Trigeminal nerve Flashcards
where does the nuclei of the Trigeminal nerve mainly lie in.
- mesencephalon
- pons
- medulla oblongata
- extending down in the cervical portion of the spinal cord
nuclei’s of the Trigeminal nerve
- pontine nucleus
- spinal Trigeminal nucleus
- mesencephalic nucleus
- motor nucleus
location and function of the pontine nucleus
- upper part of pons, tegmentum lateral part of reticular formation
- epicritic sensibility, general somatosensory
location and function of the spinal trigeminal nucleus
- from principle nucleus into medulla untill c1-c2 fo the spinal cord lower end continuing with substansia gelatinosa
- protopathic sensibility, general somatosensory
location and function of the mesencephalic nucleus
- extends cranially from principle nucleus into the midbrain where is lies in the central grey matter lateral to cerebral aquaduct.
- propioceptive sensibility general somatosensory
location and function of the motor nucleus
- upper part of the pons, medial to the principle sensory nucleus
- branchiomotor, SVM 1st branchial arch nucleus
the sub nuclei of the spinal trigeminal nucleus
- oralis
- interpolaris
- caudalis
which nerves protopathic fibers terminate also at the spinal trigeminal nucleus and why?
-facial nerve
-glossopharyngeal
-vagus nerve
because those nerves dont have a seperate nuclei for the protophatic sensibility.
brain exit of the trigeminal nerve
- between the pons and the brachium anterior as a
- larger sensory root GSS inferiorly
- smaller motor root SVM superiorly
sub arachnoidal course of the trigeminal nerve
lateral pontine cistern
dura penetration of the trigeminal nerve and where do their division go?
- trigeminal cave (containing the gasser ggl in it)
- V1 opthalmic: cavernous sinus lateral wall
- V2 Maxillary : cavernous sinus lateral inferior wall
- V3 maindibular: foramen ovale
skull exit of the trigeminal nerve
- V1: superior orbital fissure
- V2: foramen torundum
- V3: foramen ovale
V1 pathway of the opthalmic nerve
- leaves the gasser ggl,
- lies in the lateral wall of cav. sinus
- enters SOF
- orbital vaity
- before entering the SOF; it gives a recurrent tentorial branch for the cerebellar tentorium then divides into 3 main branches
what are the main branches of the opthalmic nerve
- lacrimal
- frontal
- nasociliary
pathway of lacrimal nerve
lat. section of SOF
returns to lacrimal innervating the lateral corner of the eye via the common branch it recieves from post ganglionic para sympathetic guest fibers from zygomatic nerve
pathway of the frontal nerve and the branches if gives
lateral section of the SOF closer to midline of orbital cavity it divides into
- supratrochlear nerve
- supraorbtial nerve
supply of the supra trochlear nerve
innervating upper part of the upper eye lid, glabella and root of the nose
supply of the supraorbital nerve
trough superior orbital notch for the innervation of the
- conjuctiva
- upper eye lid
- skin of forhead
- scalp
- frontal sinus
pathway and branches of the nasociliary nerve
through the medical section of the SOF runs in the medial corner of the orbital cavity to give:
- communicating branch (sensory)
- long ciliary branch
- posterior ethmoidal nerve
- anterior ethmoidal nerve
- infratrochlear nerve
-communicating branch
sensory fibers though the eyeball through the ciliary ggl to their cell bodies in the trigeminal ggl via the nasociliary
long ciliary branch
by passes the ciliary ggl supplying post synaptic sympathetic fibers for dilator papillae muscle and sensory fibers for the
- ciliary muscles
- iris
- cornea