Cranial Nerve Modalities Flashcards
General Visceral Efferent
General Visceral Efferent (GVE) fibers are associated with the parasympathetic fibers coursing in the III, VII, IX and X cranial nerves.
innervation of smooth muscle and glands
General visceral afferent
General Visceral Afferent (GVA) fibers convey visceral pain (stretch, ischemia) and reflexes. The vagus nerve has a huge distribution of GVA fibers to the mucosae of the posterior 1/3 of the tongue to the mid-portion of the transverse colon. It also innervates the epithelial lining to the respiratory system (except the anterior 1/3 and 2/3 of the nasal and oral cavities, respectively), and cardiac blood vessels.
innervate structures of ectodermal origin
dull, aching, burning, poorly localized sensations
General somatic efferent
innervate muscles of myotomic origin, specifically the extraocular muscles and intrinsic muscles of the tongue.
General somatic afferent
General Somatic Afferent (GSA) fibers convey pain, temperature, tactile, pressure and proprioception, primarily conveyed by the trigeminal nerve.
sharp, highly localized sensations
Special visceral afferent
fibers convey olfactory (smell) and taste information. The taste buds of the anterior 2/3 and posterior 1/3 of the tongue are innervated by the VII and IX nerves, respectively.
Special visceral efferent
fibers innervate muscles of branchiomeric origin, such as the muscles of mastication (V), facial expression (VII), and larynx and pharynx (X, except stylopharyngeus—IX).
Special somatic afferent
fibers are associated with the optic (II) and vestibule-cochlear (VIII) nerves
Nucleus Tractus Solitarius (NTS)
Solitary Nucleus (SVA and GVA) Nucleus Tractus Solitarius (NTS) The solitary nucleus (NTS) is the sensory nucleus for general sensations from the posterior 1/3 of the tongue to the mid-portion of the transverse colon. The solitary nucleus receives taste (SVA) information from the anterior 2/3's of the tongue via VII; the posterior 1/3 of the tongue via IX; and the epiglottis via X. It is the sensory nucleus for many visceral reflexes involving structures in the head and neck (salivary, lacrimation, carotid, gag and cough reflexes), and organs in the thorax and most of the abdomen.
Trigeminal Sensory Nuclei
Trigeminal Sensory Nuclei (GSA) The trigeminal sensory complex is the sensory nucleus for all sensations from the face. All GSA fibers from cranial nerves V, VII, IX, and X terminate in some part of the trigeminal sensory nucleus, which includes three nuclei. The mesencephalic nucleus of V receives proprioception information from the facial muscles. The main sensory nucleus of V receives precise tactile discrimination information from the face. The descending nucleus of V receives crude tactile, pain, temperature information from the face.
General Somatic Efferent “column” nuclei
all motor nuclei
Oculomotor nuclei (III)–> superior, medial, inferior recti, inferior obliques, levator palpebrae superioris
Trochlear nuclei (IV)--> superior oblique Abducens nuclei (VI)--> lateral rectus Hypoglossal nuclei (XII) --> all m. of tongue except palatoglossal
Edinger westphal nucleus
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Motor nuclei of CN III
EWN—–> Cillary ganglion –> sphincter pupillae and ciliary mm of eye
Superior Salivatory nucleus
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Motor nuclei of CN VII
SSN —–> Sphenopalatine Ganglion AND Submandibular ganglia —–> Submandib ganglia branches to subamandibular gland/sublingual glands + sphenopalatine ganglion branches to lacrimal gland
Inferior salivatory nucleus
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motor nuclei of CN IX
ISN –> otic ganglion –> parotid + salivatory gland
Dorsal Motor nucleus
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sends preganglionic fibers to the scattered ganglia in the larynx, pharynx, thorax, and abdomen