Terms/definitions Flashcards
Ipsilateral blindness
Total blindness in one eye
Bitemporal hemianopia
Aka bipolar hemianopia. A lesion or transection of the optic chiasm, causing tunnel vission. Affects temporal fields of both eyes. Often caused by enlarged pituitary gland.
CN I
Sensory n. which conveys impulses related to smell
Anosmia
Loss of smell, often from common cold or corona virus. Can be bilateral or unilateral (affcting both or only one olfactiry nerve)
Papilledema
Bulging optic disk(papilla) from icreased intercranial pressure.
Recti m. Of eye
Lateral, medial, superior, inferior
Oblique m. of eye
Superior, inferior
Occulomotor n.
Innervates recti and oblique m of eye.
Innervates palpebrae superioris m(eyelid muscle)
Constricts pupil Sphincter pupille m.
Changes shape to the lens Cillliary m.(makes lens rounder for “near” vision) found behind iris.
Third Nerve Palsy
•Ptosis - eyelid droops •divergent squint •dilation of pupil • Loss of accomodation reflex • Loss of light reflexes • Diplopia -eye ball looking abbit down and outwards -would not be able to read anything close
Trochlear Nerve
CN IV -superior oblique muscle -SO4 -Intorsion(medially) •Depression(inferiorly) •Abduction
Injury to CN IV
Head injuries common cause
- small calibre
- long intracranial course• paralysis of superior obloque
- Diplopia
Trigeminal n (tic douloureaux)
CN V Sensory to face 3 Brr. Senory inky -Opthamalic br. (CN V1) -Maxillary br. Sensory and motor -Mandibular br. Carries somatic neurons and innervate m. If mastication (masseter&temporalis)
CN V injury
- usually section of whole CN V
- lesions
- carries pain from dental cavities from maxillary or mandibular branches
Trigeminal Neuralgia
- CN V
- periodic stabbing pain
- painful
- unpredictable intervals
- pharmacological or surgery is often
Inferior Alveolar Nerve Block
- dentists
- mandivular teeth
- lingula
CN VI
Abducens n.
- Lateral rectus m.
- Abducts eye
Abducen n. Palsy
- Medial strabismus (“cross eye”)
- Diplopia (double vision)
CN VII- Facial n.
- Motor root
- Parasynlmpathetic root
- Sensory Root
Motor root if Facial n.
Mm. Of facial expression
Five branches
Parotid gland
Parasympathetic root of Facial n.
Secretormotor supply
Submandibular gland
Sublingual glands - saliva
Lacrimal glands - tears
Sensory root of Facial n.
“Nervus intermedius”
- Taste from anterior 2/3 of tongue
- Cutaneous sensations from pinna and external auditory meatus
CN VII Facial Paralysis
-Facial mm. Paralysis
-Loss of taste sensation
-Decreased salivation
-Decreased lacrimation
-Hyperacusis: increased sensativity to certain frequencies and volume within a range of sound. Innervates stapedius mm. which dampens everyday sounds
“Bells palsy”- unknown facial paralysis
Geberal facial paralyses diagnised due to known cause of paralysis
CN VIII Vestibulocochlear n.
Two separate nn. Inner ear
Two branches
Cochlear n.
Vestobular n.
Cochlear n.
- Depolarize in response to sound waves
- Hearing
Vestibular n.
- depolarize in response to body position
- balance and equilibrium
CN VIII Lesions
Cochlear n leasions
- Tinnitus “jingling”
- Deafness
- Acoustic neuromas - intracranial tumours(on the cochlear n.)
Vestibular n lesions
- vertigo “dizzyness; to turn”
- disequalibrium
- Nystagmus
CN IX Glossopharangeal n.
Motor
Parasympathetic
Sensory
Gustatory
CN IX Motor funct.
Stylopharangeus m.
Superior pharangeal constrictor m.
CN IX Parasympathetic funct.
Parotid Gland
CN IX Sensory funct.
Pharangotympanic tubes
Palatine tonsils
Oropharynx
Posterior 1/3 tongue
CN IX Gustatiry funct.
Taste sensation- posterior 1/3 tongue
CN X Vagus n.
Sensory neurons
Somatic motor neurons
Visceral motor neurons
Vagus n. Sensory neurons
Inferior pharynx
Larynx
Thoracic organs
Visceral organs
Somatic motor neurons CN X
Soft pallette
Pharaybx
Intrinsic larybgeal mm
Visceral motor neuionrs CN X
Heart esohpgus Stomach Snall intestine Large intestine Gallbladder
CN XI Accesory n.
Cranial component
- accompanies CN X
- Mm of larynx
Spinal component
- sternocleidomastoid m
- trapezius
CN XII Hypoglossal n.
- Mm. of tongue, intrinsic and extrinsic
- Dysarthia, difficulty with articulating words
Peripheral n. And ganglia
Mixed nn. Sensory nn. Spinal nn. (In the grey matter) -Anterior root -Posterior root -Dorsal root ganglion Rami communications
Ganglia
Collection of nerve cell bodies, carry on sensory information
Spinal nn & Plexuses
31 pairs if spinal nerves, 8 pairs of cervical nerves
- 12 throacic
- 8 cervical
- 5 lumbar
- 5 sacral
- CO
Cerivical Plexus
- C1-C4 ventral rami
- Phrenic n. Moves diaphragm. Carries sensory neurons