CRANIAL NERVES Flashcards
Why are they called cranial nerves?
They attach directly to the brain
How many cranial nerves are there?
12 - I-XII
What are the names of the first 6 cranial nerves
I-Olfactory II-Optic III-Oculomotor IV-Trochlear V-Trigeminal VI-Abducens
What are the names of the final 6 cranial nerves?
VII-Facial VIII-Vestibulocochlear IX-Glossopharyngeal X-Vagus XI-Accessory XII-Hypoglossal
What type of information do cranial nerves carry? (sensory)
Somatic; general sensations
Special sensations
Autonomic sensations
What type of information do cranial nerves carry? (Motor)
Somatic, for skeletal muscle
Branchial, for skeletal muscle
Autonomic, for smooth muscle and glands
What is the pneumonic to determine the functional type of the cranial nerve
Some Say Money Matters But My Big Brother Says Big Breasts Matter Most
S = Sensory
M = motor
B = Both
What are the parasympathetic nerve fibres? (autonomic)
Oculomotor, Facial, Glossopharyngeal, Vagus
What is the function of the olfactory nerve?
To provide a sense of smell - Sits on the cribiform plate
How would you test for a functional olfactory nerve?
Ask the patient whether they have experienced any changes in their sense of smell?
What is the main function of the Optic nerve?
To provide vision - travels through the optic canal
Describe the brief visual pathway
Optic nerve - Optic chiasm - Optic tract - Lateral geniculate body - Optic Radiation - Primary visual cortex
How would you test for the Optic nerve function
AFRO - Acuity, Fields, Reflex and Optic Disc (fundoscopy)
Which eye muscles does Cranial III innervate?
Superior Rectus Inferieor Rectus Medial Rectus Inferior oblique Parasympathetic to the pupil and to focus the lens
Which eye muscles does Cranial nerve IV (trochlear) innervate?
superior oblique
Which eye muscles does Cranial nerve VI (abducens) innervate?
lateral rectus.
Describe the basic anatomy of Cranial Nerve III
Exits midbrain - near Posterior cerebral arteries - passes alongside cavernous sinus - through superior orbital fissure -branches into two
Describe the basic anatomy of Cranial Nerve IV
Exits midbrain dorsally - Passes round the front - Near posterior cerebral arteries - passes alongside cavernous sinus - through superior orbital fissure -branches into two
Describe the basic anatomy of Cranial nerve VI
Exits between pons and medulla - passes from the posterior to middle cranial fossa - passes alongside cavernous sinus - through superior orbital fissure
Describe what you would see with a Cranial Nerve III palsy?
Eye abducted (lateral rectus) looks down and rotated (superior oblique)
Describe what you would see with a Cranial Nerve IV palsy?
Double vision (rotated) when looking down (the stairs)
Describe what you would see with a Cranial Nerve VI palsy?
Eye will not look laterally
What is the main function of the Trigeminal (V) cranial nerve?
Sensation to face and mouth
Muscle of mastication (chewing)
What are the three branches of trigeminal nerve called
Opthalmic , Maxillary and Mandibular
Describe the anatomy of Cranial nerve V before it divides into 3
Exits from pons - passes directly into Meckle’s cave
Describe the anatomy of the Opthalmic branch post division of cranial nerve V
Passes through the superior orbital fissure