Cranial nerves Flashcards
General properties of cranial nerves
- Soft and squishy
- Carry many different types of fibres
- Pass through holes in hard bone
- They are easily compressed due to tumours, inflammation and fractures
Which kind of fibres pass through cranial nerves
Motor fibres:
- Somatic
- Visceral
Sensory:
- Visceral
- General: from skin and mucous membranes
- Special: e.g. taste, vision, hearing..
Olfactory nerve
- Cranial nerve 2
- Sensory nerve of smell
- Receptors in the epithelium of nasal cavity
- Pass through foraminifera pf the crib form plate
- Into Olfactory bulb of the anterior cranial fossa
Optic nerve
Cranial nerve 3
- Comes in through optic canal to form optic chiasm
- Nasal optic fibres cross over to form the optic tract
Clinical application to CNII
- Increase in pressure of CSF can cause Papilloedema
- damage to right optic nerve causes ipsilateral eye vision loss
- damage at optic chiasma causes loss of peripheral vision (bitemporal hemianopsia)
- Damage to right optic tract causes loss of ipsilateral nasal vision loss and contralateral peripheral/temporal vision loss (homonymous hemianopsia)
Clinical application to CN I
Fractured crib form plate can cause olfactory fibres to become damaged causing anosmia
Oculomotor nerve
Cranial nerve 3
-From midbrain through superior orbital fissure
-Visceral motor:
parasympathetic to pupil constricts pupil
parasympathetic to ciliary muscle accommodates lens
-Somatic motor
to superior, inferior and medial rectus
To the inferior oblique muscle
clinical application to CN 3
- Drooping of eyelid
- Eyeball pointing outwards and down
- No accommodation of the lens
- No pupillary reflex
Trochlear nerve anatomy and clinical appication
Cranial nerve 4
- From dorsal surface of the the midbrain through the superior oblique muscle
- somatic motor innervation to to the superior oblique muscle
-Diplopia when looking down
Abducens nerve
anatomy and clinical application
cranial nerve 6
- From pons and medulla through the superior orbital fissure
- Somatic motor innervation to lateral oculomotor muscle
-Medial deviation of eye which leads to Diplopia
Trigeminal nerve (ophthalmic )
CN V1
- From pons through to trigeminal ganglion to superior orbital fissure
- General sensory from the eyelid, scalp, mucosa of the nasal cavity and sinuses, forehead, cornea
Trigeminal nerve maxillary
CN V2
- From pons through to trigeminal ganglion through to the foramen rotunda
- general sensory from the maxilla, maxillary teeth, TMJ, Maxillary sinuses and palate
Trigeminal nerve mandibular
V3
From pons to trigeminal ganglion through to the foramen vale
-General sensory from the mandibular teeth, TMJ, Mucosa of the mouth, anterior 2/3rds of the tongue
-Somatic motor: muscles of mastication, digastric, tensor velar palatine and tensor tympani
Clinical application of trigeminal mandibular
- Trigeminal neuralgia
- Loss of sensation to the face
- Loss of cornea/sneezing reflex
- Paralysis to muscles of mastication
Facial nerve
anatomy
CN VII
From between the pons and the medulla it exits via the internal acoustic meatus, the facial canal and the stylomastoid foramen
motor somatic: to muscles of facial expression and scalp, stapedius and part of digastric
Visceral motor:to the submandibular, sublingual, lacrimal and nose and palate glands
Special sensory: anterior 2/3rd of tongue
General sensory: through external acoustic meatus