Neuro essentials Flashcards
CN I
Olfactory nerve
Sensory
Lies in the forebrain
Exits skull at cribiform plate
CNII
Optic nerve (vision)
Lies in the forebrain
Exits at the optic canal
CNIII
Oculomotor nerve
Motor: general somatic - innervate extraocular muscles (superior, medial, inferior rectus, levator palprae superioris)
Parasympathetic: general visceral - synapses with ciliary ganglion, pupillary constriction, lens accommodation)
Nuclei (emerges from) the midbrain
Exits skull at superior orbital fissure
CNIV
Trochlear nerve.
Motor: Innervates the superior oblique muscle of the eye.
Emerges from the midbrain
Only cranial nerve that dessucates. Fibres pass around the periaqueductal grey matter to the eye.
Exits skull via superior orbital fissure
CN V
Trigeminal nerve
Sensory: Sensation of the face, mouth, anterior 2/3 of the tongue
Motor: muscles of mastication
Emerges from the middle of the pons
V1: exits at superior orbital fissure
V2: Foramen rotundum
V3: exits foramen ovale
CNVI
Abducent nerve
innervates lateral rectus muscle of the eye
Nuclei lies in the pons
Exits skull via superior orbital fissure
CNVII
Facial nerve
Sensory: external auditory meatus and taste from the anterior 2/3 of tongue
Motor: Muscles of facial expression, stapeidus muscle and part of digastric muscle
Parasympathetic: Lacrimal glands and salivatory glands (except parotid)
Exits skull at stylomastoid foramen
CNVIII
Vestibulocochlear (balance and hearing)
Nuclei on lateral part of the pons
Exits skull via the auditory canal
CN[IX]
Glossopharyngeal nerve
Sensory: Sensation from the EAM, Middle ear, pharynx and posterior 1/3 of the tongue. Taste from posterior 1/3 of the tongue. Chemoreceptors and baroreceptors from carotid bodies
Motor: stylopharyngeus
Parasympathetic: parotid gland
Nuclei in the medulla. Exits skull via jugular foramen
CN[X]
Vagus nerve
Sensory: Sensation from pharynx, infratentorial meninges and region near external auditory meatus. Taste from epiglottis and pharynx and chemo and baroreceptor information from aortic arch
Motor: Pharyngeal and laryngeal musculature
Parasympathetic: Innervation of heart, lungs and gastric system (upper 2/3)
Arises from the medulla, exits skull via the jugular foramen
CN[XI]
Accessory nerve
Motor: Innervate sternocleidomastoid and trapezius
Fibres converge and ascend through the foramen magnum and exits the skull via the jugular foramen.
CN[XII]
Hypoglossal nerve
Innervates muscles of the tongue
Exits via the hypoglossal canal
Dysfunction of the nervous system can manifest as
Loss- sensation or function Gain- appearance of a new feature e.g. Twitch, squint Change- alteration in behaviour/personality or changes in perception
Dysfunction of the nervous system can occur through
Damage through trauma or disease Transmitter dysfunction Effector organ dysfunction
Motor region of brain
Frontal lobe