Nerves Flashcards
Olfactory n. (CNI)
special sensory (olfaction) innervation of olfactory epithelium -> back to olfactory bulb
Optic n. (CNII)
special sensory innervation (vision) of the neural retina -> diencephalon & midbrain
axons on medial side of retina synapse at lateral geniculate nucleus on opposite side of midline; axons on lateral side of retina synapse at lateral geniculate nucleus on same side of midline
Oculomotor n. (CNIII) - superior ramus
originates in oculomotor nucleus of midbrain; branches at superior orbital fissure
sensory [communication from the ophthalmic nerve in the superior orbital fissure], postganglionic sympathetic [communication from the internal carotid plexus in the cavernous sinus] & motor innervation [oculomotor nucleus of the midbrain] of the superior rectus and levator palpebrae superioris muscles
Oculomotor n. (CNIII) - inferior ramus
originates in oculomotor nucleus of midbrain; branches at superior orbital fissure
sensory [communication from the ophthalmic nerve in the superior orbital fissure], postganglionic sympathetic [communication from the internal carotid plexus in the cavernous sinus] & motor (lmn) innervation [oculomotor nucleus of the midbrain] of the medial rectus, inferior rectus and inferior oblique muscles
Oculomotor n. (CNIII) - parasympathetic
preganglionic axons originate in the Edinger-Westphal nucleus, travel with the inferior ramus, and synapse at the ciliary ganglion; postganglionic axons travel with the short ciliary nerve (div. of opthalmic br of trigeminal V)
innervation of constrictor muscles surrounding pupil & ciliary body
Trochlear n. (CNIV)
axons originate in trochlear nucleus of midbrain; pass through superior orbital fissure
motor innervation of superior oblique muscle (superior oblique muscle passes through the trochlea), sensory (communication from the ophthalmic nerve in the superior orbital fissure), postganglionic sympathetic (communication from the internal carotid plexus in the cavernous sinus)
Trigeminal n. (CNV)
- Opthalmic n. (V1)
- Maxillary (V2)
- Mandibular (V3)
Ophthalmic n. (V1)
sensory, & postganglionic sympathetic (communication from the internal carotid plexus in the cavernous sinus) innervation of skin (forehead, upper lid & nose), cornea, mucosa (nasal cavity) & extraocular muscles
- Lacrimal n.
- Frontal n.
- Nasociliary n.
Nasociliary n.
branch of Opthalmic n. (V1) -> div of Trigeminal n.; passes through and branches at the superior orbital fissure
- Anterior ethmoidal n.
- Posterior ethmoidal n.
- Long ciliary n.
- Short ciliary n.
- Infratrochlear n.
Anterior ethmoidal n.
branch of the Nasociliary n. (Ophthalmic n. -> div of Trigeminal n.); passes through the anterior ethmoidal foramen, branches into internal and external nasal nerves after exiting the cribiform plate
sensory & postganglionic sympathetic (communication from the internal carotid plexus in the cavernous sinus) innervation of the mucosa of the frontal and ethmoidal sinuses, the mucosa of the superior aspect of the nasal cavity, the skin overlying the nose
Posterior ethmoidal n.
branch of the Nasociliary n. (Opthalmic n. -> div of Trigeminal n.); passes through the posterior ethmoidal foramen
sensory & postganglionic sympathetic (communication from the internal carotid plexus in the cavernous sinus) innervation of the mucosa of the sphenoidal and ethmoidal sinuses and superior nasal cavity
Infratrochlear n.
branch of the Nasociliary n. (Opthalmic n. -> div of Trigeminal n.)
sensory & postganglionic sympathetic (communication from the internal carotid plexus in the cavernous sinus) innervation of the skin overlying the bridge of the nose
Short ciliary n.
branch of the Nasociliary n. (Opthalmic n. -> div of Trigeminal n.)
sensory & postganglionic sympathetic (communication from the internal carotid plexus in the cavernous sinus) innervation of the eye
postganglionic sympathetic & **postganglionic parasympathetic ** (axons arise from ciliary ganglion) innervation of the dilator (sympathetic) and constrictor (parasympathetic) muscles of the iris
This nerve is “stuck” to the ciliary ganglion
Long ciliary n.
branch of the Nasociliary n. (Opthalmic n. -> div of Trigeminal n.)
sensory & postganglionic sympathetic (communication from the internal carotid plexus in the cavernous sinus) innervation of the eye, and postganglionic sympathetic innervation of the dilator muscle of the iris
Frontal n.
branch of Opthalmic n. (V1) -> div of Trigeminal n.
- Supraorbital n.
- Supratrochlear n.
Supraorbital n.
branch of Frontal n. (Opthalmic n. (V1) -> div of Trigeminal n.)
sensory & postganglionic sympathetic (communication from the internal carotid plexus in the cavernous sinus) innervation of the skin overlying the forehead & mucosa of frontal sinus
Supratrochlear n.
branch of Frontal n. (Opthalmic n. (V1) -> div of Trigeminal n.)
sensory & postganglionic sympathetic innervation (communication from the internal carotid plexus in the cavernous sinus) of the skin overlying the medial aspect of the forehead
Lacrimal n.
branch of Opthalmic n. (V1) -> div of Trigeminal n.
sensory & postganglionic sympathetic (communication from the internal carotid plexus in the cavernous sinus) innervation of the lacrimal gland and the skin overlying the lateral aspect of the upper lid, and forehead & postganglionic parasympathetic innervation of the lacrimal gland (communication from the pterygopalatine ganglion via the zygomatic nerve)
Maxillary n. (V2)
division of Trigeminal n. (CNV)
sensory, & postganglionic sympathetic (communication from the internal carotid plexus in the cavernous sinus & n. of pterygoid canal) innervation of skin (lower lid, nose, upper lip, cheek & cheekbone), mucosa (nasal cavity, oral cavity & pharynx) & dental pulp (upper teeth)
- Pterygopalatine nerves (emerge from ganglion)
- Zygomatic n.
- Posterior superior alveolar n.
- Infraorbital n.
Pterygopalatine nerves
emerge from the pterygopalatine ganglion, branches of Maxillary n. (V2) (division of Trigeminal n. CNV)
- Pharyngeal n.
- Lateral posterior superior nasal n.
- Medial (septal) posterior superior nasal n. (including nasopalatine)
- Greater palatine n.
- Lesser palatine n.
Pharyngeal n.
pterygopalatine nerve (branches of Maxillary n. (V2) -> division of Trigeminal n. CNV)
passes through pterygopalatine ganglion, passes through palatovaginal canal
sensory, postganglionic sympathetic (communication from nerve of the pterygoid canal) & postganglionic parasympathetic (axons arise from pterygopalatine ganglion) innervation of the mucosa of the nasal pharynx & auditory tube
Lateral posterior superior nasal n.
pterygopalatine nerve (branches of Maxillary n. (V2) -> division of Trigeminal n. CNV)
passes through pterygopalatine ganglion and through sphenopalatine foramen
sensory, postganglionic sympathetic (communication from nerve of the pterygoid canal) & postganglionic parasympathetic (axons arise from pterygopalatine ganglion) innervation of the mucosa of the lateral wall of the nasal cavity
Medial (septal) posterior superior nasal n.
pterygopalatine nerve (branches of Maxillary n. (V2) -\> division of Trigeminal n. CNV) includes Nasopalatine n.
passes through pterygopalatine ganglion and sphenopalatine foramen
sensory, postganglionic sympathetic (communication from nerve of the pterygoid canal) & postganglionic parasympathetic (axons arise from pterygopalatine ganglion) innervation of the mucosa of the nasal septum and anterior hard palate and associated gingiva (nasopalatine n)
Greater palatine n.
pterygopalatine nerve (branches of Maxillary n. (V2) -> division of Trigeminal n. CNV)
passes through pterygopalatine ganglion and greater palatine foramen
sensory, taste (greater petrosal), postganglionic sympathetic (communication from nerve of the pterygoid canal) & postganglionic parasympathetic (axons arise from pterygopalatine ganglion) innervation of the mucosa of the hard palate and associated gingiva
Lesser palatine n.
pterygopalatine nerve (branches of Maxillary n. (V2) -> division of Trigeminal n. CNV)
passes through pterygopalatine ganglinon and lesser palatine foramen
sensory, taste (greater petrosal), postganglionic sympathetic (communication from nerve of the pterygoid canal) & postganglionic parasympathetic (axons arise from pterygopalatine ganglion) innervation of the mucosa (both oral/anterior and pharyngeal/posterior surfaces) of the soft palate
Zygomatic n.
branch of Maxillary n. (V2) -> division of Trigeminal n. CNV
branches at inferior orbital fissure, passes superior
sensory & postganglionic sympathetic [communication from the external carotid plexus] innervation of the skin overlying the zygomatic arch, and postganglionic parasympathetic [axons arise from pterygopalatine ganglion] innervation of the lacrimal gland [communicates with the lacrimal n.]
*branches into zygomatic temporal and zygomatic facial
Posterior superior alveolar n.
branch of Maxillary n. (V2) -> division of Trigeminal n. CNV
passes through pterygomaxillary fissure
sensory & postganglionic sympathetic [communication from the external carotid plexus] innervation of the upper molars, and sensory, postganglionic sympathetic [communication from the external carotid plexus] & postganglionic parasympathetic innervation of mucosa of maxillary sinus and buccal gingiva
Infraorbital n.
branch of Maxillary n. (V2) -> division of Trigeminal n. CNV
passes through infraorbital canal and infraorbital foramen
sensory & postganglionic sympathetic [communication from the external carotid plexus] innervation of the skin of the upper lip, cheek, lateral nose and lower lid; and sensory, postganglionic sympathetic and postganglionic parasympathetic innervation of mucosa of the upper lip, labial gingival and maxillary sinus
- Middle superior alveolar n.
- Anterior superior alveolar n.
Middle superior alveolar n.
branch of Maxillary n. (V2) -> division of Trigeminal n. CNV
passes through infraorbital canal
sensory & postganglionic sympathetic [communication from the external carotid plexus] innervation of the upper premolars and sensory, postganglionic sympathetic [communication from the external carotid plexus] & postganglionic parasympathetic innervation of maxillary sinus
Anterior superior alveolar n.
branch of Maxillary n. (V2) -> division of Trigeminal n. CNV
passes through infraorbital canal
sensory & postganglionic sympathetic [communication from the external carotid plexus] innervation of the upper canines and incisors and sensory, postganglionic sympathetic [communication from the external carotid plexus] & postganglionic parasympathetic maxillary sinus
Mandiular n. (V3)
division of Trigeminal n. (CNV)
sensory (skin [lower lip, chin, cheek, ear & temple], mucosa [oral cavity] & muscles of mastication), motor, & postganglionic sympathetic [communication from the external carotid plexus via maxillary a.]
- Meningeal branch
- Muscular branches
- Sensory branches
Meningeal branch of Mandibular n. (V3)
division of Trigeminal n. (CNV)
passes through foramen ovale and foramen spinosum
sensory & postganglionic sympathetic [communication from the external carotid plexus] innervation of the cranial dura mater
Muscular branches of Mandibular n. (V3)
division of Trigeminal n. (CNV)
all pass through foramen ovale
- Nerve to medial pterygoid
- Masseteric n.
- Deep temporal n.
- Nerve to lateral pterygoid
Nerve to the medial pterygoid
muscular branch of Mandibular n. (V3) -> division of Trigeminal n. (V)
sensory, postganglionic sympathetic [communication from the external carotid plexus] & motor [trigeminal motor nucleus of the pons] innervation of the medial pterygoid, tensor palatini and tensor tympani muscles
Masseteric n.
muscular branch of Mandibular n. (V3) -> division of Trigeminal n. (V)
sensory, postganglionic sympathetic [communication from the external carotid plexus] & motor [trigeminal motor nucleus of the pons] innervation of the masseter muscle
Deep temporal n.
muscular branch of Mandibular n. (V3) -> division of Trigeminal n. (V)
sensory, postganglionic sympathetic [communication from the external carotid plexus] & motor [trigeminal motor nucleus of the pons] innervation of the temporalis muscle
Nerve to lateral pterygoid
muscular branch of Mandibular n. (V3) -> division of Trigeminal n. (V)
sensory, postganglionic sympathetic [communicationfrom the external carotid plexus]& motor [trigeminal motor nucleus of the pons] innervation of the lateral pterygoid muscle
Sensory branches of Mandibular n. (V3)
division of Trigeminal n. (V)
all pass through foramen ovale
- Buccal branch (long buccal n.)
- Auriculotemporal n.
- Lingual n.
- Inferior alveolar n.