CN and Sensory System Examination Flashcards
CN I Origin/ Course
Olfactory nerves —> cribriform plate —> olfactory bulb —> olfactory tract —> anterior perforated subtrance —> lateral olfactory stria (—> parahippocampal gyrus) and medial olfactory stria (—> limbic system)
CN II Origin/ Course
Retinal ganglion cells —> optic disk —> optic nerve —> orbit —> optic canal —> optic chiasm —> optic tract —> lateral geniculate body (—> optic radiation —> occipital lobe) and superior colliculi (—> pretectal area)
CN III Origin/ Course
Midbrain —> interpeduncular fossa —> between superior cerebellar artery and posterior cerebellar arter —> tentorial edge —> cavernous sinus —> medial orbital fissure —> oculomotor nerve, superior division (levator palpebrae and superior rectus muscle) and inferior division (medial and inferior rectus and inferior oblique muscles) or parasympathetic fibers —> ciliary ganglion
CN IV Origin/ Course
Midbrain —> dorsal brainstem below the inferior colliculi —> around the cerebral peduncle —> lateral wall of the cavernous sinus —> orbital fissure —> superior oblique muscle
CN V Origin/ Course
Pons —> ca.50 root fulaments —> petrous apex —> through the dura mater —> trigeminal ganglion —> foramen rotundum —> foramen ovale
CN VI Origin/ Course
Posterior margin of pons —> up the clivus —> dura mater —> petrous apex —> lateral to internal carotid artery —> orbital fissure —> lateral rectus muscle
CN VII Origin/ Course
Pons above the olive —> internal acoustic meatus —> petrous pyramid —> geniculum of facial nerve —> medial wall of the tympanic cavity —> stylomastoid foramen —> muscles of facial expression
CN VIII Origin/ Course
Lateral to CN VII —> vestibular nerve, cochlear nerve
CN IX Origin/ Course
Medulla —> jugular foramen —> bet carotid artery and internal jugular vein —> root of the tongue
CN X Origin/ Course
Posterolateral sulcus of the medulla —> jugular foramen —> internal organs
CN XI Origin/ Course
Cranial and spinal roots —> trunk of accessory nerve —> jugular foramen —> internal organs
CN XII Origin/ Course
Medulla —> hypoglossal canal —> tongue muscles
May be absent when patient has colds
CN I
May be absent when there is an inferior frontal brain tumor
CN I
Tested by visual confrontation
Peripheral vision/ visual fields
CN II