Lab 3 Nerve Review Flashcards
What fibers originate from the oculomotor nucleus of CN III?
General Somatic Efferent Fibers
What fibers originate from the Edinger-Westphal nucleus of CN III?
General Viscerall Efferent Fibers
Trace the pathway from Edinger-Westphal nucleus to ciliary ganglion
Preganglionic parasympathetics travel w/ CN III to synapse with the ciliary ganglion
Trace the pathway of CN III from ciliary ganglion to it’s end destination
Postganglionic parasympathetics leave ciliary ganglion via short ciliary nerve to innervate sphincter pupillae and ciliary sphincter
Where does CN III travel within the cavernous sinus?
Within the lateral wall of the cavernous sinus
How does CN III enter the orbit?
Through the superior orbital fissure
What does CN III divide into after entering the orbit?
Into superior and inferior branches
What does the superior branch of CN III supply?
The legator palpebrae superioris
Superior rectus
What does the inferior branch of CN III supply?
Medial rectus
Inferior rectus
Inferior oblique
Describe the afferent limb of the pupillary LIGHT reflex
light on retina > CN II > brain (pretectal nuclei in rostral midbrain)
Describe the efferent limb of the pupillary LIGHT reflex
brainstem (EW nucleus) > CN III (inf division) > ciliary ganglion > short ciliary nerves > sphincter pupillae
Describe the afferent limb of the pupillary DARK reflex
no light on retina > CN II > brain (pretectal nuclei in rostral midbrain)
Describe the efferent limb of the pupillary DARK reflex up to the internal carotid plexus
brain > spinal cord > cervical ganglion (no synapse) > superior cervical ganglion > internal carotid plexus
What two pathways can be taken by the efferent fibers of the pupillary DARK reflex after the internal carotid plexus?
A. sympathetic root > ciliary ganglion (no synapse) > short ciliary nerves > dilator pupillae
B. V1 > nasociliary nerve > dilator pupillae
General Sensory Afferent fibers are located in what ganglion of the trigeminal nerve?
The trigeminal ganglion
What structures are supplied by the general sensory afferent fibers of the trigeminal nerves? (There are 8)
Face Scalp Auricle External Auditory Meatus Nose Paranasal Sinuses Mouth (except post 1/3 of tongue) -sensation not taste Dura Mater
Special Visceral Efferent fibers are located in what nucleus of the trigeminal nerve?
The motor nucleus of CN V
What structures are supplied by the special visceral efferent fibers of the motor nucleus of CN V?
Muscles of mastication Mylohyoid Anterior belly of digastric Tensor tympani Tensor veli palatini
What parasympathetic ganglia is suspended by V1?
Ciliary ganglion
What parasympathetic ganglia is suspended by V2?
Pterygopalatine ganglion
What parasympathetic ganglia is suspended by V3?
Otic ganglion
Submandibular ganglion
What is the trigeminal ganglion also known as?
Meckel’s ganglion
Where is the trigeminal ganglion located?
Sits on the petrous portion of the temporal bone in the middle cranial fossa in Meckel’s (trigeminal) cave.
List the 3 different types of hitchhiking fibers of CN V
Postganglionic parasympathetics from parasympathetic ganglion to target organs
Postganglionic sympathetics from ciliary ganglion and pterygopalatine ganglion to target organs
SA (taste) from anterior 2/3 of tongue
How does VI exit the cranial fossa?
By traveling through the wall of the cavernous sinus and giving off the recurrent meningeal branch before passing through the superior orbital fissure
List 5 structures that receive GA innervation from V1
Cornea Lacrimal Gland Skin of forehead Scalp Eyelid Nose Dura of ant/post cranial fossa
What are the 4 branches of V1?
Meningeal branch
Frontal n
Lacrimal n
Nasociliary n
What does the meningeal branch of V1 supply?
Dura of anterior cranial fossa
What does the frontal nerve of V1 supply? What are it’s sub-branches?
Scalp
Forehead
Frontal Sinus
Upper Eyelid
Supraorbital
Supratrochlear
What does the lacrimal nerve of V1 supply? What are it’s sub-branches?
Lacrimal gland
Conjunctiva
Skin of Upper Eyelid
Receives hitchhiking fibers from pterygopalatine ganglion > travel in V2
What do the many branches of the nasociliary nerve of V1 supply? (5 Branches, do not need to know ethmoidal)
Short ciliary n: postganglionic parasympathetic afferent fibers from cornea/iris
Long ciliary n: postganglionic sympathetic fibers from cornea/iris
Ant/Post Ethmoidal n
Infratrochlear: GA’s from root of nose
V2 exits the cranial cavity through what foramen?
Foramen Rotundum
Where does V2 enter the orbit?
Through inferior orbital fissure (aka infraorbital nerve)
What ganglion does V2 suspend?
The pterygopalatine ganglion
What are the 4 branches of V2?
Meningeal branch
Zygomatic n
Infraorbital n
Hitchhiking fibers
What does the meningeal branch of V2 supply?
Dura of middle cranial fossa
What are the branches of the zygomatic n of V2 and what do they supply?
Zygomaticotemporal branch: skin over temple
Zygomaticofacial branch
What are the branches of the infraorbital n of V2?
Anterior superior alveolar n
Middle superior alveolar n
What are the hitchhiking fibers of V2?
Greater and Lesser Petrosal nerves (SA/taste fibers)
How does V3 exit the cranial cavity?
Through foramen ovale
What ganglia does V3 suspend?
Otic ganglion
Submandibular ganglion
What are the 9 branches of V3?
Meningeal branch Auricotemporal n Buccal Lingual Inferior Alveolar n Inferior Dental Plexus Incisive n Mental n Muscular branches of V3