Cranial Nerves Flashcards
How many cranial nerves are there
12 pairs
Causes of compression of the cranial nerves
Inflammation
Tumours
Fractures
Name the cranial nerves, from CN I - CN XII
Olfactory Optic Oculomotor Trochlear Trigeminal Abducent Facial Vestibulocochlear Glossopharyngeal Vagus Accessory Hypoglossal
Types of fibre that may be contained in cranial nerves
somatic motor autonomic motor visceral sensory general sensory special sensory
Function of somatic motor fibres
Supply striated muscles
Function of autonomic motor fibres
Cranial division of parasympathetic supply, innervates smooth muscle and glands
Function of visceral sensory fibres
Afferent inputs from pharynx, larynx, lung, heart etc.
Function of general sensory fibres
Afferent inputs from skin and mucous membranes e.g. touch, temperature, pain
Function of special sensory fibres
taste smell vision hearing balance
Function of olfactory nerve
Smell
Fibres in olfactory nerve
Special sensory
Pathway of olfactory nerve
Passes through foraminifera in cribriform plate of ethmoid bone and enters the olfactory bulb in the anterior cranial fossa
Consequence of a tear in the olfactory nerve
Anosmia
Where does the optic nerve enter the skull
Via optic canal
Optic nerves join to form
optic chiasm
Fibres from what half of the retina cross to form the optic tract?
Medial (nasal)
Type of fibre in the optic nerve
Special sensory
Section of the right optic nerve would cause blindness in what eye?
Right
Section of optic chiasm would cause what pattern of vision loss?
Bilateral hemianopia
Section of right optic tract would cause what pattern of vision loss?
Left homonymous hemianopia (blindness in left temporal and right nasal fields)
Path of oculomotor nerve
Emerges from midbrain and exits via superior orbital fissure
Fibre types in oculomotor nerve
Somatic motor
Visceral motor
Muscles innervated by somatic motor fibres of the oculomotor nerve
Extraocular muscles
Levator palpebrae superioris
Function of visceral motor fibres of oculomotor nerve
Parasympathetic innervation to pupil causing constriction and to ciliary muscle causing accommodation of the lens
Clinical term for drooping of the upper eyelid
Ptosis
Path of trochlear nerve
Emerges from dorsal surface of the midbrain and exits via superior orbital fissure
Type of fibre in trochlear nerve
Somatic motor
Path of abducent nerve
Emerges between pons and medulla and exits via superior orbital fissure
Type of fibre in abducent nerve
Somatic motor
Branches of trigeminal nerve
Ophthalmic
Maxillary
Mandibular
Path of ophthalmic branch of trigeminal nerve
Emerges from pons, travels through trigeminal ganglion, exits via superior orbital fissure
Type of fibre in ophthalmic branch of trigeminal nerve
General sensory
Path of maxillary branch of trigeminal nerve
Emerges from pons, travels through trigeminal ganglion and exits via foramen rotundum
Type of fibre in maxillary branch of trigeminal nerve
General sensory
Path of mandibular branch of trigeminal nerve
Emerges from pons, travels through trigeminal ganglion, exits via foramen ovale
Type of fibre in mandibular branch of trigeminal nerve
General sensory
Somatic motor
Muscles innervated by somatic motor fibres of mandibular branch of trigeminal nerve
Muscles of mastication
Part of digastric muscle
Tensor veli palatinin
Tensor tympani
Consequences of damage to mandibular branch of trigeminal nerve
Paralysis of muscles of mastication
Loss of corneal/sneezing reflex
Loss of sensation in the face
Trigeminal neuralgia
Path of the facial nerve
Emerges between pons and medulla and exits via internal acoustic meatus, facial canal and stylomastoid foramen
Type of fibre in facial nerve
Somatic motor
Visceral motor
Special sensory
General sensory
Structures innervated by somatic motor fibres of the facial nerve
Muscles of facial expression and scalp, stapedius of middle ear, part of digastric muscle
Structures innervated by visceral motor fibres of the facial nerve
Parasympathetic innervation of submandibular and sublingual salivary glands, lacrimal glands, glands of the nose and palate
Structures innervated by special sensory fibres of the facial nerve
Taste from anterior 2/3rds of tongue, soft palate
What is facial nerve palsy also known as?
Bell’s palsy
Path of vestibulocochlear nerve
Emerges from between pons and medulla and exits via internal acoustic meatus, dividing into vestibular and cochlear nerves
Type of fibre in vestibulocochlear nerve
Special sensory
Function of special sensory fibres of vestibulocochlear nerve
Vestibular sensation from semicircular ducts, utricle and saccule to give sense of position and movement, hearing from spiral organ
Consequences of damage to vestibulocochlear nerve
Deafness
Vertigo
Nystagmus
Path of glossopharyngeal nerve
Emerges from medulla and exits via jugular foramen
Type of fibre in glossopharyngeal nerve
Special sensory General sensory Visceral sensory Visceral motor Somatic motor
Function of special sensory fibres of glossopharyngeal nerve
taste from posterior 1/3rd of the tongue
Function of general sensory fibres of glossopharyngeal nerve
cutaneous sensations from middle ear and posterior oral cavity
Function of visceral sensory fibres of glossopharyngeal nerve
Sensation from carotid body and carotid sinus
Function of visceral motor fibres of glossopharyngeal nerve
parasympathetic innervation of the parotid gland
Function of somatic motor fibres of glossopharyngeal nerve
innervation to stylopharyngeus, helps with swallowing
Consequence of damage to glossopharyngeal nerve
Loss of gag reflex and taste from posterior 1/3rd of tongue
Path of vagus nerve
Emerges from medulla and exits via jugular foramen
Type of fibre in vagus nerve
Special sensory General sensory Visceral sensory Visceral motor Somatic motor
Function of special sensory fibres of vagus nerve
taste from epiglottis and palate
Function of general sensory fibres of vagus nerve
sensation from auricle and external acoustic meatus
Function of visceral sensory fibres of vagus nerve
sensation from pharynx, larynx, trachea, bronchi, heart, oesophagus, stomach and intestines
Function of visceral motor fibres of vagus nerve
parasympathetic innervation of muscles in bronchi, gut, heart
Function of somatic motor fibres of vagus nerve
Innervation of pharynx, larynx, palate and oesophagus
Consequence of damage to pharyngeal branches of vagus nerve
difficulty swallowing
Consequence of damage to laryngeal branches of vagus nerve
difficulty speaking
Path of accessory nerve
Small cranial and large spinal roots exit via jugular foramen
Type of fibre in accessory nerve
Somatic motor
Structures innervated by somatic motor fibres of accessory nerve
Striated muscles of soft palate, pharynx and larynx
Sternocleidomastoid and trapezius
Consequence of damage to accessory nerve
weakness in turning head and shrugging shoulders
Path of hypoglossal nerve
Emerges from medulla and exits through hypoglossal canal
Type of fibre in hypoglossal nerve
Somatic motor
Structures innervated by hypoglossal nerve
muscles of tongue