Cranial Nerves Flashcards
1
Q
Cranial Nerves
A
12 pairs
- essentially run the functions of the head & neck
- pure sensory, pure motor, or mixed
- arise from & interact with nuclei (motor, sensory, parasympathetic) in brainstem (*NO SYMPATHETIC)
- cell bodies of sensory neurons live in CN ganglia (like dorsal root ganglia)
2
Q
The 12 Cranial Nerves
A
I - Olfactory II - Optic III - Oculomotor IV - Trochlear V - Trigeminal VI - Abducens VII - Facial VIII - Audiovestibular (Vestibulocochlear) IX - Glossopharyngeal X - Vagus XI - Spinal Accessory XII - Hypoglossal
3
Q
I - Olfactory Nerve
A
- pure sensory
- receptors in roof of nasal cavity
- olfactory nerves supply olfactory epithelium
- terminate in olfactory bulb –> olfactory tract
- only sensory system to bypass thalamus (sensory relay station)
4
Q
Damage/Disease to Olfactory Nerve
A
hyposmia - reduced sense of smell
anosmia - absence of sense of smell
5
Q
II - Optic Nerve
A
- pure sensory
- receptors in retina of eye
- axons of ganglion cells –> optic nerve
- optic nerve –> optic chiasm –> optic tract –> lateral geniculate nucleus (thalamus) –> optic radiations –> primary visual cortex
- visual fields projected onto visual cortex in inverted and reversed fasion
6
Q
Primary Visual Cortex
A
medial aspect of occipital lobe on either side of Calcarine Sulcus
7
Q
Damage/Disease to Optic Neve
A
results in visual field defects - depends on location of damage
8
Q
III - Oculomotor Nerve
A
- motor and parasympathetic (mixed)
- arises from midbrain
- motor to extra-ocular muscles (innervates all except LR6SO4 - lateral rectus CN VI, superior oblique CN IV)
- PS to pupillary constriction & accomodation
9
Q
Extra-Ocular Muscles supplied by Oculomotor Nerve
A
- medial rectus
- superior rectus
- inferior rectus
- inferior oblique
- levator palpebrae superioris (elevator of upper eyelid)
10
Q
Damage/Disease to Oculomotor Nerve
A
pupilarry dilation (unstopped sympathetics) opthalmoplegia (eye movements weakened or paralyzed)
11
Q
IV - Trochlear Nerve
A
- smallest cranial nerve
- pure motor
- supplies superior oblique
- only CN to emerge from back of brainstem (midbrain)
- isolated damage uncommon (sandwiched btwn 2 layers of dura mater)
12
Q
VI - Abducent Nerve
A
- pure motor
- supplies lateral rectus (abducts eye = abducent)
- longest intracranial course of all CNs - more able to have function compromised
13
Q
Damage to Abducent Nerve
A
- paralysis of lateral rectus –> unopposed action of medial rectus –> eye deviates medially –> squint
patients complain of double vision (diplopia)
14
Q
V - Trigeminal Nerve
A
- mixed nerve - sensory and motor from pons
- 3 divisions arising from trigeminal ganglion: V1 - opthalmic nerve (eye), V2 - maxillary nerve (cheek), V3 - mandibular nerve (mandible)
- serves as a conduit for parasympathetic functions of CNs III, VII, and IX
15
Q
Damage/Disease to Trigeminal Nerve
A
Trigeminal Neuraglia (Tic Douloureux)
- pain, mainly in V2 and V3
- sometimes only way to correct is to cut off sensation