Ganglia, Nuclei, and Cranial Nerves Flashcards
What cranial nerve exits are in the anterior cranial fossa?
Cribiform plate - CN I
Optic canal - CN II
What cranial nerve exits are in the middle cranial fossa?
Busiest cranial fossa
Superior orbital fissure - CN III, IV, V1, VI
Foramen rotundum - CN V2
Foramen ovale - CN V3
Internal opening of carotid canal (internal carotid artery)
Foramen spinosum (middle meningeal artery)
What cranial nerve exits are in the posterior cranial fossa?
Internal acoustic meatus - CN VII, VIII
Jugular foramen - IX, X, XI
Hypoglossal canal - XII
Foramen magnum - spinal chord, vertebral artery, XI
What is the point of attachment for cranial nerve I?
Frontal and temporal lobes
What is the point of attachment for cranial nerve II?
Optic chiasm
What is the point of attachment for cranial nerve III, IV?
Midbrain
What is the point of attachment for cranial nerve V, VI, VII, VIII?
Pons (near pontomedullary junction)
What is the point of attachment for cranial nerve IX, X, XII?
Medulla
What is the point of attachment for cranial nerve XI?
Medulla and cervical spinal chord
GSA - What are the different names?
General Somatic Afferent, General Sensory or Somatic Sensory
GSA functions?
General Somatic Afferent, General Sensory or Somatic Sensory
Conduct impulses from skin, skeletal muscle spindles
SSA - What are the different names?
Special Somatic Afferent, Special Sensory
SSA functions?
Special Somatic Afferent, Special Sensory
Conduct impulses from retina, auditory, and vestibular apparatuses
GVA - What are the different names?
General Visceral Afferent, Visceral Sensory
GVA functions?
General Visceral Afferent, Visceral Sensory
Conduct impulses from viscera, BVs, SM
SVA - What are the different names?
Special Visceral Afferent, Special Sensory
SVA functions?
Special Visceral Afferent, Special Sensory
Conduct impulses from taste buds, olfactory mucosa
GVE - What are the different names?
General Visceral Efferent, Autonomic Motor or Visceral Motor
GVE functions?
General Visceral Effect, Autonomic Motor or Visceral Motor
Innvervate SM, cardiac muscle, glands (sympathetic and parasympathetic)
GSE - What are the different names?
General Somatic Efferent, Somatic Efferent or Somatic Motor
GSE functions?
General Somatic Efferent, Somatic Efferent or Somatic Motor
Derived from a somite
Innervates skeletal muscles; everything is innervated by CN XII
SVE - What are the different names?
Special Visceral Efferent, Branchial Motor (from pharyngeal arches), Visceral Motor (V3, VII, IX, X)
SVE functions?
Special Visceral Efferent, Branchial Motor (from pharyngeal arches), Visceral Motor (V3, VII, IX, X)
Innervate skeletal muscles derived from branchial arches
Ganglia
Group of cell bodies in the PNS
Nuclei
Group of cell bodies in the CNS
Sensory Afferent
Unipolar
Target tissue > Ganglion > Sensory nucleus in the CNS
Somatic Motor Efferent
No ganglion
Somatic motor nucleus in CNS > axon > skeletal muscle
Autonomic Motor Efferent: Sympathetic
Lateral horn grey > Ganglion > SM, cardiac muscle, glands
Autonomic Motor Efferent: Parasympathetic
Parasympathetic nucleus > Ganglion > SM, cardiac muscle, glands
Parasympathetic Ganglia
CN III come from where, to which ganglia and what does it innervate?
CN III comes from Pons > Ciliary ganglia > Eye
Parasympathetic Ganglia
CN VII come from where, to which ganglia and what does it innervate?
CN VII comes from pontomedullary junction > Pterygopalatine ganglion > Lacrimal Gland
CN VII comes from pontomedullary junction > Submandibular ganglion > Salivary glands
Parasympathetic Ganglia
CN IX come from where, to which ganglia and what does it innervate?
CN IX comes from medulla > Otic ganglion > Salivary glands
Parasympathetic Ganglia
CN X come from where, to which ganglia and what does it innervate?
CN X comes from medulla > Intramural ganglia > Heart, Lungs
What are the sensory ganglia?
- Ganglion cells of retina - II
- Trigeminal (semilunar) ganglion - V
- Geniculate ganglion - VII
- Vestibular ganglion - VIII
- Cochlear (spiral) ganglion - VIII
- Glossopharyngeal ganglia - IX
- Superior (jugular) ganglion - X
- Inferior (nodose) ganglion - X
What are the sensory (afferent) nuclei?
Termination of afferent fibers
- Trigeminal sensory nucleus - V, VII, IX, X
- Cochlear nucleus - VIII
- Superior olivary nuceus
- Vestibular nuclei - VIII
- Solitary nucleus (nucleus solitarius) - VII, IX, X
What are the motor (efferent) nuclei?
Origin of efferent fibers
- Edinger-Westphal nucleus - III
- Oculomotor nucleus - III
- Trochlear nucleus - IV
- Trigeminal motor nucleus - V
- Abducens nucleus - VI
- Facial motor nucleus - VII
- Superior salivatory nucleus - VII
- Inferior salivatory nucleus - IX
- Nucleus ambiguous - IX, X, XI
- Dorsal (vagal) motor nucleus - X
- Hypoglossal nucleus - XII
- Spinal accessory nucleus - XI (part of spinal chord)
What are the sensory (afferent) nuclei?
Termination of afferent fibers
Terminal sensory nucleus - V, VII, IX, X
- Mesencephalic nucleus
- Chief (main, pontine, primary, principle) trigeminal sensory nucleus
- Spinal trigeminal (descending) nucleus
Mesencephalic nucleus
Sensory (afferent) nuclei - termination of afferent fibers
Trigeminal sensory nucleus (V, VII, IX, X)
- Midbrain
- Located at the point of entry of CN V
- Proprioceptive input (mechanoreceptors) from joints, muscles of mastication, teeth, and peridontium
- Sensory limb of jaw jerk reflex, force of bite; Projects to motor nucleus of V
Chief (main, pontine, primary principle) trigeminal sensory nucleus
Sensory (afferent) nuclei - termination of afferent fibers
Trigeminal sensory nucleus (V, VII, IX, X)
- Pons
- Lateral to motor nucleus
- 2 point discrimination or discriminative touch and pressure sensations from face, scalp, oral cavity, nasal cavity and dura
Spinal trigeminal (descending) nucleus
Sensory (afferent) nuclei - termination of afferent fibers
Trigeminal sensory nucleus (V, VII, IX, X)
- Spinal chord to pons
- Continuation of chief sensory
- Pain and temperature sensations from face
Cochlear nucleus (VIII)
Sensory (afferent) nuclei - termination of afferent fibers
Pontomedullary junction
Hearing
Superior olivary nucleus
Sensory (afferent) nuclei - termination of afferent fibers
Pons
Receives auditory input from the cochlear nucleus
Not directly associated with a cranial nerve
Vestibular nuclei (VIII)
Sensory (afferent) nuclei - termination of afferent fibers
Pons
Balance/equilibrium
Solitary nucleus (nucleus solitarius) (VII, IX, X)
Sensory (afferent) nuclei - termination of afferent fibers
Medulla
Taste, cardiorespiratory, GI sensations
Edinger-Westphal nucleus (III)
Motor (efferent) nuclei - origin of efferent fibers
Midbrain
Innervates the sphincter pupillae (constricts pupil) and ciliary muscle (accommodation)
Oculomotor nucleus (III)
Motor (efferent) nuclei - origin of efferent fibers
Midbrain
Innervates superior rectus, inferior rectus, medial rectus, inferior oblique, levator palpebae superioris
Trochlear nucleus (IV)
Motor (efferent) nuclei - origin of efferent fibers
Midbrain
Innervates superior oblique
Trigeminal motor nucleus (V)
Motor (efferent) nuclei - origin of efferent fibers
Pons
Medial to chief sensory
Innervates the masseter, temporalis, medial pterygoid, lateral pterygoid, mylohyoid, anterior digastric, tensor tympani, tensor veli palatini (muscles of the first pharyngeal arch)
Abducens nucleus (VI)
Motor (efferent) nuclei - origin of efferent fibers
Pons
Innervates lateral rectus
Facial motor nucleus (VII)
Motor (efferent) nuclei - origin of efferent fibers
Pons
Innervates muscles of facial expression, stylohyoid, posterior digastric, stapedius (muscles of the second pharyngeal arch)
Superior salivatory nucleus (VII)
Motor (efferent) nuclei - origin of efferent fibers
Pons
Innervates lacrimal gland, nasal glands, submandibular and sublingual glands
Inferior salivatory nucleus (IX)
Motor (efferent) nuclei - origin of efferent fibers
Pons
Innervates the parotid gland
Nucleus ambiguous (IX, X, XI)
Motor (efferent) nuclei - origin of efferent fibers
Medulla
Innervates muscles of soft palate, larynx, pharynx, upper esophagus
Unilateral lesion produces ipsilateral paralysis of soft palate, uvula deviate away from lesioned nerve, weakness of laryngeal muscles (hoarseness), pharyngeal weakness resulting in difficulty swallowing
Dorsal (vagal) motor nucleus (X)
Motor (efferent) nuclei - origin of efferent fibers
Medulla
Floor of the 4th ventricle
Major parasympathetic nucleus
Supplies preganglionic fibers to thorax and abdominal viscera
Hypoglossal nucleus (XII)
Motor (efferent) nuclei - origin of efferent fibers
Medulla
Innervates the genioglossus, hyoglossus, styloglossus, and intrinsic muscles of the tongue
Spinal accessory nucleus (XI) - part of spinal chord
Motor (efferent) nuclei - origin of efferent fibers
Cervical spinal chord
Innervates SCM and trapezius
What is the order of a basic sensory pathway?
1st Order Neuron
- Receptive field to brainstem via CN V
- Synapse with 2nd order neuron in brainstem
2nd Order Neuron
- Decussates in brainstem to enter the contralateral and joins with other fibers
- Synapsing on 3rd order neuron in the thalamus
3rd Order Neuron
- Terminates in the Primary Somatosensory Cortex