Cranial Nerves: Trigeminal Nerve Flashcards
Which cranial nerve is the trigeminal nerve?
five
The trigeminal nerve is innervated by what kind of fibers (non specific)?
large sensory and small motor component
Where is the nerve trunk of the trigeminal attached?
at the junction of the trapezoid body and the pons
Through what does the trigeminal nerve pass through?
the trigeminal canal in the petrous part of the temporal bone
What is located in the trigeminal canal?
the trigeminal ganglia
What do the trigeminal ganglia contain?
general somatic afferent neurons which receive sensory information from the vast area of the head
What are the three branches of the trigeminal nerve?
opthalmic branch, mandibular branch, maxillary branch
What type of fibers does the opthalmic branch contain?
sensory
What do the sensory fibers of the opthalmic branch supply?
the eyelid, eyeball, skin covering the nose, the mucosa covering nasal cavity
What structure does the opthalmic branch go through to leave the cranial cavity?
the orbital fissure
What does the opthalmic branch do after it exits the orbital fissure?
it divides into three branches
What are the three branches of the opthalmic branch?
the frontal, lacrimal, and nasociliary
Which is the most dorsally located branch of the opthalmic branch?
the frontal nerve
What is the course of the frontal nerve of the opthalmic branch?
it courses above the dorsal oblique and dorsal rectus muscles of the eyeball and then reaches the orbital ligament
What does the frontal nerve of the opthalmic branch do when it reaches the orbital ligament?
it divides into the supratrochlear nerve and supraorbital nerve
What do the supratrochlear and supraorbital nerve supply?
the skin on the medial 2/3 of the upper eyelid up to the dorsal midline
Which is the smallest branch of the opthalmic branch?
the lacrimal
What does the lacrimal nerve supply?
the lacrimal gland
What type of axons does the lacrimal nerve contain?
sympathetic post-ganglionic axons
What is the largest of the three branches of the opthalmic branch?
the nasociliary
Where is the nasociliary of the opthalmic branch located?
deep inside the periorbita over the retractor bulbi muscle
What are the branches of the nasociliary branch of the opthalmic?
a communicating branch to the ciliary ganglion, long ciliary nerves, the ethmoidal nerve, and the infratrochlear nerve
What type of fibers does the communicating branch of the nasociliary branch of the opthalmic carry?
GVE
What type of axons does the communicating branch of the nasociliary branch of the opthalmic contain?
postganglionic sympathetic axons
Where do the postganglionic sympathetic axons in the communicating branch to the ciliary ganglion go?
they pass the ciiliary ganglion to join the short ciliary branches of the oculomotor nerve
Where are the neurons of the communicating branch of the nasociliary nerve located?
in the cranial cervical ganglion
How does the communicating branch of the nasociliary nerve reach the opthalmic nerve?
via the internal carotid plexus formed at the origin at the internal carotid artery
What does the communicating branch of the nasociliary supply?
the smooth muscle cells within the periorbita, the eyelids, and the dilator of the pupil
What type of fibers does the long ciliary nerve of the nasociliary branch carry?
GVA, SVA, and SSA
Where do the long ciliary nerves of the nasociliary branch enter the eyeball?
dorsomedial to the optic nerve
Where do the GVA fibers of the long ciliary nerves of the nasociliary branch go and do the other fibers follow it?
ONLY the GVA branches go to the eyeball including the corneal epitherlium and bulbular conjunctiva
Where does the ethmoidal nerve of the nasociliary branch go and how does it get there?
it goes into the nasal cavity through the ethmoidal foramina
What does the ethmoidal nerve of the nasociliary branch supply?
the nasal mucosa and courses cranially to supply the external nostrils
Where is the infratrochlear nerve of the nasociliary branch located and how does it course?
located ventral to the trochlea of the tendon of the dorsal oblique muscle and becomes subcutaneous at the medial canthus of the eye
What type of fibers does the maxillary branch contain?
sensory and autonomic
What do the sensory fibers of the maxillary branch supply?
the upper eyelid, nasal mucosa, upper teeth, upper lip and nose
What do the autonomic fibers of the maxillary branch supply?
the lacrimal, nasal, and palatine glands
What structure does the maxillary branch go through to exit the cranial cavity?
the round foramen
What structure does the maxillary nerve follow after it leaves the cranial cavity?
the maxillary artery
What are the branches of the maxillary nerve?
the zygomatic nerve, the pterygopalatine nerve, and the infraorbital nerve
Where does the zygomatic nerve detach from the maxillary?
at the rostral alar foramen
When the zygomatic nerve detaches from the maxillary, what does it do?
divides into the zygomaticotemporal nerve and the zygomaticofacial nerve
What is the course of the zygomaticotemporal of the zygomatic nerve?
it courses between the dorsal rectus and the dorsal oblique muscles
Lateral to the orbital ligament, what does the zygomaticotemporal of the zygomatic nerve do?
it becomes subcutaneous and innervates the skin of the upper eyelid
What overlaps the zygomaticotemporal of the zygomatic nerve?
the frontal nerve and infratrochlear nerve
What type of axons does the zygomaticotemporal nerve of the zygomatic carry and where do they go?
postganglionic parasympathetic axons from the pterygopalatine ganglia to the lacrimal gland
What is the course of the zygomaticofacial nerve of the zygomatic?
it runs rostrally in the orbit deep to the periorbita and emerges medial ligament
What does the zygomaticofacial nerve of the zygomatic supply?
the skin dorsal to the zygomatic arch up to the external ear
What area does the zygomaticofacial nerve of the zygomatic overlap?
the area innervated by the branches of the opthalmic nerve