Cranial Nerves (pass medicine) Flashcards
Olfactory nerve - function
Smell
Olfactory nerve - pathway/foramen
Cribriform plate
Optic nerve - function
Sight
Optic nerve - pathway/foramen
Optic canal
Occulomotor nerve - function
Eye movement (MR, IO, SR, IR)
Pupil constriction
Accomodation
Eyelid opening
Occulomotor nerve - clinical
Palsy results in
ptosis
‘down and out’ eye
dilated, fixed pupil
Occulomotor - pathway/foramen
Superior orbital fissure (SOF)
Trochlear nerve - function
Eye movement (SO)
Trochlear nerve - clinical
Palsy results in defective downward gaze → vertical diplopia
Trochlear nerve - pathway/foramen
SOF
Trigeminal nerve - function
Facial sensation
Mastication
Trigeminal nerve - clinical
Lesions may cause: trigeminal neuralgia loss of corneal reflex (afferent) loss of facial sensation paralysis of mastication muscles deviation of jaw to weak side
Trigeminal nerve - pathway/foramen
V1: SOF,
V2: Foramen rotundum,
V3: Foramen ovale
Abducens nerve - function
Eye movement (LR)
Abducens nerve - clinical
Palsy results in defective abduction → horizontal diplopia
Abducens - pathway/foramen
SOF
Facial nerve - function
Facial movement
Taste (anterior 2/3rds of tongue)
Lacrimation
Salivation
Facial nerve - clinical
Lesions may result in: flaccid paralysis of upper + lower face loss of corneal reflex (efferent) loss of taste hyperacusis
Facial nerve - pathway/foramen
Internal auditory meatus
Vestibulocochlear nerve - function
Hearing, blanace
Vestibulocochlear nerve - clinical
Hearing loss
Vertigo, nystagmus
Acoustic neuromas are Schwann cell tumours of the cochlear nerve
Vestibulocochlear nerve - pathway/foramen
Internal auditory meauts
Glossopharyneal nerve - function
Taste (posterior 1/3rd of tongue)
Salivation
Swallowing
Mediates input from carotid body & sinus
Glossopharyngeal nerve - clinical
Lesions may result in;
hypersensitive carotid sinus reflex
loss of gag reflex (afferent)
Glossopharyngeal nerve - pathway/foramen
Jugular foramen
Vagus nerve - function
Phonation
Swallowing
Innervates viscera
Vagus nerve - clinical
Lesions may result in;
uvula deviates away from site of lesion
loss of gag reflex (efferent)
Vagus nerve - pathway/forman
Jugular foramen
Accessory nerve - function
Head and shoulder movement
Accessory nerve - clinical
Lesions may result in;
weakness turning head to contralateral side
Accessory nerve - pathway/foramen
Jugular foramen
Hypoglossal nerve - function
Tongue movement
Hypoglossal nerve - clinical
Tongue deviates towards side of lesion
Hypoglossal nerve - pathway/foramen
Hypoglossal canal
Corneal reflex afferent and efferent limb
Afferent: ophthalmic (V1)
Efferent: Facial (V2)
Jaw jerk afferent and efferent limb
Afferent: Mandibular nerve (V3)
Efferent: Mandibular nerve (V3)
Gag afferent and efferent limb
Afferent: Glossopharyngeal nerve (IX)
Efferent: Vagal nerve (X)
Carotid sinus afferent and efferent limb
Afferent: Glossopharyngeal (IX)
Efferent: Vagal nerve (X)
Pupillary light afferent and efferent limb
Afferent: Optic nerve (I)
Efferent: Occulomotor (III)
Lacrimation afferent and efferent limb
Afferent: Ophthalmic nerve (V1)
Efferent: Facial nerve (VII)