Cranial Nerve Overview Flashcards

1
Q

How many cranial nerves are there?

A

12

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2
Q

Can you name the 12 cranial nerves in order?

A

1) olfactory
2) optic
3) occulomotor
4) trochlear
5) trigeminal
6) abducens
7) facial
8) vestibulocochlear
9) glossopharyngeal
10) vagus
11) accessory
12) hypoglossal

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3
Q

State whether each cranial nerve is sensory, motor or both.

A

1) olfactory = S
2) optic = S
3) occulomotor = M
4) trochlear = M
5) trigeminal = B
6) abducens = M
7) facial = B
8) vestibulocochlear = S
9) glossopharyngeal = B
10) vagus = B
11) accessory = M
12) hypoglossal = M

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4
Q

What is gustation?

A

Taste

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5
Q

What does CN1 do?

A

Smell

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6
Q

What does CN2 do?

A

Vision / visual acuity

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7
Q

What does CN3 do?

A

Eye movements

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8
Q

What does CN4 do?

A

Eye movement

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9
Q

What does CN5 do?

A

Facial sensation, and movement of the jaw

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11
Q

What does CN7 do?

A

Factual movements and anterior 2/3 of tongue taste

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12
Q

What does CN8 do?

A

Hearing and balance

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13
Q

What does CN9 do?

A

Taste anterior 1/3 of tongue, swallowing

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14
Q

What does CN10 do?

A

Lots

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15
Q

What does CN11 do?

A

Trapezius and sternocleidomastoid muscles

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16
Q

What does CN12 do?

A

Protrudes tongue

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17
Q

What is the cribriform plate?

A

A sieve like structure in the ethmoid bone which supports the olfactory bulb and is a site of attachment of the meninges to the brain.

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18
Q

What foramen does the olfactory nerve run through?

A

The cribriform plate

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19
Q

What foramen does the optic nerve run through?

A

The optic canal

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20
Q

Which nerves exit via the superior orbital fissure?

A

Cranial nerves 3, 4 and 6, as well as the ophthalmic branch of the trigeminal nerve (CN 5, branch 1)

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21
Q

What foramen does the maxillary branch of the trigemimal nerve exit through?

A

The foramen rotundem

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22
Q

What foramen does the mandibular branch of the trigemimal nerve exit through?

A

The foramen ovale

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23
Q

What X2 foramen (which do not carry cranial nerves) sit behind the foramen ovale?

Which is medial and which is lateral?

What structures is each involved with?

A

Medial = foramen lacerum
= internal carotid artery passes by here (NOT through!)

Lateral = foramen sinosum
= middle meningeal artery travels through here

24
Q

Which cranial nerves race, through the internal acoustic meatus?

A

CN 7 and 8

25
Q

Which foramen do cranial nerves 9, 10 and 11 pass through?

A

The jugular foramen

26
Q

What foramen does CN12 exit through?

A

Then hypoglossal canal

27
Q

What is the name given to the dural fold that runs sagittally down the brains longitudinal fissure, separating its hemispheres?

A

The falx cerebri

28
Q

What is the name given to the dural fold that runs sagittally between the cerebella longitudinal fissure, separating its hemispheres?

A

Falx cerebelli

29
Q

What is the name for the extension of dura which separates the cerebellum from the occipital lobes?

A

Tentorium cerebelli

30
Q

What is the name of the point where the falx cerebri attaches anteriorly to the skull?

A

The Crista galli

31
Q

Where is the crista galli attached to?

A

It is part of the ethmoid bone and it’s cribriform plate

32
Q

Where do the dural sinuses eventually drain to?

A

The internal jugular vein

33
Q

What does the internal jugular vein exit the skull through?

A

The jugular foramen

34
Q

What bone contains a fossa which contains the pituitary gland?

What is the name given to this fossa?

What is overall name of this structure called?

A

The sphenoid bone

The pituitary/hypophyseal fossa

The sella turcica

35
Q

What is the name of the crossing over of the optic nerves above the pituitary?

A

The optic chiasm

36
Q

What is the name of the sinus which lies laterally to the pituitary gland?

A

The cavernous sinus.

37
Q

Which nerves and arteries pass through the cavernous sinus?

A

The internal carotid artery

CN3, 4, 5 (branches 1 and 2) and 6

38
Q

Through what does the internal carotid artery enter the skull?

A

The carotid canal

39
Q

What is the pteranodon region?

A

The area where the temporal, sphenoid, parietal and frontal bones meet

40
Q

What is important about the pterion region?

A

It is an area of weakness and is in line with the path of the middle meningeal artery.

41
Q

What does CN6 do?

A

Eye movement

42
Q

What X2 arteries predominantly make up the circle of Willis and where do they arise from?

A

1) the vertebral arteries
= from the subclavian
= travel via the cervical spine transverse foramen
= enter the skull via the foramen magnum
= join to form the basilar artery which later bifurcates into X2 posterior cerebral arteries

2) middle cerebral arteries
= branches of the internal carotid
= internal carotid enters via carotid canal
= internal carotid travels through cavernous sinus before bifurcating into the middle cerebral arteries
= middle cerebral arteries also give branches to form the anterior cerebral arteries

43
Q

Which vessels join the major ones previously mentioned to complete the circle of Willis?

A

The anterior and posterior communicating arteries

44
Q

What is the clinical significance of the circle of Willis?

A

Anything outside the circle is an anatomical end artery

45
Q

What are the names of the medial and lateral plates of bone that extend down from the sphenoid bone?

A

The pterygoid plates

46
Q

How many extra-occultation muscle of the eye are there?

How many do which movements?

A

X7 in total

X6 = control eye movement
X1 = controls eye lid elevation
47
Q

Name the eye muscles involved in eye movement.

A

There are:

Rectus muscles
= superior
= inferior
= lateral
= medial

Oblique muscle
= superior
= inferior

48
Q

What is the name of the muscle responsible for eye lid elevation?

Where does this muscle attach from and to?

What is its innervation?

A

Levator palpabrae superious

It attaches from the lesser wing of the sphenoid bone to the upper eyelid

CN3 (occulomotor)

49
Q

What is the innervation of the muscle of eye movement?

A

All = CN3 (occulomotor)

EXCEPT

Lateral rectus = CN6 (abducens)
Superior oblique = CN4 (trochlear)

50
Q

Which part of the eye do the rectus muscles attach to?

A

The sclera

51
Q

Where does the superior oblique eye muscle arise from and attach to?

What route does this muscle take?

A

It arises from the body of the sphenoid and attaches underneath the superior rectus muscle on the sclera

It passes through a trochlear on the way

52
Q

Where does the inferior oblique eye muscle arise from and attach to?

A

It arises from the orbital floor and travels under the eye to attach underneath the lateral rectus muscle (but passes over the top of inferior rectus)

53
Q

Which salivary glands are supplied by which nerves?

A

Sublingual and submandibular = facial

Parotid = glossopharyngeal

54
Q

The facial nerve travels through the internal acoustic meatus, but where does it exit the cranium?

A

Through the stylomastoid foramen

55
Q

What are the X5 terminal branches of the facial nerve?

Where does the facial nerve unusually branch into these terminal branches?

A

1) temporal branches
2) zygomatic branches
3) buccaneers branches
4) marginal mandibular branches
5) cervical branches

In the parotid gland, unusual as facial nerve does not innervate this gland!