Cranial Nerves and Spinal Nerves Flashcards
Afferent
(sensory) towards the brain
To the brain and spinal cord
Efferent
Away from the brain
From the brain to muscles, glands, and organs
Unilateral
one side
Bilateral
Both sides
Flaccidity
Reduction or loss of normal muscle tone
Spasticity
Involuntary, increased, velocity-dependent muscle tone
Cranial Nerves
12 Pairs, Sensory and Motor, Contralateral and bilateral intervention
- Olfactory
smell
- Optic
vision
- oculomotor
eye movement
- trochlear
eye movement
- Trigeminal
facial sensation/ mastication
- Abducens
eye movement
- Facial
facial expression
- vestibulocochlear
auditory
- Glossopharyngeal
taste
10.Vagus
voicing
11.Accessory
neck/shoulder movement
- Hypoglossal
tongue movement
Sensory
afferent fibers
motor
efferent fibers
Pyramidal tracts
originate in the cortex, carry motor fibers to the brainstem and spinal cord, voluntary control of muscles Direct Activation
Extrapyramidal tracts
originate in the brainstem, carry motor fibers to the spinal cord, involuntary control of muscles
Corticobulbar
cranial nerves (brainstem)
Corticospinal
Spinal nerves (spinal cord)
Typical
UMNs innervate brainstem motor nuclei on both sides
Atypical
UMNs innervate brainstem motor nuclei on the contralateral side
Upper motor neurons
originate in the cortex, and carry information to lower motor neurons
Lower motor neurons
originate in the brainstem or spinal cord, carry information to voluntary muscles, and Innervate muscles on the same side (ipsilateral)
V1 Ophthalmic
(Sensory) scalp, Forehead, eyes, nose
V2 Maxillary
(Sensory) Cheek, Upper lip, Upper teeth/ gums, palate
V3 Mandibular
(sensory) lower lip, lower teeth/gums, chin, and ear. (Motor) Tensor veil Palatine, tensor Tympani, mylohyoid, anterior belly of digastric, muscles of mastication
Muscles of mastication
Temporalis, masseter, Lateral pterygoids, medial pterygoids
LMN lesion
Jaw deviates toward the affected side, ipsilateral hypesthesia/ anesthesia, Fasciculations of temporalis and masseter
UMN lesion
none to very mild deficits for unilateral lesion, difficulty with mastication, hypesthesia, anesthesia for bilateral lesions
Somatic motor
Intrinsic and extrinsic muscles of the tongue (except palatoglossus)
Examination
general observation, Range of motion, strength, Speech