Nerves Flashcards
termination of spinal cord
Conus terminalis (cone shape)
Extensions of spinal nerves below its terminal end (horsetail-like)
Cuada equina
What passes thru optic canal
Optic nerve, ophthalmic artery
Largest branch of ophthalmic nerve
V1
Frontal nerve
Smallest branch of ophthalmic nerve
Lacrimal nerve
Sensory innervation to lacrimal gland
Lacrimal nerve
Parasympathetic neurons to lacrimal gland
VII - greater petrosal nerve
Innervates anterior 1/3 of palate
Nerve of scarpa/nasopalatine nerve
Innervates soft palate
Lesser/posterior palatine nerve
Parasympathetic neurons to submandibular gland
VII Chorda tympani
Parasympathetic nerve to sublingual gland
VII Chorda tympani
Parasympathetic neurons to parotid gland
IX tympanic nerve / Jacobson’s nerve
Sensory of parotid gland
Auriculotemporal nerve (V3)
Gives rise to ASAN, MSAN
infraorbital nerve
Innervates skin of the face
CN V
Only sensory branch in the anterior division of mandibular nerve
Long buccal nerve
Only motor branch in the posterior division of mandibular nerve
Mylohyoid nerve
Spicy taste is transmitted by what nerve
Lingual nerve (V3) not VII since spicy is pain and heat sensation
Innervates the anterior belly of digastric muscle
V3 - mylohyoid nerve
Innervates sensory of TMJ
Auriculotemporal nerve (v3)
Remember: parehas sila ng parotid. Magka-area
Innervates dura mater
Meningeal nerve (v3)
Which ear ossicle is attached to the tensor tympani nerve?
Malleus
Foramen of exit of facial nerve
Stylomastoid foramen
CN responsible for gag reflex (sensory and motor)
Sensory: IX
Motor: X
Somatic motor to stylopharyngeus muscle
CN IX
Only muscle it supplies
Most muscle of palate and pharynx (X)
Nerve for balance
VIII vestibular nerve
Nerve for hearing
VIII cochlear nerve
Prevents over inflation of lungs
Herring bruer reflex (CN X)
CN XI foramen
Enters skull via foramen magnum, exits via jugular foramen
Only neck muscle innervated by cranial nerve
Trapezius
SCM
Both by CN XI
Innervates palatoglossus
CN X (pharyngeal plexus IX and X)
Most extrinsic muscle of tongue is innervated by CN XII except palatoglossus
Parasympathetic fibers for SA and AV nodes
CN X
Sympathetic fibers for SA node and AV node
T1-T4
Innervates the tensorsss
V3
Gives rise to supratrochlear and infratrochlear nerve
Frontal nerve (v1) to supratrochlear (skin above medial canthus)
Nasociliary nerve (v1) to infratrochlear (skin adjacent to medial canthus)
Innervates the accessory glands (PSNS)
Greater petrosal nerve (VII). Chorda tympani for submandibular and sublingual glands (psns)
Innervates somatic and visceral sensory from posterior 3rd of tongue
Glossopharyngeal nerve (IX) via lingual branch
Innervates the baroreceptors and chemoreceptors (PSNS and SNS)
Hering’s nerve (IX)
Carotid sinus (baroreceptors) and carotid bodies
-bifurcation is located at c3 and c4
Parasympathetic Ganglion of CN IX
Otic ganglion
*Parotid gland
motor nucleus of CN III and its location/function
Oculomotor nuclei (motor) - midbrain
Edinger-westphal nucleus (autonomic/parasympathetic) -midbrain
Motor nuclei of CN VII and location
Facial nucleus (motor) - pons
Superior salivatory nucleus (secretory/ parasympathetic) -pons
Location of nucleus ambiguus and cranial nerves
Medulla
CN IX, X, XI
Motor
Motor nuclei of CN X
Dorsal motor nucleus of the vagus (autonomic/parasympathetic) - medulla
Location of motor nuclei of CN XI
Accessory nucleus located in the cervical spinal cord
Motor
Remember nucleus ambiguus din
Sensory nuclei for taste and location
Nucleus of solitary tract
Solitary nucleus
+Sensory of CN VII, IX, and X
Pons and medulla
Sensory nucleus for jaw jerk reflex and location
Mesencephalic nucleus (CN V)
Midbrain and pons
Sensory nucleus for blink reflex and location
trigeminal main sensory nuclei
Or descending tract of CN V
+Sensory function of CN V (touch on the face)
Pons
longest intracranial nerve
trochlear nerve
-also the smallest cranial nerve
responsible for myelin sheath production in CNS? PNS?
Oligodendrocytes - cns
Schwann cells - pns
what is foramen of monro?
interventricular foramen
*CSF pathway
CSF pathway
lateral ventricles - foramen monro - third ventricle - cerebral aqueduct of sylvius - fourth ventricle to foramen magendie or to foramen luschka – spinal canal – subarachnoid space
group of ependymal cells that produces CSF
choroid plexus
anatomic part of brain that produces csf
ventricle
structures that reabsorb CSF
arachnoid villi
Le fort fracture most common to produce CSF rhinorrhea
III > II
Degeneration of distal segment
Wallerian degeneration
Myelin sheath is damaged
Neuropraxia
Myelin sheath + endo and/or perineurium
Axonotmesis (with wallerian degeneration)
All layers of nerve are damaged including epineurium
Neurotmesis (wallerian degeneration)
Compare the different nerve fibers
a fibers - myelinated - largest - fastest pain - slowest anes
b fibers - unmyelinated - sensation from viscera to the brain and spinal cord
C fibers - unmyelinated - smallest - slowest pain - fastest anes
Types of nerve fibers supplying the pulp
A-delta, C fibers
Innervation of gallbladder
Vagal fibers from celiac plexus
Innervation of intestinal walls?
Sympathetic?
Parasympathetic?
Sym: splanchnic nerve - slows motility
Parasym: vagus nerve - increase motility
Innervation of esophagus?
Motor: Recurrent laryngeal nerves (X)
Sym: esophageal plexus of nerves
Parasym: esophageal of vagus
Innervation of large intestines
Vagus nerve: ascending and transverse colons
Pelvic splanchnic nerves: descending, sigmoid colon, rectum, anus
Major barrier of anesthesia
Perineurium (surrounds a group of axon called fascicle)
Largest branch of sacral plexus
Sciatic nerve
Sacral plexus is L4 to S4
Largest branch of lumbar plexus
Femoral nerve
Lumbar plexus is L1 to L4
Spinal plexuses and what contributes to each plexus
Cervical c1-c4
Brachial c5 to t1
Lumbar l1 to l4
Sacral l4 to s4
Patch of skin innervated by a spinal nerve
Dermatome
Part of brain involved in regulation of internal temperature
Hypothalamus
Part of brain responsible for balance
Cerebellum