V Trigeminal Flashcards

1
Q

Where does trigeminal nerve originate?

A
  1. Nucleus of spinal tract of V - midpons-C5
  2. Chief sensory nucleus - midpons
  3. Mesencephalic nucleus - midpons-midbrain
  4. Motor nucleus - midpons
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2
Q

Where does trigeminal nerve exit the brain?

A

Midpons

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3
Q

Function of nucleus of spinal tract of V

A

Pain & temperature

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4
Q

Function of chief sensory nucleus

A

Touch

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5
Q

Function of mesencephalic nucleus

A

Proprioception

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6
Q

Function of motor nucleus of V

A

Mastication muscles

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7
Q

Where do the peripheral branches of trigeminal nerve exit the skull?

A
  1. V1 ophthalamic (sensory) - SOF
  2. V2 maxillary (sensory) - foramen rotundum
  3. V3 Mandibular (mixed) - foramen ovale
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8
Q

Where does the meningeal branch of V3 mandibular re-enter the skull?

A

Foramen spinosum (sphenoid)

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9
Q

the maxillary division (V2) goes through foramen rotundum and enters the ____

A

pterygopalatine fossa

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10
Q

V2 receives postganglionic parasympathetic fibers from the ____, whose preganglionic fibers are in the ____

A

pterygopalatine ganglion (sphenopalatine ganglion)
Facial nerve

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11
Q

V2 sends postganglionic fibers via its ____ branch to…

A

zygomaticotemporal branch –> lacrimal branch V1 –> lacrimal gland

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12
Q

Sensory functions of trigeminal nerve

A

Face, scalp, teeth, most of tongue, oral and nasal mucosa, dura mater, cerebral blood vessels

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13
Q

Sensory fibers from all 3 peripheral divisions of trigeminal are…

A

Pseudounipolar cells whose cell bodies are in the trigeminal (semi lumbar ganglion) or mesencephalic nucleus in the case of proprioception

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14
Q

Motor functions of trigeminal nerve

A
  • Muscles of mastication (masseter, temporalis, medial & lateral pterygoid)
  • tensor tympani and tensor veli palatini muscles
  • mylohyoid and anterior belly of digastric muscles
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15
Q

Examination of trigeminal nerve

A

Touch by cotton swab, pain by pinprick, temperature, corneal reflex, jaw reflex, masticatory movements

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16
Q

Lesion of trigeminal nerve

A

Trigeminal neuralgia (tic douloureux)
Facial anesthesia/numbness
Inability to bite down