Cranial nerves III, IV & VI Flashcards
CN V modality…
Somatic sensory (skin, muscles, joints in head)
CN X modality…
Viceral sensory (Cranial, thoracic, abdominal viscera)
CN VII & IX modality…
Viceral Sensory (Taste buds)
CN VIII modality…
Special (inner ear)
CN III, IV &VI Modality….
Somatic motor (Extraocular muscles)
CN XII modality…
Somatic motor (Tongue muscles)
CN X modality…
Viceral motor (Parasympathetic ganglia for cranial, thoracic and abdominal.)
CN V, VII, X, XI modality….
Brachial motor (Jaw muscles, facial muscles, laryngeal & pharyngeal muscles, middle ear muscles, SCM & trapezius muscles.)
Function of Superior rectus muscle…
Elevation of eye
Function of Inferior rectus muscle..
Depression of eye
Function of lateral rectus..
Abduction of eye
Function of Medial rectus…
Adduction of eye
Function of superior oblique muscle..
Internal rotation of eye (intorsion)
Function of Inferior oblique muscle
External rotation (Extorsion) of eye
Results of CN III injury.. (8 things)
- Eye ipsilateral to lesion deviates laterally.
- Patient cannot move eye medially
- Vertical movement impaired
- Diplopia: double vision
- Ipsilateral levator palpebrae superioris is weak.
- Mydriasis = puplis on affected side is dilated.
- Pupil does not constrict in response to light.
- Lens cannot be focused for near vision
CN IV innervates what?
Contralateral superior oblique muscle!
Results of CN IV injury… (2 things)
- Much less noticeable than III
- Sup. Oblique moves eye downward and laterally.
- Patients report diplopia when going downstairs or reading.
CN VI innervates what?
Ipsilateral Lateral rectus Muscle.
Results of CN VI injury..
- Causes medial strabismus and lateral gaze paralysis
- Ipsilateral eye will not abduct past midpostion and contralateral eye will not adduct past midpostion.
- Nucleus contains motor neurons and internuclear neurons that ascend in the MLF (Medial longitudinal fasciculus)
Describe the function of the Medial Longitudinal Fasciculus…
- MLF allows coordination of head and eye movements.
- Interconnects III, IV, & VI nuclei to allow this.
MLF injury results in… (4 things)
- Internuclear ophthalmoplegia (Paralysis of the eye due to damage between the nuclei)
- Removes excitatory input to ipsilateral III nucleus.
- Eye Ipsilateral to lesion fails to move past midpostion during horizontal gaze.
- Both VI nuclei are intact so lateral movements of both eyes