w 6 and w 7 Flashcards
what movements rely on an upper and motor neuron?
voluntary
which motor pathway controls voluntary movement?
pyramidal (direct)
which motor pathway controls involuntary movement?
extrapyramidal (indirect)
how many neurons are involved in the voluntary movement of skeletal muscle?
2 UMN and LMN
how many tracts are involved in voluntary motor control?
2 anterior and lateral tracts
where does the UMN in corticospinal tract originate?
cerebral cortex
what does the corticospinal tract provide?
voluntary motor function
what are the three main locations axons leave the cortex in the corticospinal tract?
premotor cortex
primary motor cortex
supplementary motor cortex
(some leave sensory cortex)
where does the corticospinal tract travel through after cortex?
corona radiata - cerebral white mater
then decends through internal capsule (posterior limb)
then through cerebral crus
then brain stem into spinal cord
where do the majority of sorticospinal fibres cross to form lateral tract?
medulla
what forms the lateral tract of corticospinal pathway?
crossing of fibres at pyramids in medulla
what forms the anterior tract of corticospinal pathway?
the uncrossed fibres
where does the UMN of corticospinal tract synapse with the LMN?
ventral horn of spinal cord
where does crossing of the lateral corticospinal tract take place?
medulla
where does crossing of anterior corticospinal tract take place?
spinal cord
A lesion affecting corticospinal fibres in the left side of the ventral pons impairs voluntary movement of the arm and the leg on which side?
RIGHT SIDE (contralateral) Hemiplegia or Paresis
A lesion affecting the cervical spinal cord on the left side impairs voluntary movement of the limbs on which side?
LEFT SIDE (ipsilateral) Hemiplegia or Paresis
give an example of an UMN lesion of cortico spinal tract
stroke
signs of stroke
spastic paralysis
no muscle atrophy
hyperflexia
hypertonia
give an example of a LMN lesion of corticospinal tract
trauma or poliomyelitis
what are signs of LMN lesion
flaccid paralysis
significant muscle atrophy
hyporeflexia
hypotonia
what supplies sensory innervation to the face?
CNV
great auricular from C2-C3 supplies angle of mandible
what branch of trigeminal supplies sensory innervation to the auriculotemporal area?
CNV3
what nerves supply the scalp?
C2 and C3
what nerve does C2 alone give rise to?
great ocipital
what nerve does C3 alone give rise to?
third occipital
what nerve does C2 and C3 give rise to?
great auricular and lesser occipital
where does CNV1 exit the cranium?
superior orbital fissre
where does CNV2 leave the cranium?
exits cranium through foramen rotundum
where does CNV3 exit the cranium?
foramen ovale
how are muscles of facial expression arranged?
sphincters or dilators around facial orifices
what innervates the buccinator?
facial nerve - buccal branch
what innervates orbicularis oris?
facial nerve - buccal branch and marginal mandibular branch
what innervates orbicularis oculi?
facial nerve -zygomatic branch and temporal branch
what innervates occipitofrontalis frontal head?
facial nerve - temporal branch
what innervates platysma?
facial nerve - cervical branch
where does the facial nerve enter and exit the skull?
enters via internal acoustic meatus and exits via stylomastoid foramen
what two branches are given off when the facial nerve exits the stylomastoid foramen?
posterior auricular and digastric nerve
what does the digastric nerve innervate?
posterior belly of digastric and stylohyoid muscle
after giving off the posterior auricular and digastric nerve, where does the facial nerve travel?
into the parotid gland where 5 terminal branches arise
where are the muscles of facial expression derived from?
2nd pharyngeal arch
what are muscles of facial expression innervated by?
facial nerve
where is the facial nerve derived from embryologically?
2nd pharyngeal arch
what innervates the occipital belly of occipitofrontalis?
Facial nerve - posterior auricular nerve
what is the function of occipitofrontalis?
occipital belly retracts scalp
frontal belly protracts scalp
wrinkle forehead and raise eyebrows
where does the occipital belly of occipitofrontalis insert into / where does the frontal belly originate?
epicranial aponeurosis
what are the two parts of orbicularis oculi?
orbital and palpebral
what is the function of palpebral part?
close eyelids gently - involuntary blinking
what is the function of orbital part?
close eyelids tightly - voluntary
what is the first of the three sphincters associated with alimentary system?
orbicularis oris
where does the orbicularis oris originate and insert?
maxilla, medial mandible, buccinator and other surrounding muscles
mucous membrane of lips
what is the function of orbicularis oris?
close lips
protrude lips
keep food bolus on occlusal surface
speaking
what is the function of the buccinator?
keep food bolus on occlusal surfaces of teeth
smiling
where does buccinator originate and insert?
pterygomandibular raphe, posterior alveolar process of maxilla and mandible
inserts into fibres of orbicularis oris
what pierces the buccinator and buccal fat pad?
parotid duct
why is the buccal fat pad larger in infants?
to reinforce and support cheeks during feeding
what is the function of platysma?
tense skin of inferior face and neck and depress mandible
what is the function of levator/depressor anguli oris?
lift/depress corners of mouth
what is the function of zygomaticus major?
lift corners of mouth to smile
unilateral to sneer
what is the function of depressor labi oris?
express sadness
pout
what is the function of levator labi oris?
elevate and/or evert upper lip
what is the function of zygomaticus minor?
work with levator labi superioris to elevate and evert upper lip
what is the function of mentalis muscle?
elevates skin of chin
elevates and protrudes lower lip
what is the function of levator labi superioris aleque nasi?
flaring of nostrils
what is the transverse part of nasalis called?
procerus
what is the function of procerus of nasalis?
wrinkles skin over nose
what are the two parts of nasalis?
procerus
alar
what is the function of the alar part of nasalis?
act with levator labi superioris alaeque nasi to depress ala
elevate upper lip
what blood vessels supply the face?
majority of blood supply from external carotid artery - facial, maxillary and superficial temporal branches
a little from internal carotid - Opthalmic branch
what does the facial artery cross?
mandible, buccinator and maxilla
where does the opthalmic artery come from?
internal carotid
what artery is the mental artery a branch of?
maxillary branch artery of external carotid
where on the face can you take a pulse?
facial artery at inf. border of mandible
transverse facial artery just anterior to auricle
describe the venous drainage pf the face
most of the face is drained by the facial vein which runs alongside the facial artery
part of the upper face is drained into transverse facial vein
veins of the face ultimately drain into the internal jugular vein
what vein does the facial vein communicate with at the medial corner of the eye?
superior ophthalmic vein
where does the superior ophthalmic vein drain to?
cavernous sinus
what vessels join to make the retromandibular vein?
superficial temporal and maxillary vein
the sperficial temporal vein joins with the maxillary vein to form what?
retromandibular vein
which major salivary gland does the retromandibular vein run in?
parotid
what does the a terior branch o retromandibular vein unite with?
facial vein
what does the posterior branch of retromandibular vein give rise to?
external jugular vein when it joins the posterior auricular vein
where does the external jugular vein drain into?
subclavian vein
what muscle does the EJV cross?
SCM
how can skin infections spread intracranially?
facial veins and veins of pterygoid plexus in the danger triangle of the face drain to the cavernous sinus
cavernous sinus lies lateral to pituitary
skin infections of face can spread into cavernous sinus and pathogens multiply leading to a cavernous sinus thrombosis or infection spreading to cranial meninges and intracranially
what causes a cavernous sinus thrombosis?
skin infections
facial veins and veins of pterygoid plexus in the danger triangle of the face drain to the cavernous sinus
skin infections of face can spread into cavernous sinus and pathogens multiply leading to a cavernous sinus thrombosis
why are does facial inflammation cause considerable swelling?
due to there being no deep fascia and the subcutaneous tissue is loose connective meaning fluid and blood can accumulate
what nerve supplies muscles of the ear?
CNVII
what blood vessels supply and drain the ear?
external carotid via posterior auricular and superficial temporal arteries
drains to external jugular vein
describe the lymphatic drainage of the ear
to parotid and ,mastoid lymph nodes and then to deep cervical nodes
describe the lymphatic drainage of the ear
to parotid and mastoid lymph nodes and then to deep cervical nodes
what are the layers of the eyelid?
skin
connective tissue
conjunctiva
muscle - orbicularis oculi
tarsus
orbital septum
what is a risk of there being loose connective tissue in the eyelid?
fluid accumulation from scalp post injury
what is the function of the eyelid?
protection - injury and light
spread lacrimal fluid
at is the name of the transparent mucous membrane covering the eyelid internally?
conjunctiva
what is the palpebral fissure?
space between eyelids