Cranial Nerves/ Head and Neck Nerves Flashcards
CN I
Name, Foramen, Fiber Type, Function, Branches
Name: Olfactory Nerve
Foramen: Cribiform Plate
Function: Smell, olfactory bulbs
Fibers: Special Sensory
Branches: Olfactory Filaments
CN II
Name, Foramen, Fiber Type, Function, Branches, special notes
Name: Optic n.
Foramen: optic canal
Fibers: special sensory
Function: Retina, vision
optic chiasm anterior to pituitary
CN III
Name, Foramen, Fiber Type
Name: Oculomotor
Foramen: superior orbital fissure
Fiber type: somatic motor, parasympathetic
CN III
Function, Branches
Function:
Motor - Superior rectus, levator palpebrae superioris, medial rectus, inferior rectus, inferior oblique
Parasympathetic - Sphincter pulilae, ciliary muscle
Branches:
Superior Branch - n. to superior rectus, n. to levator palpebrae superioris
Inferior Branch - n. to medial rectus, ciliary ganglion, n. to inferior oblique, n. to inferior rectus
CN IV
Name, Foramen, Fibers, Function, Branches
Name: Trochlear n.
Foramen: Superior orbital fissure
Fibers: Somatic motor
Branches: n. to superior oblique
CN V
Name, named branches, foramen,
Name: Trigeminal
Main Branches:
V1 - Opthalmic
V2 - Maxillary
V3 - Mandibular
Foramen:
V1 - superior orbital fissure
V2 - foramen rotundum
V3 - foramen ovale
CN V1 Name, Branches
Opthalmic N.
Branches:
Frontal –> Supratrochlear, Supraorbital (via supraorbital foramen)
Lacrimal
Nasociliary –> infratrochlear, Post./Ant. Ethmoidal, External Nasal, Long Ciliary, branch to short ciliary
CN V2 Name, Branches
Maxillary N.
Branches:
zygomatic
Infraorbital
Post/Ant superior alveolar
Nasopalatine
greater palatine (OG)
lesser palatine (OG)
CN V3 Name, Branches
Mandibular
Branches:
Tensor Tympani
Tensor Velli Palletini
Medial Pterygoid
Auriculotemporal
buccal
Lingual (joined by chorda tympani) –> n. to mylohyoid
Inferior Alveolar –> mental
CN V1 Functions
Opthalmic Sensory
meninges, orbit, cornea, conjunctive, nasal cavity lining, forehead, middle nose, frontal air sinuses
CN V2 Functions
Maxillary sensory:
meninges, maxilarry air sinus, gums, teeth of upper jaw, bony part of cheek
CN V3 Functions
Mandibular sensory:
meninges, mucosa of oral cavity, palate, sensation to ant 2/3 of tongue, gums, teeth of lower jaw, soft part of cheek, mandible
Mandibular motor:
Muscles of mastication - masseter, buccinator, lateral pterygoid, medial pterygoid
tensor tympani, tensor palatini, mylohyoid, ant. belly of digastric
CN VI
Name, foramen, fibers, function
Name: Abducens
Foramen: Superior Orbital Fissure
Fibers: general somatic motor
Function: Somatic Motor, lateral rectus
CN VII
Name, Foramen, Fibers
Name: Facial nerve
Foramen: Internal Acoustic Meatus
Fibers: special sensory, general sensory, visceral motor, parasympathetic motor
CN VII
Functions
Name: Facial n.
Somatic motor functions:
muscles of facial expression, post. belly of digastric, stylohyoid
Special sensory functions:
taste to ant. 2/3 of tongue via chorda typmani
General Sensory: skin of auricle, skin of small area behind the ear
Parasympathetic functions:
lacrimal gland/masal oral mucosa, submandibular gland, sublingual gland,
CN VII
Branches
Facial n. : Temporal Zygomatic Buccal Mandibular Cervical Greater Petrosal Chorda Tympani (meets with V3) Posterior Auricular N. to post. belly of digastric Stylohyoid
CN VIII
Name, foramen, fibers, function
Name: Vestibulocochlear
Foramen: internal acoustic meatus
Fiber type: special sensory
Function: Special sensory for hearing and balance
Branches: vestibular, cochlear
CN IX
Name, Foramen, Fibers, Functions
Name: Glossopharyngeal
Foramen: Jugular Foramen
Fibers: Special sensory, general sensory, somatic motor, parasympathetic
Functions:
Special/general sensory - taste to post. 1/3 of tongue, pharynx, carotid sinus, carotid body
somatic motor:
stylopharyngeus
Parasympathetic:
Parotid gland
CN X
Name, foramen, fibers, branches
Name: Vagus
Foramen: Jugular Foramen
Fibers: General sensory, visceral sensory, special sensory, visceral motor, parasympathetic
Branches:
Pharyngeal
Superior laryngeal –> Internal laryngeal and external laryngeal
Recurrent laryngeal –> inferior laryngeal
CN X
Functions
Vagus
Sensory:
sensation to ear canal via auricular branch, Larynx mucosa, epiglottic taste
Motor: pharynx, larynx soft palate, upper 2/3 of esophagus
Parasympathetic: preganglionic fiber to thoracic and abdominal smooth muscle, viscera, glands
CN XI
Name, foramen, fiber type, function, branches
Name: Spinal accessory
Foramen: Jugular foramen
Fibers: motor
Function: motor to SCM, trapezius
Branches: muscular
CN XII
Name, foramen, fibers, function, branches
Name: Hypoglossal
Foramen: hypoglossal canal
Fibers: somatic motor
Function: somatic motor to all tongue muscles except palatoglossus (Genioglossus, Styloglossus, Hyoglossus, intrinsic tongue)
Branches: styloglossus, hyoglossus, genioglossus
Nerve point of the neck
Lesser occipital (C2) Great Auricular (C2/C3) Transverse cervical (C2/C3) Supreclavicular (C3/C4)
Cervical Plexus
Origins, nerves,
C1-C4 Anterior Rami
Transverse cervical n. (C2/C3)
Ansa Cervicalis (C1-C3) superficial to carotid sheath
Cervical Sympathetic Chain
Superior Cervical ganglion (C1-C4)
Middle Cervical Ganglion (C5-C6)
Inferior cervical ganglion (C7-C8)
Stellate ganglion (C7-T1)
CN III Parasympathetic pathway
Midbrain –> CN III –> Sup. Orbital Fissure –> Otic Ganglion (SYNAPSE) –> short ciliary nn.(V1) –> sphincter pupilae and ciliary mm.
CN III Sympathetic pathway
Sympathetic chain –> superior cervical ganglion (SYNAPSE) –> internal carotid plexus –> ciliary nerves (hitchhike) –> Dilator pupilae
CN IX Parasympathetic Pathway
Medulla –> CN IX –> Jugular Foramen –> Tympanic N. –> Tympanic plexus –> lesser petrosal n. –> hiatus for lesser petrosal –> middle cranial fossa –> Foramen Ovale –> Otic Ganglion (SYNAPSE) –> auriculotemporal (HH, V3) –> Parotid Gland
CN IX Sympathetic Pathway
Sympathetic Chain –> Superior Cervical Ganglion (SYNAPSE) –> External Carotid Plexus –> Parotid Gland
CN VII, PPG Parasympathetics
Pons –> CN VII –> Internal Acoustic Meatus –> Greater Petrosal n. –> Hiatus for greater petrosal –> N. of Pterygoid Canal –> PPG (SYNAPSE) –> Branches of V2 (hitchhike) to nasal cavity and palate, Direct branches to lacrimal gland
CN VII, PPG Sympathetics
Sympathetic Chain –> Superior Cervical Ganglion (SYNAPSE) –> Internal carotid Plexus –> carotid canal –> Deep petrosal N. –> Nerve of pterygoid Canal –> PPG –> Branches of V2 (HitchHike) to nasal cavity and palate
Lacrimal gland follows Para path
CN VII, Submandibular Parasympathetics
Pons –> CN VII –> Internal Acoustic Meatus –> Chorda Tympani –> Lingual n. (Hitchhike, V3) –> Submandibular ganglion (SYNAPSE), lingual nerve (hitchhike) to sublingual gland, direct branches to sublingual and submandibular glands
CN VII, Submandibular Sympathetics
Sympathetic Chain –> Superior Cervical Ganglion –> External carotid plexus –> Lingual and Facial aa. –> Submandibular and sublingual glands
Sterns Laws
Tensor = CN V3
Palat = CN X
Gloss = CN XII
Somatic Motor Nerves
3, 4, 5, 6, 7, 9, 10, 11, 12
CN III, Occulomotor: Levator Palpebrae Sup., SR, IF, MR, IO
CN IV, Trochlear: SO
CN V3, Mandibular: Masseter, Temporalis, Medial Pterygoid, Lateral Pterygoid (Muscles of Mastication), Tensor muscles
CN VI, Abducens: LR
CN VII, Facial n.: Muscles of facial expression
CN IX, Glossopharyngeus: Stylopharyngeus
CN X, Vagus: Larnx, Pharynx, Palate
CN XI, Spinal Accessory: Trapezius, SCM
CN XII, Hypoglossal: Genioglossus, Styloglossus, Hyoglossus, intrinsic tongue
Somatic Sensory Nerves
5, 7, 9, 10
CN V1, Opthalmic: orbit, central forehead, dorsal nose
CN V2, Maxillary: lateral forehead, lateral nose, nasal cavity, palate, upper teeth
CN V3, Mandibular: jaw, lower teeth, ear, temporal region
CN VII Facial: little region of external ear
CN IX, Glossopharyngeal: Posterior 1/3 of tongue (sensation + taste), pharynx, Middle ear
CN X, Vagus: Pharynx, larynx, External ear canal
Visceral Sensory Nerves
9, 10
CN IX, Glossopharyngeal: carotid body and sinus
CN X, Vagus: Pharynx, thoracic, foregut, midgut viscera
Special Sensory
1, 2, 5, 7, 8, 9, 10
CN I, Olfactory: smell
CN II, Optic: Vision
CN V3, Lingual: taste to anterior 2/3
CN VII, Facial: taste to ant. 2/3 via chorda tympani
CN VIII, Vestibulocochlear: balance and hearing
CN IX: taste to posterior 1/3 of tongue
CN X: taste to root of tongue
CN Origins (2,2,4,4)
Forebrain: olfactory, optic
Midbrain: occulomotor, trochlear
Pons: Trigeminal, Abducens, Facial, Vestibulocochlear
Medulla: Glossopharyngeal, vagus, spinal accessory, hypoglossal
CN Exits
1: cribiform plate
2: optic canal
3,4,5,6: Superior orbital fissure
5(2): foramen rotundum
5(3): Foramen ovale
7,8: Internal acoustic meatus
9,10,11: Jugular Foramen
12: hypoglossal canal
Gag Reflex:
Sens: CN IX
Motor: CN X
Cough Reflex
Sens/Motor: CN X
Pupillary Light:
Sens: CN II
Motor: CN III
Accomodation
Sens: CN II
Motor: CN III
Corneal Blink
Sens: V1
Motor: VII
Superior laryngeal
somatic motor (external laryngeal) and sensory (internal laryngeal)
External laryngeal
motor to cricothyroid m
Internal laryngeal
sensory from supraglottic larynx
Inferior laryngeal
from recurrent laryngeal.
Motor to ALL INTERNAL LARYNGEAL MUSCLES
Unilateral damage = soft, breathy voice
Bilateral damage = no vocalization