Cranial nerves Flashcards

1
Q

Name all of the Cranial Nerves

A

1) Olfactory Nerve 2) Optic Nerve 3) Oculomotor Nerve 4) Trochelar nerve 5) Trigeminal nerve 6) Abducent nerve 7) Facial nerve 8) Vestibulocochlear nerve 9) Glossopharyngeal nerve 10) Vagus nerve 11) Accessory nerve 12) Hypoglossal nerve

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2
Q

Which nerves are sensory, which are motor and which are both?

A
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3
Q

Where does the olfactory nerve exit from the skull/

A

Cribiform of the ethmoid bone

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4
Q

Describe the Olfactory Nerve

A

CNISensoryAllocortex/limbusFound in the Olfactory space. It projectsup from the cribriform plate of the ehtmoid muscle to form the olfatory bulb, and this olfactory bulb forms the olfactory tract which projects to the Primary olfactory cortex in the brain. (note that the olfactory tract is part of the limbic system- why smells trigger memories/emotions).Involved in smell

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5
Q

Describe the Optic Nerve

A

CIISensoryAllocortex/LimbusExits: Optic CanalConnect to the back of the retina, pass through the optic canal to the optic chiasma. These fibres then get mixed then form the optic tract then synapse with the Lateral geniculate nucleus of the thalamus which sends info to the cortex.Vision

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6
Q

Describe the Occulomotor Nerve

A

CNIIIMotorMidbrainExit: Superior Orbital fissureControls majority of the muscles that control the movement in the eye (1)Levator Palpebrae Superioris (elevates the superior (upper) eyelid), 2) Superior rectus, 3) Inferior rectus, 4) medial rectus, 5) inferior olique muscles)Also Innervates a number of theextraocular musclesas well as parasympathetic innervation on the 6)sphincter pupillae and the 7)ciliary muscles (responsible for accommodation fo the lesne for near vision)Elevates, abducts, adducts and depresses the eye.If this is damaged, the patient’s ability to depress the eye is often damaged (their eyes will move upwards)

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7
Q

Describe the Trochlear nerve

A

CN IVMotorMidbrainExit: Superior Orbital fissureMotornerve(a somatic efferentnerve) that innervates only a single muscle: the superior oblique muscle of the eye, which operates through the pulley-liketrochlea. (abducts, depresses and tortes/internally rotates the eye)

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8
Q

Describe the Trigeminal Nerve

A

CNVBoth sensory and motorPonsExit: Superior Orbital fissureThe three major branches of thetrigeminal nerve—the ophthalmicnerve(V1), the maxillarynerve(V2) and the mandibularnerve(V3)—converge on thetrigeminalganglion. These exit the cranium at different points because they divide before they exitIt supplies sensations to the face, mucous membranes, and other structures of the head.-Opthalmic nerve is involved in sensory innnervation of forehead, eyelid and top of nose. It is also involved in cornear, lacrimal glands-Maxillary get sensation from the lower part of the ye and upper lip. It also synapses with a ganglion that receives info from a lot of nerves from nose and mouth.-Mandibular gland also receives info from anterior 2/3 of tongue (pain and temp etc.), and also involved in getting info from the sweat glands and other structues in the mouth. It also synapses with the Otic ganglion which is involved in the regulation of the carotid glands (salivary glands).It is the motor nerve for the muscles of mastication (chewing) and contains proprioceptive fibers.

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9
Q

Describe the Abducent Nerve

A

CNVIMotorPonsExit: Superior Orbital FissureInnervates lateral rectus muscle (Thelateral rectus muscleis amuscleon thelateralside of the eyeball in the orbit. It is one of six extraocularmusclesthat control the movements of the eye. Thelateral rectus muscleis responsible forlateralmovement of the eyeball, specifically abduction)

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10
Q

Describe the Facial Nerve

A

CN VIIBoth sensory and motorPons/MedullaExit: Stylomastoid foramenControls the muscles offacial expression, and functions in the conveyance of taste sensations from the anterior two-thirds of the tongue and oral cavity.(learn below)Motor:Innervates the muscles of facial expression, the posterior belly of the digastric, the stylohyoid and the stapedius muscles (control fo the eyelid, closing of the eyes, pouting of the mouth, movement of the cheek etc.)Sensory: A small area around the concha of the auricle.Special Sensory: Provides special taste sensation to the anterior 2/3 of the tongue. (Cauda tympani nerve)Parasympathetic: Supplies many of the glands of the head and neck, including:Submandibular and sublingual salivary glands,Nasal, palatine and pharyngeal mucous glands and the Lacrimal glands.

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11
Q

Describe the Vestibulocochlear Nerve

A

CN VIIISensoryMedullaExit: Leave cranial cavity through the internal acoustic meatusDamage to this nerve can result in vertigo (sensation of movement when you’re not), nausea, vommiting etc.Vestibular division = balanceCochlear division = hearing

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12
Q

Describe the glossopharyngeal nerve

A

CN IXBoth sensory and motorMedullaExit: Jugula foramenIt exits the brainstem out from the sides of the uppermedulla, just rostral (closer to the nose) to thevagus nerve.Control and receive info from the tongue (parotid gland)and parts of the throat. Mainly sensory but some control functions.Sensory: Innervates the oropharynx, carotid body (info about pressure), and carotidsinus (structure in the carotid that senses changes in pH, CO2, O2 etc.), posterior 1/3 of the tongue, middle ear cavity and Eustachian tube.Special Sensory:Provides taste sensation to the posterior 1/3 of the tongue.Parasympathetic: Provides parasympathetic innervation to the parotid gland (production of saliva).Motor: Innervates the stylopharyngeus muscle of the pharynx.

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13
Q

Describe the Vagus Nerve

A

CNXBoth sensory and motorMedullaExit: Jugular ForamenInterfaces with parasympathetic control of the heart, lungs, and digestive tract.Lots of nuclei and lots of branches that control exterior parts of the inner ear and oracle. Also receive sensory info from the meninges.1) Pharyngeal branch (motor control of muscles in the pharynx)2) Superior laryngeal branch (2 parts = internal which is involved in sensory from the larynx and external branch that is involved in motor)3a) Right nerve travels back up from under the subclavian artery to control the muscles3b) The left nerve passes under the aorta, then comes back up again (recurrent laryngeal nerve)Works with the sympathetic nervous system to regulate bodily function.

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14
Q

Describe the Acessory Nerve

A

CN XIMotorMedullaExit: Jugular foramenInnervates the sternocleidomastoid and trapezius muscles (rotation of the head and shrugging of the shoulders). Start in the Spinal cord and goes up into the cranium. The cranial portion joins with the vagus nerve very quickly.

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15
Q

Describe the Hypoglossal Nerve

A

CN XIIMotorMedullaExit: Hypoglossal canalInnervates the hypoglossus, genioglossus and styloglossus muscles and all intrinsic muscles of the tongue.(innervates all the extrinsic and intrinsic muscles of the tongue, except for the palatoglossus which is innervated by the vagusnerve. It is anervewith a solely motor function.)

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16
Q

Which nerves only have sensory function?

A

1) Olfactory (I)2) Optic (II)3) Vestibulocochlear (VIII)

17
Q

Which nerves only have motor function

A

1) Occulomotor (III)2) Trochlear (IV)3) Abducens (VI)4) Acessory (XI)5) Hypoglossal (XII)

18
Q

Which nerves have both sensory and motor function?

A

1) Trigeminal (V)2) Facial (VII)3) Glossopharyngeal (IX)4) Vagus (X)

19
Q

What are the 4 types of sensory fibres?

A

1) General somatic sensory- skin2) General visceral sensory- viscera3) Special somatic sensory- sight, sound, balance4) Special visceral sensory- taste, smell

20
Q

What are the 3types of Motor fibres?

A

1) General somatic motor- skeletal muscles2) General visceral motor- smooth muscles of gut3) Special visceral motor- muscles of pharyngeal arches

21
Q

Generally the nucleus is found Contralaterally/Ipsilaterally to the side of the brain that controls its functionWhen is this not the case?

A

IpsilateralTrochlear nerve (The nerve decussates first)

22
Q

How are the types of nerves organised in the spinal cord?

A

All of the different types are organised differently (e.g. Special somatic sensory is grouped together andis separated from Special visceral sensory nerves)

23
Q

If you damage your optic nerve prior to the optic chiasma, what sort of symptoms would you get?

A

Complete blindness in 1 eye

24
Q

If you damage your optic nerve POST the optic chiasma, what sort of symptoms would you get?

A

You get partial blindness in both eyes.

25
Q

Why are the nerves named the way they are?

A

Order they leave the cranium

26
Q

Describe the 3 branches of the trigeminal nerve

A

-Opthalmic nerve is involved in sensory innnervation of forehead, eyelid and top of nose. It is also involved in cornear, lacrimal glands-Maxillary get sensation from the lower part of the ye and upper lip. It also synapses with a ganglion that receives info from a lot of nerves from nose and mouth.-Mandibular gland also receives info from anterior 2/3 of tongue (pain and temp etc.), and also involved in getting info from the sweat glands and other structues in the mouth. It also synapses with the Otic ganglion which is involved in the regulation of the carotid glands (salivary glands).

27
Q

What is the name of the condition whereeven mild stimulation of your face — such as from brushing your teeth or putting on makeup — may trigger a jolt of excruciating pain.

A

Trigeminal Neuralgia

28
Q

What is Trigeminal Neuralgia?

A

Trigeminal neuralgiais a chronic pain condition that affects thetrigeminalnerve, which carries sensation from your face to your brain.If you havetrigeminal neuralgia, even mild stimulation of your face — such as from brushing your teeth or putting on makeup — may trigger a jolt of excruciating pain.Analgesias usually doesn’t work.

29
Q

What nerve provides special taste sensation to the anterior 2/3 of the tongue?

A

(Cauda tympani nerve from the facial nerve CNVII)

30
Q

What does the facial and the trigeminal nerve do together?

A

Corneal reflexIf something touches your cornea, you immediately shut your eyes.Trigeminal nerve receives sensory information at the cornea and this signals the facial nerve to close your eyelid.

31
Q

What is Bell’s palsy?

A

Bell’s palsyis a condition in which the muscles on one side of your face become weak or paralyzed.It affects only one side of the face at a time, causing it to droop or become stiff on that side. It’s caused by some kind of trauma to the seventh cranialnerve.This is also called the “facial nerve.”Due to inflammation of the facial nerve. Can be due to herpes.

32
Q

What is the nerve associated with the disorder whereon one side of your face become weak or paralyzed.

A

Bell’s Palsy

33
Q

What nerve is responsible for you being able to shrug your shoulders and turning your head?

A

Accessory nerve.