic motor nuclei are composed of
lower motor neurons
what are the somatic motor cranial nerves
CN III, IV, V, VI, VII, IX, X, XI, XII
the somatic motor cranial nerves supply the skeletal muscles of the
face and orbit & some of the neck muscles
what tract(s) = Somatic motor pathway from the upper motor
neurons in the head region of the precentral gyri to the lower motor neurons of CN V, VII, IX, X, XI, XII located in the brainstem
corticonuclear / corticobulbar tract
the corticonuclear / corticobulbar tract projects to the lower motor neurons of which cranial nerves ?
V, VII, IX, X, XI, XII
Somatic motor pathway from the upper motor
neurons in the upper & lower limb regions of the precentral gyri to the lower motor neurons located in the ventral horn of the spinal cord
Corticospinal tract
the Corticonuclear / Corticobulbar Tract is composed of the axons of ________ to _______ in the cranial nerve somatic
motor nuclei
upper motor neurons
lower motor neurons
the Corticonuclear / Corticobulbar Tract is voluntary motor control over muscles of
- facial expression
- jaw movements
- laryngeal & pharyngeal movements
- tongue & palate movements
fibers in the Corticonuclear / Corticobulbar Tract project bilaterally to the lower motor neurons in CNs
V, IX, X, XI
Upper motor neurons only project contralaterally to the lower motor neurons of this nucleus for this CN
hypoglossal ; XII
Upper motor neurons only project contralaterally to the lower motor neurons in the ventral half of this nucleus for this CN
facial motor ; VII
lower motor neuron nuclei - trigeminal motor nucleus
CN V
lower motor neuron nuclei - facial motor nucleus
CN VII
lower motor neuron nuclei - nucleus ambiguous
CN IX & X
lower motor neuron nuclei - accessory nucleus
CN XI
lower motor neuron nuclei - hypoglossal nucleus
CN XII
The lower motor neurons of each cranial nerve somatic motor nucleus send their axons out into
their respective cranial nerves AND they remain IPSILATERAL - what are they
3, 4, 5, 6, 7, 9, 10, 11, 12
for sensory ganglia, cell bodies are located ______ the brainstem
outside
what are the sensory cranial nerves and what are they composed of
5, 7, 8, 9, 10
1st order cell bodies (peripheral process)
sensory ganglia - trigeminal ganglion
CN V
sensory ganglia - geniculate ganglion
CN VII
sensory ganglia - spiral ganglion and vestibular ganglion
CN VIII
sensory ganglia - superior and inferior ganglion of CN IX
CN IX
sensory ganglia - superior and inferior ganglion of CN X
CN X
Special sensory pathways for _______ & ________ are unique and do not follow the 1st - 2nd - 3rd order path
vision and olfactory
reflex pathways will not project to the
thalamus
Sensory brainstem nuclei - Chief / main / principal nucleus, spinal trigeminal, & mesencephalic nucleus
CN V
Sensory brainstem nuclei - Spinal trigeminal nucleus & solitary nucleus
CN VII
Sensory brainstem nuclei - Cochlear nuclei & vestibular nuclei
CN VIII
Sensory brainstem nuclei - Spinal trigeminal nucleus & solitary nucleus
CN VII, IX & X
PreGPS fibers travel as part of what cranial nerves and each must synapse where ?
CN III, VII, IX, X
CN III, VII, and IX must synapse
in a parasympathetic ganglion in the head
CN X must synapse in the
thoraco-abdominal cavity
PreGPS nuclei - Edinger-Westphal nucleus
CN III
PreGPS nuclei - Superior salivary (salivatory) nucleus
CN VII
PreGPS nuclei - Inferior salivary (salivatory) nucleus
CN IX
PreGPS nuclei - Dorsal vagal motor nucleus
CN X
PostGPS ganglia are for which cranial nerves
CN III, VII, IX
ciliary ganglion
CN III
otic ganglion
CN IX
pterygopalatine ganglion
CN VII
submandibular ganglion
CN VII
PostGPS fibers
from the “COPS” ganglia
often hitch a ride on branches of CN _____ to reach their targets
V
regarding sympathetic innervation to the neck - postGS cell bodies are 20% this and 80% this
20% superior/middle/inferior cervical ganglion
80% cervicothoracic (stellate) ganglion
Regarding sympathetic innervation to the neck - PostGS fibers are from levels for superior/middle/inferior cervical ganglion
superior: C1-C4
middle: C5-C6
inferior: C7-C8
regarding sympathetic innervation to the head - postGS cell bodies are what ganglion
superior cervical ganglion
PostGS fibers from
the superior cervical ganglion form
cephalic arterial rami
once cephalic arterial rami are formed, their each their target organs by forming
plexus
epinephrine ______ the metabolism of the anesthetic, _____ the anesthetic effect, and can ______ hemorrhage caused by the contraction of blood vessels
reduce
enhance
reduce