Cranial Nerves Flashcards
Learn more about the CN
Number of Cranial Nerves
12 Paired CN
Two fibers of the Nerves
Sensory and Motor
If ask what CN innervates this muscle refers to?
a. Sensory
b. Motor
Motor
AKA
S. A. M. E
Sensory=Afferent
Motor = Efferent
What are the 12 paired CN?
- Olfactory
- Optic
- Oculomotor
- Trochlear
- Trigeminal
- Abducens
- Facial
- Auditory/Vestibulocochlear
- Glossopharyngeal
- Vagus
- Accessory
- Hypoglossal
Foramen exit of CN 1
Cribriform plate of Ethmoid bone
Olfactory
a. Sensory
b. Motor
Sensory:Smell
Receptor Cell of CN1
Olfactorants
Ethmoid bone is usually found?
Posterior to the nose
Optic refers to?
Vision
Foramen exit of CN2
Optic Canal of Sphenoid bone
CN2 receptor cells
Rods and Cones
Rods is to ____
Cones is to ____
Night time
Daytime/Colors
CN2 receptor cells are found which part of the eye?
Retina
If ask which receptor cell of CN2 is deficient in person with color blindness?
Cones
Artery that exits in optic canal
Opthalmic artery
If ask what structures are affected if optic canal is damage from trauma?
Optic Nerve
Opthalmic artery
Optic is purely?
Sensory:Vision
Oculo=
Motor=
Eye Muscles/movement
Foramen exit of CN3
Superior Orbital Fissure of sphenoid bone
Oculomotor is purely?
Motor
SO4 LR6 R3
Superior Oblique muscle- CN 4
Lateral Rectus M.- CN6
Rest of the eye muscles are innervated by CN3
Parasympathetic of CN3
Sphincter pupillae and ciliary lens
If ask where is the specific location of SOF?
junction/demarcation of greater and lesser wings of sphenoid bone
Bat-wings shape
Sphenoid bone
What does Parasympathetic means?
Balance
Foramen exit of CN4
SOF
Foramen exit of CN6
SOF
Structures that exits in SOF
CN3, 4, 6, opthalmic branch of CN5 and opthalmic vein
Largest cranial nerve of head and neck
Trigeminal Nerve or CN5
How many branches does CN5 has?
3
What do you call that collection of nerves outside the brain?
Ganglion
What do you call that collection of nerves inside the brain?
Nuclei
4 nuclei of CN5
Mesencephalic nucleus
Principal sensory
Spinal nucleus
motor nucleus
It is responsible for Jaw-Jerk reflex
Mesencephalic nucleus
Half moon shape
Trigeminal ganglion
Location of Gasserian ganglion
Meckel’s cave of petrous portion of the temporal bone
3 branches of CN V
V1 Opthalmic
V2 Maxillary
V3 Mandibular
Main branches of CN V1
Frontal
Nasociliary
Lacrimal nerves
Largest branch of CN V1
Frontal
Smallest branch of CN V1
Lacrimal nerves
Foramen exit of CN V1
SOF
Organs innervated by CN V1
Cornea
Nose
Forehead
Scalp
Main branches of CN V2
Zygomatic
Pterygopalatine (sphenopalatine)
PSAN
Other names of PTERYGOPALATINE nerve
Sphenopalatine
Nasopalatine
Nerve of Scarpa
Foramen exit of CN V2
Foramen rotundum
Organs innervated by CN V2
SENSORY: Lower eyelid Upper lip Nasopharynx Tonsils Palate Paranasal sinuses Mx teeth
What are the Paranasal sinuses?
Maxillary
Frontal
Ethmoid
Sphenoid
Main function of the paranasal sinuses.
Lightens the weight of the skull
Terminal branch of CN V2
Infraorbital nerve
Nerves included in the Outer nerve loop
ASAN
MSAN
PSAN
Nerves included in the INNER NERVE LOOP
Nasopalatine nerve
Greater palatine nerve
Lesser palatine nerve
ASAN innervates?
Labial surfaces of anterior teeth
MSAN innervates?
bicuspids and mesiobuccal root of mx 1st molar
PSAN innervates
From distobuccal root of mx 1st molar to the 3rd molar
Nasopalatine innervates?
Palatal area of anterior teeth
Greater palatine innervates?
Palatal area of all posterior teeth
Lesser palatine nerve innervates?
soft tissues of Soft palate, uvula, tonsils
Distance of Greater palatine foramen to the lesser palatine foramen
2mm
Ganglion where ASAN and MSAN meet
Bochdalek
Ganglion where MSAN and PSAN meet
Valentine
BQ. Sphenopalatine nerve is a branch of?
Maxillary nerve
Branches of CN V3 located in the ANTERIOR TRUNK
Buccal nerve
Masseteric nerve
Deep temporal nerve
Nerve to lateral pterygoid
The only sensory nerve in the anterior trunk of CN V3
Buccal Nerve
Branches of CN V3 located in the POSTERIOR TRUNK
IAN
Auriculotemporal Nerve
Lingual nerve
Largest branch of CN V3
IAN
Terminal branch of CN V3
Mental nerve
BQ. Location of mandibular foramen in relation to the occlusal plane in adult
above or level to the occlusal plane
BQ. Location of mandibular foramen in relation to the occlusal plane in children
below the occlusal plane
IAN innervates?
All Mn teeth
Mental nerve innervates?
Soft tissues of anterior teeth
lower lip
Foramen exit of CN V3
Foramen ovale
Sensory innervation of CN V3
Auditory meatus TMJ Chin Lower lip Anterior 2/3 (tip) of the tongue Mn teeth
2 sensation of the tongue
Pain
Taste
Responsible for the sensation of PAIN in the tongue
Lingual nerve of Mandibular branch of the Trigeminal nerve (Lingual of CN V3)
Motor innervation of CN V3
Muscles of mastication Ant. belly of digastric Tensor tympani Tensor veli palatini mylohyoid muscles
What nerves innervates the TMJ?
Auriculotemporal nerve branch of Mandibular nerve of the Trigeminal nerve (ATN of CN V3)
What are the muscles of mastication?
Temporalis muscle
Internal pterygoid
Masseter
External pterygoid
Prime mover of the muscles of mastication
External Pterygoid
Velum means?
Soft Palate
Mylohyoid muscle is found?
floor of the mouth
BQ. Which branch of trigeminal nerve has motor fiber?
CN V3
Branches of CN VII
Temporalis Zygomatic Buccal Marginal mandibular Cervical
Most superior branch of CN VII
Temporalis
Foramen exit of CN VII
Internal acoustic meatus–> stylomastoid foramen
BQ. Which foramen does CN VII exits?
Stylomastoid foramen
What innervates the Posterior belly of digastric muscles?
CN VII
Stylomastoid foramen is located?
in TEMPORAL bone
Sensory innervation of CN VII
Taste to the anterior 2/3 (tip) of the tongue
Responsible for the taste sensation of the anterior 2/3 of the tongue
Chorda tympani of CN VII
Parasympathetic innervation of CN VII
lacrimal, sublingual and submandibular glands
BQ. What nerve innervates mimetic muscle?
CN VII
Mimetic muscles is also known as
Muscles of facial expressions
What are the Mimetic muscles?
Occipitofrontalis- surprise
Corrugator supercilli- frowning
Orbicularis oculi- wink
Zygomaticus major- smiling
Risorius- plasticity
Levator labii superioris alaque nasi- snarl
Orbicularis oris- main muscle for pout and kissing
a. Depressor labii inferioris- sorrow, doubt and melancholy
b. Buccinator- whistling and sucking
c. Mentalis- pouting
Muscle responsible for surprise
Occipitofrontalis
Muscle that draws the eyebrows closer to each other
Corrugator supercilli
Muscle responsible for closing the eyelid. Innervated by?
Orbicularis oculi - CN VII
Muscle responsible for opening the eyelid. Innervated by?
levator palpebrae muscle= CN III
Caninus is also known as
levator anguli oris
Triangularis is also known as
depressor anguli oris
how many muscles involved when smiling?
17
How many muscles involved when Angry?
43
Difference between gland and duct
gland= PRODUCES duct= SECRETES
Foramen exit of CN VIII
Internal acoustic meatus of temporal bone
Sensory of CN VIII
Hearing and Balance
BQ. 2 strucrures that passes in the Internal acoustic meatus
CN VII and CNVIII
Foramen exit of CN IX
Jugular foramen
Sensory innervation of CN IX
Posterior 1/3 of the tongue pharynx tonsils middle ear carotid sinus
Function of carotid sinus
lowers BP
Motor innervation of CN IX
Stylopharyngeus
Parasympathetic innervation of CN IX
Parotid gland
Other term for Bell’s Palsy
Facial Nerve paralysis
What causes Bell’s palsy? (not dental)
idiopathic
Dental cause for Bell’s palsy
Penetrates parotid gland capsule during IAN administration/ injection of IAN too far posterior
Largest cranial nerve of the body
Vagus nerve CN X
Foramen exit of CN X
Jugular Foramen
Sensory innervation of CN X
Heart
Abdominal organs
lungs
base of tongue
Motor innervation of CN X
Laryngeal muscles
All Pharyngeal muscle except Stylopharyngeus
All Palatal muscle except Tensor veli palatini
nerve that innervates stylopharyngeus muscle?
CN IX
nerve that imnervates tensor veli palatini
CN V
Parasympathetic innervation of CN X
Heart
Abdominal organs
lungs
Other name of accessory nerve
Spinal nerve
Foramen exit of CN XI
Jugular foramen
Motor innervation of CN XI
Sternocleidomastoid muscle
Trapezius
Responsible for rotating and flexing the head
Sternocleidomastoid
Responsible for tilting the head
Trapezius
Lateral boundary of the neck
Sternocleidomastoid
Anterior boundary of the neck. Innervated by?
Platysma - CN VII
Posterior boundary of the neck. Innervated by?
Trapezius - CN XI
Muscle involved in WHIPLASH
SCM (over extended)
BQ. Innervates muscles of the neck
CN VII and XI
Structures that exit in Jugular Foramen
CN IX, X and XI
Foramen exit of CN XII
Hypoglossal canal of occipital bone
Motor innervation of CN XII
Extrinsic and intrinsic muscles of the tongue
What is the largest cranial merve of the Head and Neck?
Trigeminal Nerve
What is the largest cranial nerve of the WHOLE body?
Vagus nerve
What is the longest intracranial nerve?
Trochlear nerve
Pure afferent CN
I, II and VIII
Pure efferent CN
III, IV, VI, XI, and XII
Mixed CN
V, VII, IX and X
Parasympathetic CN
III, VII, IX and X
Pharyngeal plexus (nerves that innervates pharynx)
IX, X and XI