Cranial Nerves_2 Flashcards
Describe the course of the facial motor nerve, and how it innervates motor muscles of the face.
Facial motor nucleus is located in the mid to lower pons. It is at the same level as the abducens but makes a genu around the abducens around the facial colliculi. It leaves ventral laterally (more lateral to the abducens). It makes an internal genu, then goes through the internal acoustic meatus. It then travels through the auditory canal, then through the facial canal (the facial canal is medial to the middle ear). It then goes through the stylomastoid foramen, then between the stylohyoid muscle and the posterior belly of the digastric (innervates them), travels with the auriculotemporal nerve in the parotid gland (does not innervate but separates the gland into superficial and deep divisions). After it exits the parotid gland, ti gives rise to 5 motor branches: Temporal, Zygomatic, Buccal, Mandibular, Cervical. It also innervates the stapedius.
How does the facial nerve innervate the lacrimal gland?
The salivary nucleus of the facial nerve gives rise to the greater petrosal superficial nerve. This nerve synapses on the pterygopalantine ganglion (sphenopalantine ganglion). From there, the postganglionic parasympathetic fibers from cell bodies in the ganglion is now part of the zygomaticofacial branch of V2. One branch will then travel onto the lacrimal branch of V1, and another will travel with the palatine branch of the trigeminal onto the minor salivary glands of the palate.
How does the facial nerve innervate the submandibular and sublingual glands?
The salivary nucleus of the facial nerve gives rise to the chorda tympani. The chorda tympani travels with the facial motor nerve, goes through the IAM, but turns before it goes through the stylomastoid foramen. It synapses on the submandibular ganglion, and from there, the post-ganglionic parasympathetic nerves travel with the lingual nerve of V3 and innervate the sublingual and submandibular gland.
Explain how we taste from the anterior 2/3rds of our tongue.
The anterior 2/3rds of our tongue has sensory fibers (chorda tympani) that travel with the lingual nerve of V3 of trigeminal. The fibers pass through the geniculate ganglion (where the primary sensory neurons are..but they don’t synapse here), and then synapse in the nucleus solitarious.
Describe Bell’s Palsy
All divisions of facial nerves are impaired. Unilateral face weakness. Hypercusis can occur (stapedius muscle weakness) and dry eyes (decreased lacrimation).
Why would Bell’s Palsy cause decreased lacrimation and hypercusis? *(a health condition characterized by increased sensitivity to certain frequency and volume ranges of sound).
Bell’s Palsy occurs due to impared facial nerves. If facial nerve is impaired, then the salivatory nucleus will be impared. The greater petrosal nerve arises from the facial nerve, goes through the IAM, synapses on the pterygopalantine ganglion. From there, the postganglionic parasympathetic fibers travel with the zygomaticofacial V2, then the lacrimal V1 (to lacrimal gland) or palatine branch of V (to minor salivary gland of palate). Hypercusis could occur because the facial nerve also innervates the stapedius muscle.
Where does the vestibulocochlear nerve exit the brain stem?
It exits at the PMJ (8 year old likes PB+J sandwiches). It is lateral to the facial nerve.CN VII along with CN VIII exits through the IAM.CN VII is somatosensory, so sensory fibers from the cochlea go to the spiral ganglion then through the auditory canal, go to the PMJ then synpse at the dorsal ventrical cochlear nuclei. Sensory fibers coming from the vestibular apparatus go to the scarps ganglia, travel through the auditory canal, and go to the PMJ then synapse on the dorsal and ventral cochlear nucleus.
How is the stylopharyngeus muscle innervated?
It is innervated by nucleus ambiguus nucleus of the glossopharyngeal nerve. The nucleus ambiguus nerve provides skeletal muscle innervation to the stylopharyngeus. This muscle elevates the pharynx, larynx, and dilates the pharynx so that a bolus can pass through.
How is the parotid gland innervated?
The parotid gland is innervated by the glossopharyngeal nerve. Salivary nucleus gives off the lesser superficial petrosal nerve which synapses in the otic ganglion. From there, the postsynapatic parasympathetic fibers innervate the parotid gland.
What is the solidarity nucleus role in XI?
1/3 of the posterior tongue (taste- special visceral sensory) and the carotid sinus and baroreceptors (general visceral sensory) have sensory fibers that are conveyed by the inferior glossopharyngeal ganglion which synapse in the solitarity nucleus of XI.
How is general somatic sensory (pain/temp) conveyed from the pharynx, and 1/3 posterior portion of the tongue?
General somatic sensory from the posterior 1/3 of the tongue and pharynx, larynx, are conveyed by superficial and inferior (jugular) glossopharyngeal ganglion. Then synapse in the trigeminal spinal nucleus.
What nerve (nucleus) is responsible for the gag reflex?
Vagus:Nucleus ambiguus provides motor innervation to the pharyngeal muscles (swallowing and gag reflex) and laryngeal muscles.
What nerve is responsible for conveying sensory information from the baroreceptors and chemoreceptors of the aortic arch?
Vagus nerve.Visceral sensory (general) information from the aortic arch covey sensory information to the nodosal ganglion, which then go to the solitary nucleus. Taste from the pharynx and epiglottis (visceral special information) also covey sensory information to the solitary nucleus.
General sensation (pain and temp) from the tongue, pharynx and a small region near the external auditory meatus convey their information where and then synaps where?
general somatic sensation like pain and temp from the tongue, pharynx and a small region of the external auditory meatus convey their information to superior vagal ganglion, then synpase at the trigeminal spinal nucleus
A branch of the vagus, the ____ ____ nerve loops back upward from the thoracic cavity to control all intrinsic laryngeal muscles (except for the cricothyroid, which is innervated by the ___ ___ nerve).
recurrant laryngeal nerve loops back upward from the thoracic cavity to control all intrinsic laryngeal muscles (except the cricothyroid , which is innervated by the superior laryngeal nerve).
What might cause unilateral vocal cord paralysis and hoarseness?
injury to the recurrant laryngeal nerve
Where does spinal accessory nerve arise from?
The first 5 or 6 cervical segments of the spinal cord (NOT FROM THE BRAIN STEM)
What does the spinal accessory nerve innervate?
SCM and trapezius
Where does XI exit?
jugular foramen