Exam 4: CN V and VII (35) Flashcards
what CN are only sensory
CN I(olfactory), II(optic), VIII(vestibulochoclear)
what CN are sensory/ motor
Glossopharyngeal (IX)
Trigeminal (V)
Vagus (X)
Facial (VII)
what CN are only motor
Oculomotor (III)
Trochlear (IV)
Abducent (VI)
Accessory (XI)
Hypoglossal (XII)
Autonomic ganglia (CN’s ___,___,__,__
CN’s III, VII, IX, X
NAME THE GANGLION
post-synaptic fibers innervate intrinsic muscles of the eye (ciliary muscles, sphincter pupillae, dilator pupillae)
Ciliary ganglion (oculomotor nerve)
NAME THE GANGLION
post-synaptic fibers innervate lacrimal, nasal, and palatine glands
Pterygopalatine (a.k.a., sphenopalatine) ganglion (facial nerve)
NAME THE GANGLION
post-synaptic fibers innervate sublingual
and mandibular salivary glands
Mandibular ganglion (facial nerve)
NAME THE GANGLION
post-synaptic fibers innervate parotid
and zygomatic salivary glands
Otic ganglion (glossopharyngeal nerve)
NAME THE GANGLION
located in walls of thoracic, abdominal and pelvic viscera
Terminal (a.k.a., visceral) ganglia (vagus nerve and branches)
what ganglion synapse between pre and post (GSE)
list the 5 motor
- Ciliary ganglion (oculomotor nerve)
- Pterygopalatine (a.k.a., sphenopalatine) ganglion (facial nerve)
- Mandibular ganglion (facial nerve)
- Otic ganglion (glossopharyngeal nerve)
- Terminal (a.k.a., visceral) ganglia (vagus nerve and branches)
List the Afferent (sensory) ganglia (4 main ones)
▪ Sensory (a.k.a., semilunar) ganglion of the trigeminal nerve
▪ Geniculate ganglion of the facial nerve
▪ Vestibular ganglia of the vestibular
branch of the vestibulocochlear nerve
▪ Spiral ganglia of the cochlear branch of the vestibulocochlear nerve
do afferent (sensory) ganglia synapse between pre and post?
what root do these travel
No
dorsal root
Spiral ganglia of the cochlear branch of what nerve
vestibulocochlear nerve
Vestibular ganglia of the vestibular branch of what nerve
vestibulocochlear nerve
Geniculate ganglion is of what CN
facial nerve
Sensory (a.k.a., semilunar) ganglion of what CN
trigeminal nerve
The trigeminal nerve (CN V) is the Major source of ______ innervation of the head
SENSORY (GSA)
what are the branches of CN V
▪ Ophthalmic nerve (V1)
▪ Maxillary nerve (V2)
▪ Mandibular nerve (V3)
what branch of CN V is this?
Sensory (GSA) from nasal mucosa, nose, eyes, superior palpebrae, M/L commissures (a.k.a., canthi) of eye, scalp, forehead
▪ Ophthalmic nerve (V1)
what branch of CN V is this?
Sensory (GSA) from nasal mucosa, nose,
lateral commissure (canthus) of eye, upper teeth, gum, lip, nose
▪ Maxillary nerve (V2)
what branch of CN V is this?
Sensory (GSA) from ear, face, cheek, tongue, lower teeth, gum, lip
Motor (GSE) to muscles of mastication
▪ Mandibular nerve (V3)
what is the only branch of CN V that is both sensory and motor
▪ Mandibular nerve (V3)
The trigeminal ganglion is a SENSORY ganglion, comprised of
sensory (unipolar) neuron cell bodies (GSA).
identify
- Approximate location of trigeminal ganglion
- Trigeminal canal
- Petrous temporal bone (highlighted)
Dendrites (in periphery) –> ____________–> Soma (in ganglion)–> ____________–> CNS/Brain
Peripheral processes
central processes
The motor component (GSE) of the
trigeminal nerve originates from the ____________ and distributes via ___________
motor nucleus of the trigeminal nerve
(within the brainstem/CNS)
via the mandibular branch
(V3) to the muscles of mastication
what are the muscles that CN V innervate (5)
▪ Temporalis m.
▪ Masseter m.
▪ Digastricus m., rostral part
▪ Lateral pterygoid m.
▪ Medial pterygoid m
what is this? from what view
Brainstem, Dorsal View
what kind of neuron is this
Multipolar (Motor) Neuron
what is the missing step in the process
Each division of the trigeminal nerve leaves the cranium via a
separate opening
Ophthalmic nerve (V1) exits via the
Exits the cranium via the orbital fissure
Maxillary nerve (V2) Exits the cranium via the
round foramen, which opens into the alar canal
Mandibular nerve (V3) Exits the cranium via
the oval foramen
identify 1-3 and what nerve would pass through
orbital fissure (1)- Ophthalmic nerve (V1)
round foramen (2)–Maxillary nerve (V2)
oval foramen (3)–Mandibular nerve (V3)
identify 1-3 what what nerves pass
After leaving the cranium through their designated foramina, each division of the trigeminal nerve gives off ______
several branches
Ophthalmic nerve branches
what to remember them
“NFL”
what area does the nasociliary branch of the opthalmic nerve innervate
“nose” and “eye”
▪ nasal mucosa, skin of muzzle (ethmoidal n.; overlap zone with maxillary nerve)
▪ medial canthus / commissure (infratrochlear n.), internal eye including cornea (long ciliary n.)
what does the frontal nerve branch of the opthalmic nerve innervate
rostral frontal region, upper eyelid
what does the lacrimal nerve branch of the opthalmic nerve innervate
eye, lacrimal area
SENSORY
Nasociliary nerve is important for what reflex
corneal reflex
Nasociliary nerve branches into what 3 nerves
▪ Long ciliary nerve
▪ Ethmoidal nerve
▪ Infratrochlear nerve
Long ciliary nerve (of Nasociliary nerve) innervates
Courses with optic nerve to innervate eyeball
Long ciliary nerve (of Nasociliary nerve)
afferent or efferent
Afferent from corneal epithelium and bulbar conjunctiva
Ethmoidal nerve (of Nasociliary nerve) enters the cranium via the _______ and and then
passes through the ______________
Enters the cranium via the ethmoidal foramen and then passes through the cribriform plate and into the nasal cavity
Ethmoidal nerve(of Nasociliary nerve)
afferent or efferent
Afferent from nasal mucosa and skin of nose
Infratrochlear nerve (of Nasociliary nerve)
afferent or efferent
Afferent from medial canthus/commissure of eye
The nasociliary nerve transmits ___________________ from the cranial cervical ganglion to the dilator mm. of the pupil.
post-ganglionic sympathetic axons
Frontal nerve (of the ophthalmic n.) is afferent or efferent
Afferent from rostral frontal region and upper eyelid
Lacrimal nerve (of the ophthalmic n.) supplies
autonomic innervation to the lacrimal gland
Lacrimal nerve (of the ophthalmic n.) use what kind of post-ganglionic axons
▪ Post-ganglionic PSNS axons from the pterygopalatine ganglion (CN VII) join the lacrimal nerve (pre-ganglionic neurons are from facial nerve, CN VII)
▪ Post-ganglionic SNS axons from cranial cervical ganglion
Lacrimal nerve (of the ophthalmic n.) supplies what kind of innervation
Supplies sensory innervation to the conjunctiva of upper eyelid
identify the 3 arrows
what are the branches of the maxillary nerve of CN V
how to remember it
ZIP
- Zygomatic nerve
- Infraorbital nerve
- Pterygopalatine nerve
Zygomatic nerve of the maxillary nerve divides into
branches within the orbit (zygomaticotemporal and zygomaticofacial)
what does the Zygomatic nerve of the maxillary nerve supply
Supplies sensory innervation to skin over zygomatic arch, caudal frontal region, inferior eyelid
identify the nerve
Zygomatic n.
what does the maxillary nerve exit out of
rostral alar foramen
Infraorbital n. (branch of the maxillary nerve) is sensory to
what does the nerve travel through
▪ Maxillary foramen → infraorbital canal → infraorbital foramen
▪ Sensory (GSA) from upper teeth, gums, lip, and nose
Pterygopalatine n. arises from the ventral aspect of the maxillary nerve near the __________
pterygopalatine ganglion (can visibly see)
Pterygopalatine n. divides into three nerves:
▪ Major and minor palatine nn.
▪ Caudal nasal n (innervates nasal mucosa)
Pterygopalatine n. is sensory from
from caudal nasal region and palate.
The pterygopalatine ganglion is an autonomic
ganglion affiliated with the ___________ supplies ___________ to glands of the head (lacrimal, nasal, palatine).
the facial nerve; supplies parasympathetic innervation
sensory zones of the maxillary nerve
zygomatic
infraorbital
Pterygopalatine
skin over zygomatic arch, caudal frontal
region, lower eyelid, lateral canthus /
commissure of eye
what part of the maxillary nerve innervates here
Zygomatic
upper lip, nose, upper teeth and gums
what part of the maxillary nerve innervates here
Infraorbital
palate and caudal nasal region
what part of the maxillary nerve innervates here
Pterygopalatine
Mandibular nerve (V3) branches (6)
▪Buccal nerve –sensory
▪ Lingual nerve–sensory
▪ Inferior alveolar nerve–sensory
▪ Masticatory branches–motor
▪ Mylohyoid nerve–mixed
▪ Auriculotemporal nerve–sensory
Buccal nerve (cheek)
location and sensory to
▪ Crosses the medial pterygoid m. and enters the cheek, lateral to the zygomatic salivary gland
▪ Sensory to mucosa and skin of cheek
identify the nerve
▪ Buccal nerve (cheek)
Although the buccal nerve is intimately
affiliated with the zygomatic salivary gland, the gland is supplied _____ innervation by what nerve?
PSNS; glossopharyngeal nerve (CN IX)
Buccal nerve (cheek) gives sensory to mucosa and skin of cheek
why is this important
need for moving food out of cheek
Lingual nerve:
sensory or motor?
where?
▪ Sensory (GSA) from tongue
▪ The chorda tympani n. (of CN VII, facial) joins
the lingual n. to supply taste sensation (SVA)
from the rostal 2/3 of the tongue
Linguinal nerve is _____________ of the 3 branches
Largest and most rostral
Inferior alveolar nerve
sensory or motor ?
where?
Mandibular foramen → mandibular canal → mental foramina
▪ Sensory (GSA) from lower teeth, gums, and lip
identify 1 and 2
Mylohyoid nerve
motor or sensory?
where?
▪ Motor (GSE) to rostral belly of digastricus m.
and mylohyoid m. (AD and MH in top right
image, respectively)
▪ Sensory to skin between the mandibles
identify
Masticatory branches
motor or sensory?
where?
Motor (GSE) to muscles of mastication
what nerve immediately adjacent to auriculopalpebral branch of the facial nerve
Auriculotemporal nerve
Auriculotemporal nerve:
sensory or motor?
where?
Sensory (GSA) from skin of temporal,
zygomatic, and masseteric regions, as well
as skin of external ear
Auriculotemporal nerve–Immediately adjacent to auriculopalpebral branch of the facial nerve
there is a lot of ____ between these 2 nerves
LOTS of “crosstalk” between these two nerves!
sensory zones of the mandibular nerve
▪ Buccal nerve (cheek)
▪ Lingual nerve
▪ Inferior alveolar nerve
▪ Mylohyoid nerve– Intermandibular region
▪ Auriculotemporal nerve
Tongue; Ouch!!! (CN V), taste is via CN VII (chorda tympani)
name the nerve
▪ Lingual nerve
name the nerve
▪ Mental nerves
▪ Teeth, lip
▪ Inferior alveolar nerve
▪ External ear, temporal, zygomatic, masseteric
regions
name the nerve
▪ Auriculotemporal nerve
what is this showing
sensory zones of mandibular nerve
Is a mixed nerve, but is mostly motor (GSE)
to the muscles of facial expression
facial nerve (CN VII)
facial nerve (CN VII) is important for maintenance of ___________
facial tone
facial nerve (CN VII) travels through what foramen
Internal acoustic meatus → facial canal → stylomastoid foramen
identify the meatus
Internal acoustic meatus
Dorsal and ventral buccal branches of the facial nerve are motor to
muscles of facial expression
Auriculopalpebral n. (branch of facial nerve) is motor to
Motor to muscles of facial expression,
including rostral auricular mm.
facial nerve (CN VII) is Autonomic (PSNS) to
glands of the head
facial nerve branches:
Major petrosal n. → pterygopalatine
ganglion →?
lacrimal n. (ophthalmic, V1)
facial nerve branches:
Chorda tympani n. → lingual n. (CN V3) →?
mandibular and sublingual ganglia
facial nerve branches: Chorda tympani n.
sensory
▪ Taste from rostral 2/3 of tongue
▪ Merges with lingual n. (CN V)
what are these representing
Cutaneous areas of the rostral concave surface of the external ear (facial nerve)
taste is processed by CN ___________
VII, IX, X
what nerve is this
Sensory from taste buds in the rostral two thirds of the tongue
Facial nerve (CN VII)
what nerve is this
Sensory from taste buds in the caudal one third of the tongue
Glossopharyngeal nerve (CN IX)
what nerve is this
Sensory from taste buds in the throat
(pharynx) and epiglottis; taste buds in the
GI tract
Vagus nerve (CN X)
what would lesions of CN V look like:
Ophthalmic
▪ Decreased/absent corneal reflex (afferent = CN V; efferent = CN VI)
▪ Decreased/absent palpebral reflex (afferent = CN V; efferent = CN VII) when touching the upper eyelid and the medial canthas of eye
what would lesions of CN V look like:
Maxillary
▪ Decreased/absent reflex/response when pinching upper lip (afferent = CN V; efferent = CN VII)
▪ Decreased/absent palpebral reflex when touching the lower eyelid and the lateral canthas of eye (afferent = CN V; efferent = CN VII)
what would lesions of CN V look like:
Mandibular
▪ Decreased/absent reflex/response when touching and/or pinching lower lip (afferent = CN V; efferent = CN VII)
▪ Decreased/absent ability to close the mouth, poor jaw tone– Eventual muscle atrophy
What about opening the mouth? Which muscle does this and which nerve(s) is it innervated by?
digastricus m.
growling and snare is what kind of response
conscious awareness
what CN is this
CN V
what CN is involved
CN V3
what CN is involved
CN V
what would lesions of CN VII look like
▪ Decreased/absent facial muscle tone
▪ Deviated philtrum (most obvious in horses)
▪ Decreased/absent palpebral reflex
▪ Decreased/absent facial muscle reflex (wrinkling of lips/cheeks) when
upper/lower lips are pinched.
lesions of CN VII may result in:
Holding of food in the buccal vestibule with resultant foul smell from the mouth—Why?
can’t feel that the food is there
lesions of CN VII may result in:
▪ Decreased appetite—Why?
no taste sensation
unilateral facial nerve paralysis:
which side is the paralysis
LEFT