Cranial Nerves and Nuclei I and II Flashcards
Description of the functional groups
Definitions of the three names
A. The First Classification - General (G) or Special (S)
General- distributed throughout body
Special- site, hearing, taste, or smell
B. The Second Classification - Visceral (V) or Somatic (S)
Visceral- body organs
Somatic- somites, soma, body
Skin, muscle, joints
C. The Third Classification - Afferent (A) or Efferent (E)
Afferent- sensory
Efferent- movement
What is cranial nerve I
Olfactory
What is cranial nerve II
Optic
What is cranial nerve III
Oculomotor
What is cranial nerve IV
Trochlear
What is cranial nerve V
Trigeminal
What is cranial nerve VI
Abducens
What is cranial nerve VII
Facial
What is cranial nerve VIII
Auditory
What is cranial nerve IX
Glossapharyngeal
What is cranial nerve X
Vagus
What is cranial nerve XI
Spinal accessory nerve
What is cranial nerve XII
Hypoglossal
What nerve(s) is responsible for innervation of the tongue?
Hypoglossal nerve
What nerve(s) is responsible for innervation of the SCM and Trapezious?
Spinal accessory nerve
What nerve(s) is responsible for baroreflex circuitry?
Glossopharyngeal nerve
What nerve(s) is responsible for visceral function?
Vagus nerve
What nerve(s) is responsible for extraocular eye movements?
- Oculomotor
2. Trochlear (Innervates only the superior oblique muscle), 3. Abducens (Innervates only the lateral rectus muscle)
What nerve(s) is responsible for sensory and motor innervation of the face and muscles of mastication?
Trigeminal nerve
What nerve(s) is responsible for innervation of muscle of facial expression?
Facial nerve
What nerve(s) is responsible for otolitic organs, semicircular canals, and hair cells?
Vestibular nerve CN VIII which is vestibulotrochlear aka auditory
What nerve(s) is responsible for cochler nuclei; central auditory pathway including colliculus, medial geniculate, and Heschl’s gyrus.
Cochlear nerve (says cranial nerve VII which is Facial … find out relationship)
What is a ganglion?
A group of cell bodies outside of the brain and spinal cord that houses neurons sensory or motor. It is the origin or target of fibers.
If in the brain or spinal cord it is called nuclei.
Note: Every cranial nerve that has a parasympathetic function has a ganglion associated with it that must synapse before going to its target organ. III, VII, IX, X
Which comes first, olfactory nerves or olfactory tracts?
Nerves come before tracts
CN I What is the functional component? Which foramen does it pass through? What structure(s) are innervated? What is the route?
- SVA
- Cribiform plate
- Olfactory nasal mucosa (smell)
- Olfactory nerves to cribiform plate, then to olfactory bulb and finally olfactory tract
Note: The only thing it is responsible for is smelling
CN II What is the functional component? Which foramen does it pass through? What structure(s) are innervated?
- SSA
- Optic Canal
- Rods and Cones of the retina (For seeing)
What is the attachment of the optic nerve?
Optic Chiasma
What is the name of the two retina associated with each eye? Which one crosses sides at the optic chiasm?
- Temporal Retina
- Nasal Retina
Nasal Retina (medial Retina) crosses the temporal does not. Because of this the visual field is directly opposite the physical location of the retina that records it.
Where does processing for vision take place?
The visual cortex is in the occipital lobe
Does Cranial nerve III have sensory innervation, motor innervation, or both?
Motor
CN III What is the functional component? Which foramen does it pass through? What structure(s) are innervated?
- GVE (parasympathetic) and GSE
- Superior Oribital Fissure
- I. GVE input (via cillary ganglion)
a. sphincter pupillae
b. cillary muscles
Basically make pupil smaller and lens fatterII. GSE
a. Superior, Medial, and Inferior Rectus muscles
b. Inferior Oblique
c. Levator palpebrae superioris
Basically all eye muscles except lateral rectus and superior oblique.
Which nucleus is responsible for parasympathetic GVE innervation to the pupil?
Edinger Westphal nucleus
Which cranial nerve is the only nerve to exit from the back of the brain?
CN IV
CN IV What is the functional component? Which foramen does it pass through? What structure(s) are innervated? What is the route?
- GSE
- Superior Orbital fissure
- Superior Oblique eyeball muscle
- Posterior brainstem to the cavernous sinus to the superior orbital fissure and finally to the orbit.
Which cranial nerve has the longest intracranial exposure?
CN IV
What foramens do the trigeminal nerve exit.
V1 is the Opthalmic division = Superior Orbital Fissure
V2 is the Maxillary division = Foramen Rotundum
V3 is the Mandibular division = Foramen Ovale
What are the functional components of the Trigeminal nerve? What are their functions?
GSA and SVE
Note: GSA picks up pain fibers.
SVE: motor to muscles of mastication
Where is the Trigeminal Ganglion located?
It is located at the depression at the apex of the petrus part of the temporal bone.
What are the main structures innervated by the Opthalmic branch of the trigeminal nerve?
Skin of upper part of the face, that is, the upper orbit and above.
What are the main structures innervated by the Maxillary branch of the trigeminal nerve?
Skin of the mid face, upper teeth, nasal and palatal mucosa.
What are the main structures innervated by the Mandibular branch of the trigeminal nerve?
Sensory and Motor
Skin of lower face and jaw, floor of mouth, mucosa of anterior 2/3 of tongue, lower teeth, gums, ear pinna and canal (GSA)
Motor to the muscles of mastication. (SVE)
Does cranial nerve V have parasympathetic function?
No. CN such as CNVII have fibers that attach to cranial nerve V to get where they need to be.
Which cranial nerve makes you cry?
CN VII
Lacrimal Gland Control
Lacrimal gland = parasympathetic control = CN VII. However, CN VII is using CN V to travel.
CN VI What is the functional component? Which foramen does it pass through? What structure(s) are innervated? What is the route?
- GSE
- Superior Orbital Fissure
- Motor to the lateral Rectus Muscle
- Brainstem to cavernous sinus to superior orbital fissure and finally to the Orbit
What is the function of the Superior Oblique?
Moves eye down and out
What is the function of the Inferior Oblique?
Moves eye up and out
What nerve to you use to see?
CN II
What nerve and muscle do you use to focus?
CN III (Cillary Muscles)
What nerve and muscle do you use when looking at a bright light?
CN III (Sphinctor Pupilae)
What nerve and muscle do you use to open your eyes?
CN III Levator Palpebrae
What nerve and muscle do you use to force your eyes closed?
CN VII Orbicularis Oculi
What functional group corresponds to parasympathetic functioning?
GVE
CN VII What is the functional component? Which foramen does it pass through? What structure(s) are innervated? What is the route?
Travels through the internal auditory meatus.
- GVA = deep sensory from soft palate
- SVA = taste buds from the anterior 2/3 of the tongue
- GSA = sensory from small part of ear pinna
- GVE = Motor to submandibular and sublingual glands, lacrimal glands and glands in nasal mucosa. (snot, tears, slob)
- SVE = motor to muscles of facial expression. Posterior belly of digastric. Stylohyoid and stapedius.
Parasympathetic fibers from which cranial nerves hitch a ride on CN V
CN III, CN VII, and CN IX
CN VIII What is the functional component? Which foramen does it pass through? What structure(s) are innervated?
- SSA
- Internal auditory meatus
- Organ of Corti and semicircular canals, utricle and saccule.
Functions to regulate hearing and balance
CN IX What is the functional component? Which foramen does it pass through? What structure(s) are innervated? What is the route?
Exits the skull via the jugular foramen
- GVA = deep sensory from posterior tongue and soft palate. Pharynx. Mucosa of tympanic cavity, posterior auditory tube, carotid body and sinus.
- SVA = Taste buds of the posterior 1/3 tongue and adjacent pharynnx
- GSA = general sensory from small part of ear pinna and canal
- GVE = Parotid salivary gland (secretomotor) parasympathetic only
- SVE = Stylopharyngeaus muscle
What muscle does CN IX lay on top of?
Stylopharyngeus
What are the four different ganglion?
- Cillary Ganglion
- Pterygopalatine Ganglion
- Submandibular Ganglion
- Otic Ganglion
Which cranial nerve is the longest nerve?
CN X
The vagus nerve provide parasympathetic or sympathetic innervation of organs?
Parasympathetic
CN X What is the functional component? Which foramen does it pass through? What structure(s) are innervated? What is the route?
CN X exits through the jugular foramen.
- GVA = visceral sensory. From pharynx, esophagus, trachea, larynx, and abdomen
- SVA = taste buds in epiglottis and glottis
- GSA = sensory. From small part of ear pinna, canal, and tympanic membrane…. can be used for visceral pain and stretch barorecpters.
- GVE = thoracic and abdominal viscera… can slow heart and speed of digestion
- SVE = muscles of pharynx and laarynx, lev. palatini and cricothyroid.
Is CN X sensory, motor, or mixed?
Mixed
Which cranial nerve enters via the Foramen Magnum and exits via Jugular Foramen.
CN XI
CN XI What is the functional component? Which foramen does it pass through? What structure(s) are innervated? What is the route?
- SVE
- Foramen Magnum and Jugular Foramen
- Motor to SCM and Trapezium
CN XII What is the functional component? Which foramen does it pass through? What structure(s) are innervated? What is the route?
- GSE
- Hypoglossal canal
- Intrinsic and extrinsic muscles of the tongue. Basically motor to all muscles that end in glossal (except the palatoglossus)
“Lick your Wounds” refers to what CN?
Refers to damage to CN XII. Damage to tongue causes tongue to point in the direction of the lesion/wound
SVA
any cranial nerve that carries smell and taste
SVE
Voluntary motor to pharyngeal arch muscles
SSA
Special senses of vision, hearing, and balance
GVE
Carrying parasympathetic fibers
GVA
sensors in the gut/blood vessles that can detect sensation such as pain and pressure