Module Exam 5: Cranial Nerves Flashcards
Enumerate all the Cranial nerves in order
Olfactory, Optic, Oculomotor, Trochlear, Trigeminal, Abducens, Facial, Vestibulocochlear, Glossopharyngeal, Vagus, Spinal accesory & Hypoglossal
Part of the peripheral nervous system. Written down in roman numerals.
Cranial nerves
Cranial nerves that are extensions of teleencephalon
Olfactory & Optic
Cranial nerves that exit from Midbrain
Oculomotor & Trochlear
Cranial nerves that exit from pons
Trigeminal, Abducens, Facial & Vestibulocochlear
Cranial nerves that exit from Medulla
Glossopharyngeal, Vagus, Spinal accessory & Hypoglossal
What are the sensory nuclei of the Trigeminal nerve
Principal sensory, Mesencephalic & Spinal trigeminal
What are the parts of the motor nucleus of the Trigeminal nerve
Motor & Sensory part
Receives information about deep/crude touch, pain and temperature from the ipsilateral face
Spinal Trigeminal nucleus
Spinal Trigeminal nucleus is located in
Medulla
CNs __, __ & __ also convey pain information from their areas to the spinal trigeminal nucleus.
VII, IX & X
A group of second order neurons which have cell bodies in the caudal pons. Receives information about discriminative sensation and light touch of the face as well as conscious proprioception of the jaw via _________ neurons.
Principal sensory nucleus. First order neurons.
In PSN, most of the sensory information crosses the midline and travels to the __________ nucleus of the thalamus via the ___________.
Contralateral Ventral PosteroMedial. Ventral Trigeminothalamic Tract.
In PSN, information from the oral cavity travels to the __________ nucleus of the thalamus via ___________.
Ipsilateral Ventral PosteroMedial. Dorsal Trigeminothalamic tract.
Involved in the proprioception of the face, that is, the feeling of position in the muscle. Unlike many nuclei within the CNS, this nucleus contains no chemical synapses.
Mesencephalic nucleus
The electrically coupled neurons of the mesencephalic nucleus are __________ receiving proprioceptive information from the mandible, and sending projections to the ________ to mediate monosynaptic __________.
Pseudounipolar cells. Motor trigeminal nucleus. Jaw jerk reflexes.
The only structure in the CNS to contain the cell bodies of a primary afferent, which are usually contained within _______.
Mesencephalic nucleus. Ganglia.
Trigeminal nerve’s sensory distribution
V1: Ophthalmic
V2: Maxillary
V3: Mandibular
Contains motor neurons that innervate muscles of the first branchial arch, namely the muscles of mastication, the tensor tympani, tensor veli palatini, mylohyoid, and anterior belly of the digastric.
Trigeminal motor nucleus
Trigeminal motor nucleus is located in
Mid pons
CN V motor innervation: muscles of mastication & others
- Masseter, temporalis, medial pterygoid & lateral pterygoid
- Tensor veli palatini, mylohyoid, anterior belly of digastric & tensor tympani
Controls the muscles of facial expression. Conveys taste sensations from anterior 2/3 of the tongue and oral cavity.
Facial nerve
Supplies preganglionic parasympathetic fibers to several head and neck ganglia
Facial nerve
The motor part of the facial nerve arises from
Facial nerve nucleus in the pons
The sensory and sympathetic parts of the facial nerve arise from
Nervus intermedius
Facial nerve forms the ________ prior to entering the facial canal
Geniculate ganglion
Provides parasympathetic innervation to several glands, including the nasal, palatine, lacrimal and pharyngeal glands
Greater petrosal nerve
Provides motor innervation for stapedius muscle in middle ear
Nerve to stapedius
Intracranial branches of Chorda tympani
Submandibular gland, Sublingual gland and special sensory taste fibers from the anterior 2/3 of the tongue
Provides parasympathetic innervation to the sphenoid, frontal, maxillary and ethmoid sinuses as well as the nasal cavity.
Greater petrosal nerve
Intracranial branches of Facial nerve
Greater petrosal nerve, Intrapetrous facial, Nerve to stapedius & Chorda tympani
The extracranial branches of facial nerve are distal to
Stylomastoid foramen
Controls movement of some of the scalp muscles around the ear
Posterior auricular nerve
Enumerate five major facial branches ( in parotid gland)
Cervical, Buccal, Marginal mandibular, Temporal & Zygomatic “CBM TZ”
Nerve branches of the extracranial facial nerve
- Posterior auricular nerve
- branch to the posterior belly of digastric as well as stylohyoid muscle
- Major facial branches
Mixed motor and sensory but mostly sensory. Aids in tasting, swallowing and salivary secretions. Its superior and inferior(petrous) ganglia contain the cell bodies of pain fibers. Projects into many different structures in the brainstem.
Glossopharyngeal nerve
Nucleus fro Taste from the posterior 1/3 of the tongue and information from carotid baroreceptors and carotid body chemoreceptors
Solitary nucleus
Nucleus of somatic sensory fibers from the middle ear
Spinal nucleus of trigeminal nerve
Nucleus for visceral pain
Lateral nucleus of ala cinerea
Nucleus of the lower motor neurons for the stylopharyngeus muscle
Nucleus ambiguus
Nucleus of parasympathetic input to the parotid and mucus glands
Inferior salivatory nucleus
Glossopharyngeal nerve branches
Branches to posterior 3rd of the tongue, Lingual branches, A communicating branch to the vagus nerve, Stylopharyngeal, Tympanic, Nerve to carotid sinus & Tonsillar “ BLAST Na To”
Contributes to visceral innervation. Also conveys sensory information about the state of the body’s organs to the CNS.
Vagus nerve
_____% of the nerve fibers in the vagus nerve are afferent nerves communicating the state of the viscera to the brain.
80-90
The vagus nerve runs posterior to the _______ and ________ inside the carotid sheath.
Common carotid artery & Internal jugular vein
Includes axons which emerge from or converge onto four nuclei of the medulla: ______, ______, ______ & ______.
Vagus nerve. Dorsal nucleus of vagus, Nucleus ambiguus, Solitary nucleus & Spinal trigeminal nucleus “DNSS”
Receives afferent taste information and primary afferents from visceral organ
Solitary nucleus
Sends parasympathetic output to the viscera, especially the intestines.
Dorsal nucleus of vagus
Receives information about deep/crude touch, pain and temperature of the outer ear, the dura of the posterior cranial fossa and the mucosa of the larynx
Spinal trigeminal nucleus
Gives rise to the branchial efferent motor fibers of the vagus nerve and preganglionic parasympathetic neurons that innervate the heart
Nucleus ambiguus
Provides motor innervation from the CNS to two muscles the neck: _________ & __________.
Accessory nerve. SCM & Trapezius.
Tilts and rotates head
Sternocleidomastoid
Elevates shoulder and adducts the scapula
Trapezius
Supplies motor fibers to all of the muscles of the tongue, except the _________.
Hypoglossal. Palatoglossus.
Cranial nerves function classification
Sensory/afferent, motor/efferent or mixed
Classification of afferent functions
Somatic: Touch, pain, temperature & proprioception
Special: special senses
Classification of efferent functions
Visceral: internal organs
Somatic: skeletal muscles
Special sense: smell
Olfactory
Special sense: vision
Optic
Constriction of pupil by what ganglion
Ciliary ganglion
Motor function: eye movements other than those mediated by IV & VI. Elevation of upper eyelid.
Oculomotor
Motor function: certain downward eye movements
Trochlear
Motor function: muscles that open and close the mouth; ________. Preganglionic parasympathetic: skin of face, mouth, teeth, nose, sinuses, dura mater of anterior & middle fossa.
Trigeminal. Tensor tympani muscle of middle ear.
Motor function: abduction of eye
Abducens
Motor fx: muscles of face; _________. Preganglionic parasympathetic: lacrimal & nasal glands and sublingual and submandibular salivary glands. General sensory: part of external ear and tympanic membrane. Special senses: palate & anterior 2/3 of tongue.
Facial
Special senses: equilibrium & hearing
Vestibuolocochlear
Motor fx: stylopharyngeus muscle. Preganglionic parasympathetic: parotid gland. General sensory: pharynx, middle ear & posterior 1/3 of tongue. Special senses: posterior 1/3 of tongue.
Glossopharyngeal
Motor fx: muscles of larynx & pharynx. Preganglionic parasympathetic: slows heart; inc gastric acid secretion and empties stomach. General sensory: larynx, trachea, esophagus, dura of posterior fossa, part of external ear and tympanic membrane. Special senses: taste; epiglottis
Vagus
Motor fx: trapezius & SCM muscles
Accessory(spinal component)
Motor fx: muscles that move the tongue
Hypoglossal
Ganglion of the lacrimal and nasal glands
Pterygopalatine ganglion
Ganglion of the sublingual & submandibular salivary glands
Submandibular ganglion
Ganglion of the parotid gland
Otic ganglion
Ganglion that slows down heart rate
Cardiac ganglia
Contributes to visceral innervation. Also conveys sensory information about the state of the body’s organs to the CNS.
Vagus nerve
_____% of the nerve fibers in the vagus nerve are afferent nerves communicating the state of the viscera to the brain.
80-90
The vagus nerve runs posterior to the _______ and ________ inside the carotid sheath.
Common carotid artery & Internal jugular vein
Includes axons which emerge from or converge onto four nuclei of the medulla: ______, ______, ______ & ______.
Vagus nerve. Dorsal nucleus of vagus, Nucleus ambiguus, Solitary nucleus & Spinal trigeminal nucleus “DNSS”
Receives afferent taste information and primary afferents from visceral organ
Solitary nucleus
Sends parasympathetic output to the viscera, especially the intestines.
Dorsal nucleus of vagus
Receives information about deep/crude touch, pain and temperature of the outer ear, the dura of the posterior cranial fossa and the mucosa of the larynx
Spinal trigeminal nucleus
Gives rise to the branchial efferent motor fibers of the vagus nerve and preganglionic parasympathetic neurons that innervate the heart
Nucleus ambiguus
Provides motor innervation from the CNS to two muscles the neck: _________ & __________.
Accessory nerve. SCM & Trapezius.
Tilts and rotates head
Sternocleidomastoid
Elevates shoulder and adducts the scapula
Trapezius
Supplies motor fibers to all of the muscles of the tongue, except the _________.
Hypoglossal. Palatoglossus.
Cranial nerves function classification
Sensory/afferent, motor/efferent or mixed
Classification of afferent functions
Somatic: Touch, pain, temperature & proprioception
Special: special senses
Classification of efferent functions
Visceral: internal organs
Somatic: skeletal muscles
Special sense: smell
Olfactory
Special sense: vision
Optic
Constriction of pupil by what ganglion
Ciliary ganglion
Motor function: eye movements other than those mediated by IV & VI. Elevation of upper eyelid.
Oculomotor
Motor function: certain downward eye movements
Trochlear
Motor function: muscles that open and close the mouth; ________. Preganglionic parasympathetic: skin of face, mouth, teeth, nose, sinuses, dura mater of anterior & middle fossa.
Trigeminal. Tensor tympani muscle of middle ear.
Motor function: abduction of eye
Abducens
Motor fx: muscles of face; _________. Preganglionic parasympathetic: lacrimal & nasal glands and sublingual and submandibular salivary glands. General sensory: part of external ear and tympanic membrane. Special senses: palate & anterior 2/3 of tongue.
Facial
Special senses: equilibrium & hearing
Vestibuolocochlear
Motor fx: stylopharyngeus muscle. Preganglionic parasympathetic: parotid gland. General sensory: pharynx, middle ear & posterior 1/3 of tongue. Special senses: posterior 1/3 of tongue.
Glossopharyngeal
Motor fx: muscles of larynx & pharynx. Preganglionic parasympathetic: slows heart; inc gastric acid secretion and empties stomach. General sensory: larynx, trachea, esophagus, dura of posterior fossa, part of external ear and tympanic membrane. Special senses: taste; epiglottis
Vagus
Motor fx: trapezius & SCM muscles
Accessory(spinal component)
Motor fx: muscles that move the tongue
Hypoglossal
Ganglion of the lacrimal and nasal glands
Pterygopalatine ganglion
Ganglion of the sublingual & submandibular salivary glands
Submandibular ganglion
Ganglion of the parotid gland
Otic ganglion
Ganglion that slows down heart rate
Cardiac ganglia