Lecture 10-11 PNS Flashcards
CNI
Name: Olfactory
Type: Sensory
Target: Nose
Passes through: Cribiform plate (part of ethmoid).
Sense of smell
CNII
Name: Optic Nerve
Type: Sensory
Target: Eyeball
Passes through: Optic canal
sense of sight
CNIII
Name: oculomotor
Type: Motor and PSN
Target: contracts muscles which move eyeball (4/6). Also constricts pupils
Passes through: SOF
CNIV
Name: trochlear
Type: motor
Target: 1 muscle which moves eyeball
Passes through: SOF
CNV
Name: Trigeminal. divides into 3 branches
Type: motor and sensory
Target: all skin of face, sensory. Mandibular nerve carries motor for mastication muscles
Passes through: SOF (ophamalic division), rotundum foramen (Maxillary) AND Oval foramen (Mandibular)
CNVI
Name: abducent
Type: motor
Target: muscle of eyeball
Passes through: SOF
CNVII
Name: Facial
Type: motor, sensory, PSN
Target: superficial muscles of face, change facial expressions (motor), sensory fibres target anterior two thirds of tongue, PSN target salivary and lacrimal glands
Passes through: Internal Acoustic Meatus
CNVIII
Name: Vestibulocochlear
Type:sensory
Target: sense of hearing (cochlea) and sense of balance (vestibule)
Passes through: internal acousitc meatus
CNIX
Name:Glossopharyngeal
Type:Mixed
Target: motor fibres supply 1 muscle in pharynx
sensory fibres target posterior third of tongue and general sense from area. also reaches pharynx, picks up general sense
Passes through: jugular foramen
CNXI
Name: Accessory Nerve
Type: Motor
Target: sternoclaval mastoid and trapezius muscles
Passes through: Jugular foramen
CNX
Name: Vagus
Type:Mixed
Target: motor fibres to muscle of pharynx/larynx
sensory fibres supply larynx
PSN fibres supply all thoracic viscera, most abdominal
Passes through: jugular foramen
CNXII
Name: hypoglossal
Type: motor
Target: muscles of tongue, all but 1
Passes through: bony tunnel (hypoglossal canal)
which nerves supply pharynx?
CNX(Vagus) supplies motor to pharynx
CNIX (glossopharyngeal) is sensory to pharynx
somatic plexus
ventral rami of spinal nerves form it
visceral (autonomic) plexus
autonomic nerve fibers form
cervical plexus
formed by ventral rami of spinal nerves C1-C4
cutaneous Bb.= sensory skin of neck, part of head
motor: Ansa cervicalis (most infrahyoid muscles) and phrenic (diaphragm)
brachial plexus
supplires upper limb. formed of ventral rami of spinal nerves C5-T1
3 trunks (Upper, Mid, Lower) which divide into
anterior and posterior divisions
Divisions come together to form Cords:
Lateral (union of anterior divisionsof upper and middle trunks)
Posterior Cord (union of posterior divisions)
and Medial Cord
cords become branches
*Musculocutaneous Branch: from lateral cord. anterior arm muscles and lateral skin of forearm
*Radial Nerve (largest): from posterior corf. Muscles of posterior arm and forearm. Skin of back of arm, forearm, hand (largest sensory)
*UInar Nerve: frommedial cord
Muscles of hand. skin of medial 1/3 of hand (palm, back, medial 1.5 fingers). fine movement
*Median Nerve:from median and lateral cord. Motor supply to most muscles of anterior forearm and muscles of hand. sensory to lateral 2/3 of palm of hand and lateral 3.5 fingers
lumbar plexus
formed by ventral rami of spinal nerves L1-L4. innervate muscle and skin of lower limb
Lateral Femoral Posterior division *sensory to skin on lateral side of thigh
Femoral Posterior division *supplies all muscles of anterior thigh. sensory to parts of thigh skin and medial side of leg
Obturator anterior division * muscles to medial muscles of thigh
Sensory to medial skin of thigh
sacral plexus
formed by union of ventral rami of spinal merves L4-S4 in front of posterior pelvic wall. unites to form lumbosacral trunk that contibures to sacral plexus. supply majority of muscles and skin of lower limb
coccygeal plexus
formed by ventral rami of spinal nerves S5 and Co, and minor contribution rfom S4. located above pelvic floor and supplies part of pelvic floor muscularture btw tip of coccyx and anus
what is a plexus
nerve network formed by ventral rami of spinal nerves
what type of fibres to dorsal rami carry? ventral rami?
both carry mixed (sensory and motor)
where does the dorsal ramus extent to
back muscles and skin covering back muscles
what are the 4 major plexi of ventral root
Cervical (C1-C4)
Brachial (C5-T1)
Lumbar (L1-L4)
Saccral (L4-C0)
what plexi are in the thoracic region
NONE> because of ribs
instead there are intercostal nerves which are ventral rami of thoracic spinal nerves
Median Branch
Brachial plexus
*Median Nerve:from median and lateral cord. Motor supply to most muscles of anterior forearm and muscles of hand. sensory to lateral 2/3 of palm of hand and lateral 3.5 fingers
Ulnar Branch
Brachial plexus
*UInar Nerve: frommedial cord
Muscles of hand. skin of medial 1/3 of hand (palm, back, medial 1.5 fingers). fine movement
Radial Branch
Brachial plexus
*Radial Nerve (largest): from posterior corf. Muscles of posterior arm and forearm. Skin of back of arm, forearm, hand (largest sensory
Musculocutaneous Branch
Brachial plexus
*Musculocutaneous Branch: from lateral cord. anterior arm muscles and lateral skin of forearm
obturator plexus
Obturator anterior division * muscles to medial muscles of thigh
Sensory to medial skin of thigh
femoral plexus
Femoral Posterior division *supplies all muscles of anterior thigh. sensory to parts of thigh skin and medial side of leg
Lateral Femoral plexus
Lateral Femoral Posterior division *sensory to skin on lateral side of thigh
components of sacral plexus
Superior gluteal
Inferior gluteal
Sciatic (common fibular and tibial)
Pudendal
Superior and inferior gluteal branches
part of sacral plexus
supply gluteal muscles
sciatic branch
part of sacral plexus
2 components
1: Common fibular- muscles of anterior and lateral leg and muscles of dorsum on foot. sensory to skin on latearl elg and dorsum of foot
- Tibial- muscles of back of thigh and leg and all muscles of plantar foot
skin of back f leg and plantar foot
Pudendal Branch
sacral plexus
sensory to skin of external genitalia
muscles of pelvic floor (perineal)
- Cervical Plexus
- Brachial Plexus
3> Intercostal Nerves - Lumbar Plexus
- Sacral Plexus
which plexus is this? label the branches
Cervical Plexus
top: cutaneous (sensory skin of neck,head)
mid: ansa cervicalis (motor infrahyoid muscles)
bottom: phrenic (motor, diaphragm)
CERVICAL= CAP
which plexus is this? label the branches
Brachial
- Musculocutaneous (ant. arm muscles, lat. skin forearm)
- Median (muscles of ant. forearm, muscles of hand. sensory to lat. 2/3 palm, and 3.5 fingers)
- Radial (muscles of post. arm/forearm & skin of back arm, forearm, hand. largest sensory)
- Ulnar (muscles of hand, skin of medial 1/3 of hand, fine movement. 1.5 fingers)
which plexus is this? label the branches
- Lateral Femoral Cutaneous: skin latearl thigh
- Femoral: muscles of ant thigh. sensory parts of thigh and medial side leg
- Oburator: muscles to medial thigh. sensory medial skin of thigh
which plexus is this? label the branches
- Superior Gluteal
- Inferior Gluteal (both supply gluteal muscles, motor)
- Sciatic (A: Common fibular- muscles of anterior and lateral leg and muscles of dorsum on foot. sensory to skin on latearl elg and dorsum of foot
B: Tibial- muscles of back of thigh and leg and all muscles of plantar foot
skin of back f leg and plantar foot)
- Pudendal: sensory to skin of genitals. motor pelvic floor