page 138-147 Flashcards
membranous and bony labyrinth
inner ear
acoustic apparatus
vestibular app
semicircular canal
inner ear
muscles of middle ear to dampen sound
tensor tympani
stapedius
paralysis of muscle of middle ear
hyperacusis
V3;CN7
tensor tympani; stapedius
middle ear to pharynx
eustacian tube
equalize pressur b/n tympanic cavity and nasopharynx
eustacian tube
Hearing loss
presbycusis
loss occuring gradually with aging b/c of changes in inner ear or middle ear
presbycusis
conductive loss
thickening and stiffening of cochlear basilary membrane
sensorineural loss
loss of hair and or nerve cells
nystagmus
involuntary rapid and repetitive movements of eyes
irritation to labyrinth
vestibular nerve or nuclei
cerebellum
visual system
cerebral cortex
nystagmus
rhythmic oscillations are slow to one side
and rapid to other
nystagmus
defined by direction of rapid reflex movement
nystagmus
vertical , occasional vertical or rotary
nystagmus
cold caloric test
instill h2o to EAM stimulates nystagmus
colc caloric test
cool water fast component to side opposite
warm waterfast component to stimulated side
Cn 9 glossopharyngeal
originates in ant surface of medulla oblongata
pass lateral in pcf
leaves skull via jug foramen
motor of CN9
stylopharyngeus
general sensory cell bodies of CN 9 are
sup and inf ganglion of CN9
mucosa of pharynx
post 3rd of mouth
sensory of CN 9
visceral sensory
taste on post 3rd of tongue
gag reflex
chemo, baroreceptors- carotid body, sinus
PS/ secromotor
parotid via otic ganglion
preganglion of PS CN 9
leave glossopharyngeal narve as tympanic nerve
enter middle ear caivty
contribute to tympanic plexus
reform as lesser petrosal nerve
leave cranial cavity via 4amen ovale
enter otic ganglion
post gang of PS secromotor
carried by auricultemporal nerve to parotid glandn
widest distribution CN
CN 10
supply viscera of kneck,
thorax, abd
to left colic felxure
CN X
course of vagus
leave medulla
pass jug foramen
desc. kneck in carotid sheath
Post mediastinum
enter abd cavity with esophogus
right vagus course
cross ant surface of r. rubclavian art
enter thorax posterolat to BC trunk, lat 2 trachea,medial to azygous vein
pass post to root of right lung
travels with esophogus
enters abd behind esophogus
post vagal trunk
left vgus nerve
enter thorax in front of L. subclavian art. behind L. braciocephalic vein
cross left side of aortic arch
pass behind left lung
travels with esophogus
enters abd in front of esophogus
br of esophogeal plexus unite
Ant vagal trunk
br of vagus
menineal
to dura
auricular br of Vagus
to auricle and post 1/2 of EAM
form pharyngeal plexus
pharyngeal br of vagus
muscle of pharynx and muscle of soft palate
pharyngeal br of Vagus
travels with sup laryngeal art
sup laryngeal br of vagus
internal lryngeal nerve
pierce thyrohyoid membrane
ext laryngeal nerve
supplies mucus membrane of larynx above vocal fold
travels with sup thyroid art
supplie cricothyroid m.
cn x lesion
loss of gag reflex
dysphagia
dysphonia
PS disturbances
CN11 lesion
paralysis of SCM; hard to turn head to contralat side
paralysis of trapezius; shoulder droop
CN 11 lesion
strictly motor
hypoglossal nerve
leaves skull through hypoglosal canal
joined by C1 fibers from cervical plexus after leaves skull
passes hyoid bone on lat surface of hyoglossus m
loops around occipital art
passes b/n ECA and IJV
course of CN12
CN12 lesion LMN lesion
tongue deviatex to side of lesion
UMN CN 12 lesion
tongue deviates away from side of lesion
in spinal canal and 40-45 cm long
spinal cord
continuation of med oblongata and
exits 4amen magnum
spinal cord
extends to L1-2
occupies upper 2/3 of vert column
Spinal cord
conus medularis
spinal cord taper at L1
filum terminales
prolong of pia mater at apex
attaches to coccyx
where dura and arachnoid fuse at S2
filum terminale
cauda equina
nerve root extending down below end of spinal cord
exits via lumbar and sacral forammina
meninges
dura
arachnoid
pia
spinal cord cross section
gray mater; located centrally, h shaped
consists of unmy. nerve cell bodies
ant ventral horn
gray mater
post dorsal horn
sensory
dorsal root ganglion(cell bodies)
intermediolateral horn
autonomic
surround the graymattter peripherally
myelinated axon
white matter
central canal
filled with CSF
ant spinothalamic tract; lat spinothalamic tract
touch pressure, pain temp
post column(Gracilus and cuneatus)
propioception ,positon sense
spinocerebellar
motor coordination, propioception
descending /motor corticospinal traact
Motor
tectospinal tact
motor
movement of head
tectospinal tract
muscle tone, posture , head, neck, UE
rubrospinal tract
equilibirum
vestibulospinal tract
reticulospinal tract
muscle tone, sweat gland function
CN
12; leave brain and pass skull 4amen
spinal nerve
31
leave spinal cord and pass out via intervert. 4amen
cerv
thoracic
lumbar
sacral
coccygal
8
12
5
5
1
ass plexi and ganglia
PNS
aff eff
somatic and viscera
PNS
from cutaneous and propioceptive receptors
somaic sensory (AFFERent)
visceral sensory
from viscera
Efferent
motor neuron to skeletal muscles(somatic motor)
visceral motor
autonomic(PS> S) to viscera
spinal nerve
dorsal and ventral rami
mixed nerve(motor sensory)
spinal nerve
after join as spinal nereve , split into
dorsal and ventral rami
spinal nerve
supply motor and sensory innervation to Post and Ant body wall
location of cell body in spinal cord
motor nerve and ventral root
location of cell body
dorsal root ganglia
Dorsal root
sensory spinal nerve
bundle of nerve fibers
peripheal nerve
formed from 1+ spinal nerve
peripheal nerve
musculocut nerve
peripheal nerve
formed from C5-7