Cranial Nerves Flashcards
What is the location of Cranial Nerve 1 (Olfactory)?
Location:
- Doesn’t come from the brainstem
- It’s an extension from the Diencephalon
- Olfactory tract runs on the ventral surface of the front lobe then forms the olfactory bulb
- The nerves are filaments which come away from the olfactory bulb
What is the foramen of Cranial Nerve 1 (Olfactory)?
Foramen:
- Little holes in the cribriform plate
What is the function of Cranial Nerve 1 (Olfactory)?
Function:
- Smell (Olfaction)
What is a good way to test for a working Olfactory nerve?
Test:
- Offer a familiar smelling item (an orange for example)
What is the location of Cranial Nerve 2 (Optic)?
Function:
- Derived from the forebrain
- Travel from the eyeball to meet (on the most anterior tip of the hypothalamus) to form the optic chiasm
- They then spread out laterally and form the optic tracts
What is the foramen of Cranial Nerve 2 (Optic)?
Foramen:
- The optic canal
What is the function of Cranial Nerve 2 (Optic)?
Function:
- Vision
What is a good way to test for a working optic nerve?
Test:
- Various visual tests
What is the location of Cranial Nerve 3 (Oculomotor)?
Location:
- Pontomesencephalic junction
- Between the two cerebral peduncles
- This is known as the interpeduncular fossa
What is the foramen of Cranial Nerve 3 (Oculomotor)?
Foramen:
- Superior Orbital fissure
What is the function of Cranial Nerve 3 (Oculomotor)?
Function:
- 4 out of 6 of the optic muscles (not lateral rectus or superior oblique)
What is a good way to test for a working oculomotor nerve?
Test:
- Follow finger test
What is the location of Cranial Nerve 4 (Trochlear)?
Location:
- Dorsal of the midbrain
- Inferior to the inferior colliculi
What is the foramen of Cranial Nerve 4 (Trochlear)?
Foramen:
- Superior orbital fissure
What is the function of Cranial Nerve 4 (Trochlear)?
Function:
- Superior oblique muscle of the eye
What is a good way to test for a working trochlear nerve?
Test:
- Follow finger test
What is the location of Cranial Nerve 5 (Ophthalmic; Maxillary and Mandibular)?
Function:
- The brainstem, just as the pons does, becomes the idle cerebellar peduncle
- Made of 3 divisions
What is the foramen of The Ophthalmic Nerve?
Foramen:
- Superior orbital fissure
What is the foramen of The Maxillary Nerve?
Foramen:
- Foramen rotundum
What is the foramen of The Mandibular Nerve?
Foramen:
- Foramen Ovale
What is the function of The Ophthalmic Nerve?
Function:
- Sensation from upper portion of the face (skin around the eye)
- Sensory fibres
What is the function of The Maxillary Nerve?
Function:
- Sensation from middle portion of the face
- Sensory fibres
What is the function of The Mandibular Nerve?
Function:
- Sensation from lower portion of the face (mandible)
- Motor to the muscles of mastication
- Sensory and motor fibres
What is a good way to test for a working Ophthalmic Nerve?
Test:
- Cotton wool bud on forehead and corneal reflex test.
What is a good way to test for a working Maxillary Nerve?
Test:
- Cotton wool bud on cheek
What is a good way to test for a working Mandibular Nerve?
Test:
- Cotton wool bud on jaw
- Clench teeth and feel for muscle mass
- Jaw jerk reflex
What is the location of Cranial Nerve 6 (Abducens)?
Location:
- Pontomedullary junction, just adjacent to the basilar artery
What is the foramen of Cranial Nerve 6 (Abducens)?
Foramen:
- Superior orbital fissure
What is the function of Cranial Nerve 6 (Abducens)?
Function:
- Lateral rectus muscle of eye.
- Abducts the eye
- If the right eye were to be abducted (move laterally) then the left adducted to also look right
What is a good way to test for a working Abducens Nerve?
Test:
- Follow finger test
What is the location of Cranial Nerve 7 (Facial)?
Location:
- Cerebellopontine angle (most medial)
- 5 division which supply the muscles of facial expression (smiling)
What is the foramen of Cranial Nerve 7 (Facial)?
Foramen:
- Internal acoustic meatus then stylomastoid foramen where it splits into the 5 divisions
What is the function of Cranial Nerve 7 (Facial)?
Function:
- Muscles of facial expression (smiling)
- Taste anterior 2/3rds tongue
- Parasympathetic to all glands except parotid
What is a good way to test for a working Facial Nerve?
Test:
- Facial Movements
What is the location of Cranial Nerve 8 (Vestibocochlear)?
Location:
- Cerebellopontine angle (the middle one)
What is the foramen of Cranial Nerve 8 (Vestibocochlear)?
Foramen:
- Internal acoustic meatus
What is the function of Cranial Nerve 8 (Vestibocochlear)?
Function:
- Hearing and balance
What is a good way to test for a working Vestibocochlear Nerve?
Test:
- Bedside hearing tests (Rinne’s and Weber’s test)
What are the 5 divisions of the Facial Nerve?
Divisions:
- Temporal
- Zygomatic
- Buckle
- Mandibular
- Cervical (from superior to inferior).
What is the location of Cranial Nerve 9 (Glossopharyngeal)?
Location:
- Posterolateral sulcus of medulla, lateral to olives
- Cerebellopontine angle (most lateral)
What is the foramen of Cranial Nerve 9 (Glossopharyngeal)?
Foramen:
- Jugular foramen with the internal jugular vein
What is the function of Cranial Nerve 9 (Glossopharyngeal)?
Function:
- Swallowing
- Parasympathetic to parotid
- Taste posterior 1/3rd tongue
- Cutaneous sensation from ear
- Sensation from carotid body
What is a good way to test for a working Glossopharyngeal Nerve?
Test:
- Gag reflex
What is the location of Cranial Nerve 10 (Vagus)?
Location:
- Posterolateral sulcus of medulla, lateral to olives
What is the foramen of Cranial Nerve 10 (Vagus)?
Foramen:
- Jugular foramen with the internal jugular vein
What is the function of Cranial Nerve 10 (Vagus)?
Function:
- Muscles of pharynx and larynx
- Parasympathetic to thoracic and GI tract
- Taste from epiglottis and palate
What is a good way to test for a working Vagus Nerve?
Test:
- Speaking
- Movement of uvula
What is the location of Cranial Nerve 11 (Accessory)?
Location:
- Caudal medulla and rostral spinal cord
What is the foramen of Cranial Nerve 11 (Accessory)?
Foramen:
- Jugular foramen with the internal jugular vein
What is the function of Cranial Nerve 11 (Accessory)?
Function:
- Motor to SCM (sternocleidomastoid muscle) and trapezius
What is a good way to test for a working Accessory Nerve?
Test:
- Shrug shoulder
- Rotate head
What is the location of Cranial Nerve 12 (Hypoglossal)?
Location:
- Anterolateral sulcus (between pyramid and olives)
What is the foramen of Cranial Nerve 12 (Hypoglossal)?
Foramen:
- Hypoglossal canal
What is the function of Cranial Nerve 12 (Hypoglossal)?
- Motor to muscles of tongue
- If this nerve is damaged then the tongue will point to the side where the nerve is damaged
- Both sides are usually pushing together
What is a good way to test for a working Hypoglossal Nerve?
- Protrude tongue