Cranial Nerves Flashcards
cranial nerve mnemonics
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I Olfactory II Optic III Olfactory IV Trochlear V Trigeminal (V1 Ophthalmic, V2 Maxillary, V3 Mandibular) VI Abducens VII Facial VIII Vestibulocochlear IX Glossopharyngeal X Vagus XI Spinal Accessory XII Hypoglossal
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cribiform plate, optic canal, superior orbital fissure, foramen rotundum, foramen ovale, internal acoustic meatus, jugular foramen, hypoglossal canal
Olfactory Nerve
- special sensory
- tested bilaterally
loss of fibers occurs with aging
blows to bridge of nose can shear filaments
Optic Nerve
- special sensory
- test afferent limb of pupillary light reflex
Oculomotor Nerve
- motor to extraocular muscles and levator palpebrae superioris
- preganglionic parasympathetic fibers to ciliary ganglion
H test
test efferent limb of pupillary light reflex
- aneurism in circle of Willis may put pressure on it
- increased ICP compresses against petrous temporal region (parasympathetics affected first)
Trochlear Nerve
-motor to superior oblique
H test
Trigeminal Nerve (V1)
- sensory from cornea, anterosuperior nasal cavity, frontal and ethmoid sinuses, dura, superior eyelid, bridge of nose, forehead, scalp
- pterygopalatine postganglionic parasympathetics
-injured by trauma, tumor, aneurism, meningitis
test afferent limb of corneal reflex (spinal nucleus), forehead touch
Trigeminal Nerve (V2)
- sensory from dura, posteroinferior nasal cavity, maxillary sinus, palate, maxillary teeth, inferior eyelid, anterior cheek and upper lip
- postganglionic parasympathetic fibers to pterygopalatine
Trigeminal Nerve (V3)
auriculotemporal- sensory from typanic membrane, anterior 2/3 of tongue, floor of mouth, mandibular teeth, temporal region, external ear
-postganglionic parasympathetic to otic ganglion
-motor to muscles of mastication and tensor of soft palate
test jaw jerk (aff- mesencephalic nucleus, eff- motor nucleus)
Abducens Nerve
-motor to lateral rectus
H test
-stretches with increased ICP
Facial Nerve (motor branch)
-muscles of facial expression (facial nucleus), stapedius muscle of inner ear
test efferent limb of corneal reflex (ipsilateral for direct, contralateral for consensual), sound sensitivity
*facial nerve can be injured during delivery at its exit from the stylomastoid foramen due to absence of styloid and mastoid processes
Facial Nerve (greater petrosal)
preganglionic parasympathetic to pterygopalatine ganglion
*innervates lacrimal glands
Facial Nerve (chorda tympani)
- taste in anterior 2/3 of tongue (solitary nucleus)
- preganglionic parasympathetic fibers to submandibular ganglion (superior salivatory nucleus)
*can be affected in severe otitis media
Vestibulocochlear Nerve
-hearing and balance
Glossopharyngeal Nerve
- sense from posterior 1/3 of tongue, nasopharynx, oropharynx, tympanic cavity and internal part of membrane, posterior soft palate, taste from posterior 1/3 of tongue (solitary nucleus), visceral sense from carotid body and sinus, uvula elevation (will deviate away from lesion)
- preganglionic parasympathetics to otic ganglion to parotid gland (inferior salivatory nucleus)
test afferent limb of gag reflex (aff- solitary nucleus)
test carotid sinus (aff- solitary nucleus)
- injured with CN X and XI from tumors in jugular foramen
- lingual branch injured during tonsillectomy
Vagus Nerve (superior laryngeal)
- sensory from larynx superior to vocal folds (internal branch)
- motor to cricothyroid (external branch)
- peristalsis (dorsal motor nucleus of vagus)
- taste from epiglottis (solitary nucleus)