Lecture 15 - Cranial Nerves Flashcards
collections of axons coming off the brainstem
cranial nerves
how many pairs of cranial nerves are there?
12
what type of neurons are the cranial nerves?
some pure motor, some pure sensory, others mixed
which of the cranial nerves are involved in parasympathetic stimulation?
III, VII, IX, and X
cell bodies of sensory neurons live in:
CN ganglia
the only cranial nerves that don’t come off the brainstem
I and II
cranial nerve I is called the:
olfactory nerve
what type of nerve is the olfactory nerve and what is its function?
pure sensory, responsible for sense of smell
sensory receptors in the roof of the nasal cavity
olfactory epithelium
olfactory nerve filaments supplies the:
olfactory epithelium
what is the path that sensory information follows through the olfactory nerve?
olfactory epithelium –> olfactory nerve –> olfactory bulb –> olfactory tract –> primary olfactory cortex
where is the primary olfactory cortex located?
the temporal lobe
the only sensory system to bypass the thalamus?
olfactory nerve system
damage or disease of the olfactory leads to:
hyposmia/anosmia (decreased ability to smell)
cranial nerve II is called the:
optic nerve
what type of nerve is the optic nerve and what is its function?
pure sensory, vision
what is the path that sensory information follows through the optic nerve?
retina –> axons of ganglion cells –> optic nerve –> optic chiasm –> optic tract –> lateral geniculate nucleus –> optic radiations –> primary visual cortex
what happens in the optic chiasm?
some sensory information crosses over to the contralateral side of the brain, some sensory information stays on the ipsolateral side
the lateral geniculate nucleus is part of the:
thalamus
the medial aspect of the occipital lobe on either side of the calcarine sulcus
primary visual cortex
how are visual fields projected onto the visual cortex?
in an inverted and reversed fashion
damage or disease of the optic nerve leads to:
visual field defects (ex: blindness)
cranial nerve III is called the:
oculomotor nerve
the oculomotor nerve comes off of the:
Midbrain
what type of nerve is the oculomotor nerve?
mixed nerve (somatic motor and parasympathetic)
the motor components of the oculomotor nerve control:
the medial rectus, superior rectus, inferior rectus, inferior oblique, and levator palpebrae superioris (all extra-ocular muscles except the lateral rectus and superior oblique)
the parasympathetic component of the oculomotor nerve controls:
pupillary constriction and accomodation of the lens
damage or disease of the oculomotor nerve leads to:
pupillary dilation (unopposed sympathetics) and ophthalamoplegia (eye movements weakened or paralyzed)
cranial nerve IV is called the:
trochlear nerve
what type of nerve is the trochlear nerve, and what is its function?
motor nerve, innervates the superior oblique muscle (in the eye)
comes off the back of the brainstem (midbrain) and wraps around to reach the superior oblique
trochlear nerve (CN IV)
ture or false: isolated damage of the troclear nerve is common
false
cranial nerve V is called the:
trigeminal nerve
what type of nerve is the trigeminal nerve?
mixed nerve (sensory and motor)
CN V has three branches arising from the trigeminal ganglion known as the:
- ophthalmic nerve (V1)
- maxillary nerve (V2)
- mandibular nerve (V3)
what is the function of the ophthalmic nerve (V1)?
receives sensory information from the eye and upper parts of the face
what is the function of the maxillary nerve (V2)?
receives sensory information from the cheek
what is the function of the mandibular nerve (V3)?
has both sensory and motor (chewing) innervation in the mandible
disease of the trigeminal nerve leads to:
trigeminal neuralgia (nerves fire for no reason and causes excruciating pain)
supplies sensation to the frontal and ethmoidal paranasal air sinuses, nasal cavity, upper eyelid, side of the nose, forehead, and scalp
ophthalmic nerve (CN V1)
enters the floor of the orbit through the inferior orbital fissure
maxillary nerve (CN V2)
supplies sensation to the maxillary air sinus, nasal cavity, lower eyelid, skin of cheek, upper lip, and upper teeth/gums
maxillary nerve (CN V2)
the largest branch of the trigeminal nerve
mandibular nerve (CN V3)
supplies motor commands to the muscles of mastication
mandibular nerve (CN V3)
the three main branches of the mandibular nerve (CN V3)
- inferior alveolar nerve
- lingual nerve
- mental nerve
supplies sensation to the mandibular teeth and gums
inferior alveolar nerve
supplies sensation to the anterior 2/3 of the tongue
lingual nerve
supplies sensation to the chin
mental nerve
the mandibular nerve (V3) carries proprioceptive information from muscles of mastication to brainstem in order to control
the force of the bite
cranial nerve VII is called the:
facial nerve
what type of nerve is the facial nerve (CN VII)?
mixed nerve (mostly somatic motor, some somatic sensory and parasympathetic)
what part of the brainstem does the facial nerve come off of?
the pons
sensory nerve cell bodies of the facial nerve are found in the:
geniculate ganglion
what is the motor function of the facial nerve (CN VII)?
controls the muscles of facial expression (five sets of branches)
what are the five main branches of the facial nerve?
1) temporal branch
2) zygomatic branch
3) buccal branch
4) manibular branch
5) cervical branch
special branch of the facial nerve that supplies sensory (taste) information of the anterior 2/3 of the tongue
chorda tympani nerve (joins lingual nerve)
provides parasymapathetic stimulation to the lacrimal gland for tearing
pterygopalatine ganglion
provides parasympathetic stimulation to the submandibular and sublingual salivary glands
submandibular ganglion
damage or disease of the facial nerve leads to:
partial loss of taste, salivation, or lacrimation, and Bell’s palsy (hemi-facial paralysis)
cranial nerve VIII is called the:
vestibulocochlear nerve
what type of nerve is the vestibulocochlear nerve (CN VIII)?
pure sensory nerve
what are the two components of the vestibulocochlear nerve?
vestibular and cochlear
what type of sensory information comes from the vestibular apparatus?
balance and equilibrium
disease of the vestibular branch of CN VIII leads to:
Meniere’s syndrome (vertigo, nausea, and vomiting)
what type of sensory information comes from the organ of corti in the cochlea?
hearing
the bilateral central pathway in the brainstem carries auditory information to the:
primary auditory cortex (temporal lobe)
damage or disease of the cochlear branch of CN VIII leads to:
difficulty in localizing sound
cranial nerve IX is called the:
glossopharyngeal nerve
what type of nerve is the glossopharyngeal nerve?
mixed nerve (somatic motor, somatic sensory, and parasympathetic)
what part of the brainstem is CN IX attached to?
medulla
what is the function of the glossopharyngeal nerve (CN IX)?
supplies the tongue (touch and taste) and pharynx, regulates the gag reflex
damage or disease of the glossopharyngeal nerve leads to:
difficulty in swallowing and loss of gag reflex
CN IX supplies motor information to one muscle. what is that muscle and its function?
stylopharyngeus (elevates pharynx)
what are the sensory functions of the glossopharyngeal nerve?
posterior 1/3 of tongue (touch and taste), pharynx, and carotid sinus/body (dip stick for oxygen concentration)
the glossopharyngeal nerve supplies parasympathetic infromation to the parotid gland via the:
otic ganglion
cranial nerve X is called the:
vagus nerve
what type of nerve is the vagus nerve (CN X)?
mixed nerve (motor, sensory, and parasympathetic)
what part of the brainstem is CN X attached to?
the medulla
damage or disease of the vagus nerve leads to:
difficulty in speech and swallowing
what is the somatic motor function of the vagus nerve?
controls the muscles of the palate, pharynx and larynx
what are the sensory functions of the vagues nerve?
- sensation to the palate, pharynx, and larynx (talking)
- baroreceptors sense stretch in the stomach and bowel
- carries visceral afferents from the organs to the CNS and tells the brain to increase digestion
what are the parasympathetic functions of the vagus nerve?
- parasympathetic nerve for viscera
- motor control to smooth muscle in thoracic and abdominal organs up to the distal part of the transverse colon
- regulates heart rate (slows it down)
cranial nerve XI is called the:
spinal accessory nerve
what type of nerve is the spinal accessory nerve?
somatic motor only
what is the function of the spinal accessory nerve?
supplies motor commands to the trapezius and sternocleidomastoid muscles in the neck
what part of the CNS is the spinal accessory nerve attached to?
the medulla and upper spinal cord
damage or disease of the spinal accessory nerve leads to:
weakness when elevating shoulders, and turning head to one side
cranial nerve XII is called the:
hypoglossal nerve
what type of nerve is the hypoglossal nerve (CN XII)?
motor
what part of the brainstem is the hypoglossal nerve attached to?
the medulla
supplies motor commands to the muscles of the tongue
hypoglossal nerve (CN XII)
damage or disease of the hypoglossal nerve leads to:
inability to protrude tongue symmetrically
cranial nerve VI is called the:
abducent nerve
what type of nerve is the abducent nerve and what is its function?
pure motor, controls the lateral rectus muscle (abducts the eye)
where is the abducent nerve located?
the pontomedullary junction (b/w the pons and medulla)
which cranial nerve is the longest?
the abducent nerve (CN VI)
damage of the abducent nerve leads to:
paralysis of the lateral rectus (eye deviates medially) and patient complains of double vision (diplopia)