WEEK 8 CRANIAL NERVES FINISHED Flashcards

1
Q

How many pairs of cranial nerves are there?

A

12

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2
Q

In what order are they named in according to position?

A

From anterior to posterior

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3
Q

Why are cranial nerves called cranial nerves?

A

1 - they emerge through the foramina of the cranium/skull

2- they are covered by sheaths made out of cranial meninges

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4
Q

What sections of the brain are included in the brain stem?

A

The medulla oblongata, the pons and the midbrain (mesencephalon)

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5
Q

What is the brain stem?

A

The connecting link between the remainder of the brain and the spinal cord

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6
Q

What are the 5 main functional components of cranial nerves?

A

Motor:

  • Somatic motor (efferent)
  • Visceral motor (efferent parasympathetic)

Sensory:

  • General sensory (afferent) (touch, pain, temperature)
  • Visceral sensory (afferent)
  • Special sensory (hearing, sight, smell etc)
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7
Q

What are the 12 cranial nerves in order?

A

CN I - Oh OLFACTORY
CN II - Oh OPTIC
CNIII - Oh OCCULOMOTOR
CN IV - To TROCHLEAR
CN V - Touch TRIGEMINAL
CN VI - And ABDUCENS
CN VII - Feel FACIAL
CN VIII - Virgin VESTIBULOCOCHLEAR
CN IX - Girls’ GLOSSOPHARYNGEAL
CN X - Vaginas VAGUS
CN XI - And ACCESSORY
CN XII - Hymen HYPOGLOSSAL

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8
Q

CN I - Composed of? Originates and ends?

What type of functional component(s) does it have?

A

OLFACTORY NERVE

Functional type: special sensory - smell/olfaction

Approx 20 olfactory nerves on each side, composed of both neurons and receptors.

Originates - cell bodies and dendrites are within the olfactory mucosa of the nasal cavity

Ends - olfactory bulb, continue to the olfactory area in the cerebral cortex through the cribriform plate of the ethmoid bone

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9
Q

Describe how and where the nerves from CN I pass into the cranium.

A

The olfactory nerve fibres pass through the foramina of the cribriform plate of the ethmoid bone. They pierce the dura and arachnoid mater of the brain and enter the olfactory bulb in the anterior cranial fossa. They synapse with the fibres in the bulb then become the olfactory tract as they pass through to the brain.

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10
Q

CN II -
Originates?
Ends?
What type of functional component(s) does it have?

A

OPTIC NERVE

Functional type: Special sensory - sight

Originate: Eyeball

Exit skull: Through optic canal

Arises from the retinal cells in the back of the eye.
Begins where the axons of these cells pierce the sclera (the external fibrous coat of the eyeball). The optic nerve conducts impulses from the photoreceptors (cones/rods) in the retina.

The nerve passes posteriorly /medially in the orbit or the eye socket and exits through the optic canal. In the middle cranial fossa the optic nerve forms the optic chiasm.

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11
Q

What the CN II ‘claim to fame’?

A

The largest cranial nerve

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12
Q

What is the optic chiasm? What is the optic nerve called after it has passed through as the optic chiasm?

A

Where the fibres from the medial half of each retinal cross over and join the uncrossed lateral fibres from each retina.

After this point they become the optic tracts and then continue on to the visual cortes within the occipital lobe.

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13
Q

What nerve is the paired extension of the forebrain?

A

CN II

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14
Q

What fibres form the right optic tract? Explain how this is relevant in terms of the various places the optic nerve can be damaged

A

The right optic tract is formed by the fibres from the ride side of each retina. This would mean the right optic tract is made up by the nasal fibres from the right eye and the peripheral fibres from the left eye. (remember that nasal fibres come from the nose and hit the lateral side of the eye, where as the peripheral fibres come from the periphery and hit the medial side of the eye).

If the right optic nerve was damaged before it formed the optic chiasm, the person would lose all sight in the right eye. If the optic chiasm was split through the middle the person would have nasal vision in each eye but no vision from the peripheral portion. If the damage occurred in the right optic tract, the person would lose peripheral sight in the left eye and nasal sight in the right eye. Therefore they would be unable to see to the right at all.

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15
Q

What does visual field mean?

A

What is seen by a person with both eyes wide open and looking straight ahead.

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16
Q
CN III  - 
Originates?
Ends? 
What type of functional component(s) does it have?
What does it do/functions?
A

OCCULOMOTOR NERVE

Originates: in the midbrain

Exits skull: through the superior orbital fissure.

Functional type:

  • Somatic motor nerves
  • Parasympathetic visceral motor nerves

Functions:

  • Motor control over 4 of the 6 extraoccular muscles (superior rectus, inferior rectus, medial rectus, inferior oblique)
  • Motor to the upper eyelid muscles (levator palpebrae superioris)
  • Parasympathetic to the pupillary sphincter (constricts pupil) and cillary muscles of the lens (accommodation)
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17
Q

What is olfaction?

A

The sensation of odours that results from the detection of odorous substances aerosolised in the environment.

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18
Q
CN IV  - 
Originates?
Ends? 
What type of functional component(s) does it have?
What does it do/function?
A

TROCHLEAR NERVE

Originates: From the midbrain, BUT it emerges from the posterior surface of the midbrain and winds around the brainstem.

Ends: Leaves the skull via the superior orbital fissure.

Functional type: Somatic motor

Function: innervates superior oblique muscle to the eye as well as proprioception

19
Q

What is the CN IV ‘claim to fame’?

A

Only CN to emerge from the posterior surface of the midbrain, ALSO, the smallest CN but has the longest intracranial course.

20
Q
CN V  - 
Originates?
Ends/ exits the skull?
What type of functional component(s) does it have?
What are the different divisions?
A

TRIGEMINAL NERVE

Originates: from the pons, one small root, one large root

Functional types: Somatic motor fibres and somatic sensory fibres

Divisions

  • Ophthalmic (V1) nerve
  • Maxillary (V2) nerve
  • Mandibular (V3) nerve

Ends:
Ophthalmic nerve - SOF
Maxillary nerve - Foramen rotundum
Mandibular nerve - Foramen ovale

21
Q

What is the CN V ‘claim to fame’

A

The second largest Cranial Nerve

22
Q

What are the functional components and functions of the divisions of CN V?

A

Ophthalmic (V1)
- Sensory

Maxillary (V2)
- Sensory

Mandibular (V3)
- Sensory and motor nerve

23
Q

What are the functions of the trigeminal nerve?

A

Motor:
Muscles of mastication (masseter, temporalis, medial and lateral pterygoids)

Mylohyoid muscles
Anterior belly of digastric
Tensor veli palatini
Tensor tympani

Sensory:
Principal general sensory nerve for the head
Face, teeth, mouth, nasal cavity, dura

24
Q
CN VI  - 
Originates?
Exit from the skull?
What type of functional component(s) does it have?
What does it do/function?
A

ABDUCENS NERVE

Origin: pons, between the pons and medulla

Exits the skull: through the SOF

Functional type: somatic motor

Function: lateral rectus muscle

25
Q
CN VII  - 
Originates?
Course?
Ends/ exits the skull?
What type of functional component(s) does it have?
A

FACIAL NERVE

Origin: Emerges from the junction of the pons and medulla

Course: passes through the internal acoustic meatus, facial canal within the temporal bone and exits through the stylomastoid foramen. Enters the parotid gland where it gives rise to the terminal branches which supply the muscles of facial expression.

Exits: through the stylomastoid foramen.

Functional types:
Special sensory (taste)
Somatic sensory
Somatic motor
Visceral motor (parasympathetic)
26
Q

What are the 2 roots of CN VII?

A

Larger motor root - muscles of facial expression

Smaller intermediate root - carries special sensory (taste), somatic sensory, visceral motor (parasympathetic)

27
Q

CV VII functions:

A

Taste to the anterior 2/3 of the tongue and soft palate

Sensory to the external ear

Motor to:

  • mm of facial expression
  • throat (posterior belly of digastric, stylohyoid)
  • middle ear (stapedius)
  • proprioception to the above muscles

Parasympathetic to the submandibular and sublingual glands, lacrimal gland, glands of the nasal cavity and palate

28
Q

What is CN VII ‘claim to fame’

A

The longest intraosseous CN

29
Q

What are the nerves of the CN VII?

A

Greater Petrosal Nerve (to the lacrimal gland)
Nerve to the Stapedius and the Chorda Tympani (to the submandibular and sublingual gland, taste to the anterior 2/3 of the tongue)

30
Q

What holes does CN VII enter and exit?

A

Transverses the internal acoustic meatus then the facial canal within the temporal bone

Exits through the temporal bone through the stylomastoid foramen.

31
Q

What are the terminal branches of CN VII?

A
Posterior auricular
Temporal
Zygomatic
Buccal
Mandibular
Cervical
32
Q

Describe the parotid gland (innervation?)

A

Largest of 3 salivary glands, supplied by the glossopharyngeal nerve CN IX, sympathetic by cervical plexus

33
Q
CN VIII  - 
Originates?
Course?
Ends/ exits the skull?
What type of functional component(s) does it have?
Functions?
A

VESTIBULOCOCHLEAR NERVE

Originates: Junction between the pons and medulla

Ends/exits the skull: Enters the internal acoustic meatus. but then doesn’t exit the skull

Functional type - special sensory

Functions:
Vestibular nerve = Equilibrium
Cochlear nerve = hearing

34
Q

What is CN VIII’s ‘claim to fame’

A

The only CN to not exit the skull

35
Q

CN IX -
Originates?
Ends/ exits the skull?
What type of functional component(s) does it have?

A

GLOSSOPHARYNGEAL NERVE

Originate: Medulla

Exits cranium: through jugular foramen.

Functional types and functions:

  • Special sensory: taste
  • Somatic sensory
  • Visceral sensory
  • Somatic motor
  • Visceral motor (parasympathetic)
36
Q

What are the functions of CN IX?

A

Sensory:
Special - taste to the posterior 1/3 of tongue

Sensory:
Somatic - mucosa of the pharynx and palatine tonsils
- Posterior 1/3 of tongue, auditory tube, middle ear, carotid body and sinus.

Motor:
- stylopharyngeus

Proprioception:
- stylopharyngeus

Parasympathetic:
- parotid gland and glands of the posterior 1/3 of the tongue

37
Q

CN X -
Originates?
Ends/ exits the skull?
What type of functional component(s) does it have?

A

VAGUS NERVE

Origin: Series of rootlets from the medulla

Exits skull: through the jugular foramen

Functional types:

  • Somatic sensory
  • Visceral sensory
  • Special sensory
  • Somatic motor
  • Visceral motor
38
Q

What is the CN Xs ‘claim to fame’?

A

The longest CN with the most extensive course

39
Q

What are the functions of CN X?

A

Somatic sensory:

  • Inferior pharynx
  • Larynx

Visceral sensory:
- Thoracic and abdominal organs

Special sensory:
- Taste in the root of the tongue and taste buds of the epiglottis

Somatic motor and proprioception:

  • soft palate
  • pharynx
  • intrinsic laryngeal muscles
  • palatoglossus

Visceral motor/parasympathetic
Parasympathetic fibres to the thoracic and abdominal viscera as far as the left colic flexure

40
Q

CN XI -
Originates?
Ends/ exits the skull?
What type of functional component(s) does it have?

A

ACCESSORY NERVE

Originates:

  • has a cranial root - medulla
  • and a spinal root - upper C5-C6 segments

Exits the skull: through jugular foramen

Functional types:
Somatic motor

Functions:
Motor: soft palate (muscles, movable posterior 1/3 of the palate suspended from the posterior border of the hard palate), pharynx
Motor: SCM, trapezius

41
Q

CN XII -
Originates?
Ends/ exits the skull?
What type of functional component(s) does it have?

A

HYPOGLOSSAL NERVE

Origin: Medulla

Exits skull: hypoglossal canal

Motor: most of the muscles of the tongue, both intrinsic and extrinsic
Proprioceptive fibres to the above muscles

42
Q

Skull exits of all cranial nerves?

A
I - Foramina in the cribiform plate of the ethmoid bone 
II - Optic Canal
III - SOF
IV - SOF
V - V1 - SOF, V2 - foramen rotundum, V3 - foramen ovale
VI - SOF
VII - Internal acoustic meatus to stylomastoid foramen
VIII - does not exit the skull
IX - Jugular foramen
X - Jugular foramen
XI - Jugular foramen
XII - Hypoglossal canal
43
Q

Claims to fame for all CNs

A
I - None
II - Largest cranial nerve
III - None
IV - Smallest CN but longest intracranial course, only CN to emerge from the brainstem dorsally
V - Second largest CN
VI - None
VII - Longest intraosseous CN
VIII - Only CN to not exit the skull
IX - None
X - Longest CN with the most extensive course
XI - Has a spinal and CN root
XII - None