Cranial Nerves Flashcards
What type of nerve fibers convey impusles from the skin and skeletal muscle spindles?
General somatic afferents (somatic sensation aka general sensory)
[GSA]
What type of nerve fibers convey impulses from the viscera and blood vessels?
General visceral afferents (visceral sensation)
[GVA]
What type of nerve fibers innervate the smooth muscle of the viscera, intraocular mm, heart, salivary glands, etc.?
General visceral efferents (visceromotor function)
[GVE]
What type of nerve fibers innervate skeletal muscles?
General somatic efferents (somatomotor function)
[GSE]
What special type of nerve fibers conduct impulses from the retina and from the auditory and vestibular apparatus?
Special somatic afferents
What special type of nerve fibers conduct impulses from the taste buds of the tongue and from the olfactory mucosa?
Special visceral afferents (special sensory)
[SSA]
What special type of nerve fibers innervate skeletal muscles derived from the branchial arches?
Special visceral efferents (branchial motor)
[SVE]
4 cranial nerves are located ______ the pons, including I, II, III, and IV.
4 cranial nerves are located in the ______, including V, VI, VII, and VIII.
4 cranial nerves are located in the ______, including IX, X, XI, and XII.
Above
Pons
Medulla
What 4 cranial nerve nuclei are located medially?
III, IV, VI, XII
Modality(-ies) and associated function of CN I
Special sensory afferent: smell
Modality(-ies) and associated function of CN II
Special sensory afferent: visual info from retina
Modality(-ies) and associated function of CN III
Somatic motor (efferent): innervates levator palpebrae superioris, superior rectus, medial rectus, inferior rectus, and inferior oblique mm.
Parasympathetic motor (visceral efferent): innervates constrictor pupillae and ciliary mm.
Modality(-ies) and associated functions of CN IV
Somatic motor (efferent): innervation of superior oblique m. of the eye
Modality(-ies) and associated function of CN VI
Somatic motor (efferent): innervates lateral rectus m. of the eye
Modality(-ies) and associated functions of CN V
General sensory (afferent): general sensation from face and anterior scalp as far posteriorly as apex of the head, conjunctivae, bulb of the eye, mucous membranes of paranasal sinsuses, and nasal and oral cavities including the tongue and teeth, part of the external aspect of the TM, and from meninges of the anterior and middle cranial fossae
Branchial motor (efferent): innervates muscles of mastication — masseter, temporalis, medial and lateral pterygoid, tensor tympani, tensores veli palatini, mylohyoid, and anterior belly of the digastric mm.
Modality(-ies) and associated functions of CN VII
General sensory (afferent): sensation from variable area of pinna/auricle, external acoustic meatus, external TM, and small area of skin behind ear
Special sensory (afferent): taste from anterior 2/3 tongue and soft palate
Branchial motor (efferent): innervates muscles of facial expression
Parasympathetic motor (visceral efferent): stimulates lacrimal, submandibular, and sublingual glands as well as oral, nasal, and pharyngeal mucosal glands
Modality(-ies) and associated functions of CN VIII
Special sensory (afferent): balance (via vestibular nucleus), hearing (via cochlear nucleus)
Modality(-ies) and associated functions of CN IX
General sensory (afferent): sensation from posterior 1/3 tongue, tonsil, soft palate, fauces, uvula, mucosa of internal TM and cavity, mastoid air cells, auditory tube, upper pharynx
Visceral sensory (afferent): subconscious sensations from carotid body and carotid sinus
Special sensory (afferent): taste from posterior 1/3 tongue
Branchial motor (efferent): innervation of stylopharyngeus m.
Parasympathetic motor (visceral efferent): innervates parotid gland, controls blood vessels in carotid body and BP in carotid sinus
Modality(-ies) and associated functions of CN X
General sensory (afferent): general sensation from posterior meninges, concha, skin at back of ear and in external acoustic meatus, part of external TM, pharynx, larynx
Visceral sensory (afferent): sensation from lower pharynx, larynx, trachea, esophagus, thoracic and abdominal viscera, stretch receptors of aortic arch, chemoreceptors in aortic bodies
Branchial motor (efferent): innervates via pharyngeal plexus the pharyngeal constrictors, levator palati, salpingopharyngeus, palatopharyngeus, palatoglossus, and intrinsic mm of larynx
Parasympathetic motor (visceral efferent): smooth muscle and glands of pharynx, thoracic and abdominal viscera, cardiac muscle, aortic bodies
Modality(-ies) and associated functions of CN XI
Branchial motor (efferent): innervate sternomastoid and upper fibers of trapezius
Modality(-ies) and associated function of CN XII
Somatic motor (efferent): innervates 3/4 extrinsic mm of the tongue: genioglossus, styloglossus, hyoglossus, and ALL intrinsic mm of the tongue
[innervation of palatoglossus is with CN X]
Primary branches of CN V
V1 = ophthalmic
V2 = maxillary
V3 = mandibular
Primary branches of V1: ophthalmic
Lacrimal
Frontal
Nasociliary
Meningeal
Primary branches of V2: maxillary
Zygomatic Infraorbital Superior alveolar Nasociliary Palatine Meningeal
Primary branches of mandibular V3
Buccal Lingual Inferior alveolar Auriculotemporal Meningeal
Which primary branch of CN V is the only one with branchial motor function? What are its sub-branches?
Mandibular (V3)
Sub-branches: Medial pterygoid Lateral pterygoid Masseteric Deep temporal Mylohyoid
Cells of origin of CN I
Olfactory bulb
Cells of origin of CN II
Retinal photoreceptors
Nuclei associated with CN III
Oculomotor nucleus (SME)
Edinger-Westphal nucleus (VME)
Nucleus associated with CN IV
Trochlear nucleus
Nucleus associated with CN VI
Abducens nucleus
Nucleus and ganglion associated with CN V in terms of general sensory afferent innervation
Trigeminal nucleus
Trigeminal ganglion
Nucleus associated with CN V in terms of branchial motor efferent innervation
Masticator nucleus
What nuclei (and their associated ganglia) are associated with CN VII
GSA: Pontine trigeminal nucleus and spinal trigeminal nucleus (pain) + Geniculate ganglion
SSA: Nucleus solitarius + geniculate ganglion (taste buds)
BME: motor nucleus of CN VII
VME: superior salivatory nucleus + pterygopalatine and submandibular ganglia
Nuclei associated with CN VIII
Vestibular nucleus + vestibular ganglion and hair cells
Cochlear nucleus + spiral ganglion + cochlear hair cells
What nuclei (and their associated ganglia) are associated with CN IX?
GSA: spinal trigeminal nucleus + superior glossopharyngeal ganglion
VSA: nucleus of tractus solitarius + inferior glossopharyngeal ganglion
SSA: nucleus of tractus solitarius + inferior glossopharyngeal ganglion (taste buds)
BME: nucleus ambiguus
VME: inferior salivatory nucleus + otic ganglion
Nucleus ambiguus
What nuclei (and their associated ganglia) are associated with CN X
GSA: spinal trigeminal nucleus + superior vagal ganglion
VSA: nucleus of tractus solitarius + inferior vagal ganglion
BME: nucleus ambiguus
VME: dorsal vagal motor nucleus, nucleus ambiguus
What nucleus is associated with CN XI?
Accessory nucleus
What nucleus is associated with CN XII?
Hypoglossal nucleus
What 4 cranial nerves have general sensory (afferent) modality?
CN V
CN VII
CN IX
CN X
[all via trigeminal nucleus]
What 2 cranial nerves have visceral sensory (afferent) modality?
CN IX
CN X
[both via nucleus solitarius]