Neuro VII Flashcards
What inhibits primitive reflexes?
Frontal lobe development. This is why frontal lobe lesions can lead to loss of inhibition of these reflexes.
plantar reflex
dorsiflexion of large toe and fanning of other toes with plantar stimulation
Location of CN nerves
FA 477
Location of infundibulum
FA 477
location of mammillary body?
FA 477
location of CN nerves in midbrain/pons/medulla ETC
Rule of 4s 4 above pons (I-IV) 4 in pons (V-VIII) 4 in medulla (IX-XII) 4 CN nuclei
medial CN nuclei
III, IV, VI, XII “factors of 12”
Location of pineal body, superior and middle cerebellar peduncles
FA 477
Pineal gland function
1) melatonin secretion
2) circadian rhythms
Superior colliculi function
conjugate vertical gaze center
Inferior colliculi function
auditory
Parinaud syndrome
paralysis of conjugate vertical gaze due to lesion in superior colliculi
Parinaud syndrome causes
1) pinealoma
2) stroke
3) hydrocephalus
Where are CN nuclei generally located?
Tegmentum portion of brain stem.
CN XI nucleus location?
spinal cord
CN VII nucleus location?
pons
CN XII nucleus location?
medulla
CN IV nucleus location?
midbrain
CN IX nucleus location?
medulla
CN III nucleus location?
midbrain
CN V nucleus location?
pons
CN VI nucleus location?
pons
CN X nucleus location?
medulla
CN VIII nucleus location?
pons
lateral vs medial CN nuclei
lateral nuclei = sensory (aLar palte)
— sulcus limitans—
medial nuclei = motor (basal plate)
cribriform plate transmits…
CN I
optic canal transmits
CN II + ophthalmic artery
SOF transmits…
CN III, IV, VI, V1
Foramen rotundum transmits…
V2
Foramen ovale transmits…
V3
foramen spinosum transmits…
middle meningeal artery
internal auditory meatus transmits
VII + VIII
jugular foramen transmits…
CN IX, X, XI
foramen magnum transmits…
brainstem
CN XII location of exit
hypoglossal canal
oculomotor innervates
SR + IR + MR + IO
oculomotor functions
1) eye movement
2) pupillary constriction
3) accommodation
4) eyelid opening (elevator palpebrae)
Edinger-Westphal nucleus?
PS pre-ganglionic nucleus that innervates the iris sphincter muscle and ciliary muscle.
trochlear innervates
SO
trigeminal functions
1) mastication
2) facial sensation
3) somatosensation from anterior 2/3 of tongue.
abducens innervates
LR
facial nerve functions
1) facial movement
2) taste from anterior 2/3 of tongue
3) lacrimation
4) salivation (submandibular and sublingual glands)
5) eyelid closing (orbicularis oculi)
6) auditory volume modulation (stapedius)
Glossopharyngeal functions
1) taste and sensation from posterior 1/3 of tongue
2) swallowing
3) salivation (parotid gland)
4) monitoring carotid body and sinus chemo- and baroreceptors
5) elevation of pharynx/larynx (sylopharyngeus)
Vagus functions
1) taste from supraglottic region
2) swallowing
3) soft palate elevation
4) midline uvula
5) talking
6) coughing
7) PS to thoracoabdominal viscera
8) monitoring aortic arch chemo- and baroreceptors
nucleus solitarius function
Visceral sensory information (taste, baroreceptors, gut distention)
nucleus solitarius houses
VII, IX, X
nucleus ambiguus functions
Motor innervation of pharynx, larynx, upper esophagus (eg swallowing, palate elevation)
nucleus ambiguus houses..
IX, X, XI (cranial portion
dorsal motor nucleus function
Sends autonomic (PS) fibers to heart, lungs, upper GI
dorsal motor nucleus houses…
X
corneal reflex: afferent, efferent
- nasociliary branch of V1
- temporal branch: orbicularis oculi of VII
lacrimation reflex: afferent, efferent
V1, VII
jaw jerk reflex: afferent, efferent
- V3 sensory–muscle spindle from masseter
- V3 (motor to masseter)
pupillary reflex: afferent, efferent
II, III
Gag reflex: afferent, efferent
IX, X
location of CN XII nucleus
medulla
location of CN VI nucleus
pons
location of CN VIII nucleus
pons
location of CN III nucleus
midbrain
location of CN IX nucleus
medulla
location of CN XI nucleus
spinal cord
location of CN IV nucleus
midbrain
location of CN V nucleus
pons
location of CN VII nucleus
pons
location of CN X nucleus
medulla
preseptal cellulitis
/infection of soft tissue anterior to the orbital septum. Eye itself is not involved. /can progress to orbital cellulitis if untreated leading to proptosis + compromised extraocular motility. /cavernous sinus thrombosis is a major dangerous complication of orbital cellulitis.
Memorize foramen of skull
FA 478
Brain stem dorsal and ventral view
FA 477
Foramen from inside of skull
https://www.google.com/search?q=optic+canal&source=lnms&tbm=isch&sa=X&ved=0ahUKEwi_0–TlOXLAhXGmoMKHTZCBAEQ_AUIBygB&biw=1067&bih=576#imgrc=NbeuhrDLrgKE-M%3A
Foramen of external skull
https://www.google.com/search?q=vegas&source=lnms&tbm=isch&sa=X&ved=0ahUKEwjajK_RqubLAhUFuoMKHdbcBrwQ_AUICSgD&biw=1067&bih=576#tbm=isch&q=optic+canal&imgrc=W0hHf13RlarVTM%3A