Professional Documents
Culture Documents
Special Sensory Efferent fibers to Olfactory Bulb Olfactory Tract Olfactory Bulb Cribiform Plate of Ethmoid
CN II Optic
Special Sensory Retina
Pituitary
Optic Canals
Papilledema Moore, 1090 Optic Neuritis Moore, 1090 Visual Field Defects Moore, 1090
Optic Chiasm
Optic nerve
CN III Oculomotor
Motor Parasympathetic: dashed = preganglionic solid = postganglionic Sympathetic (not part of CN III here, Coming from Internal Carotid Plexus) Accessory Oculomotor (Edinger-Westphal) Nucleus
Nasoc iliary N . (V 1)
Superior Rectus
Eyelid
Long C
Sphincter Pupillae
Oculomotor Nerve Palsy -Ptosis -No Pupillary Reflex -Dilation of the Pupil -Eye Abducted -No Lens Accomadation Compression of CN III Aneurism of Posterior Cerebral or Superior Cerebellar Artery
Medial Rectus
Inferior Rectus
Inferior Oblique
CN IV Trochlear
Motor
LR6SO4 CN VI Abducent
Motor
Abducent Nucleus
Lateral Rectus
Abducent Nerve Injury - Long intercranial course - Stretched due to fluid pressure - Paralysis - Diplopia except opposite side of lesion or Aneurism of Willis or Septic Thrombosis of Cavernous Sinus
CN V Trigeminal V1 Opthalmic
Sensory Frontal Nerve
Supraorbital Foramen Supraorbital N. Lateral Scalp Forehead Frontal Sinus Internal Upper Eyelid
Supratrochlear N. Meningeal
Trigeminal Ganglion
Lacrimal Nerve
Nasociliary Nerve
Infratrochlear
Post. Ethmoidal Foramen
Eyeball
Tip of Nose
Iris, Cornea
CN V Trigeminal V2 Maxillary
Sensory Parasympathetic dashed = preganglionic solid = postganglionic Sympathetic Zygomatic N. Zygomaticotemporal N.
Meningeal Trigeminal Ganglion Inferior Orbital Fissure Greater Petrosal N. (from CN VII) Deep Petrosal N. (from Internal Carotid Plexus) Vidian N. Of Pterygoid Canal PterygoPalatine Ganglion Greater Palatine N. Sphenopalatine Foramen Infraorbital Nerve Post., Mid., & Ant. Superior Alveolar N. Upper Teeth Maxillary Sinus
Soft Palate
Greater Palatine Foramen
Pharyngeal Branch
Sensory to posterior 2/3 lateral nasal wall Nasal Concha Ethmoidal Air Cells
Hard Palate
Incisive Canal
Nasopalatine Nerve
CN V Trigeminal V3 Mandibular
Foramen Ovale
Foramen Spinosum
Otic Ganglion
Muscles of Mastication Medial Pterygoid Lateral Pterygoid Temporalis Masseter ---------------------------------Tensor Veli Palatini Muscle Tensor Tympani Muscle
Buccal Nerve
Lingual Nerve
Sensation
VII
Chorda Tympani
Taste
Chin
CN VII Facial
Special Sensory Parasympathetic: dashed = preganglionic solid = postganglionic Motor Sympathetic Internal Acoustic Meatus Motor Nucleus of Facial Nerve Hiatus of Greater Petrosal Lacrimal Gland Pterygoid Canal Containing Vidian Nerve
Geniculate Ganglion
Stapedius
Occipitalis Muscle Temporal Occiptial Branch Posterior Auricular Nerve Parotid Gland Zygomatic Muscles Of Facial Expression (Including Buccinator & Platysma)
Buccal
Cervical
Post. Auricular
CN VIII Vestibulocochlear
Special Sensory Internal Acoustic Meatus
Cochlea
Hearing
r Nerve
Vestibular Nuclei
Cochlear Ganglion
Cochlea
Vestibular Ganglion
Vestibular Apparatus
Vestibulocochlear Nerve Injuries -Tinnitus, vertigo, loss of Hearing Deafness (conductive & sensorineural) Acoustic Neuroma Trauma & Vertigo Mnire Syndrome endolymphatic hydrops, tinnitus, vertigo, nausea Vestibular Disease TIA transient ischemic attack
CN IX Glossopharyngeal
Spinal Tract & Spinal Nucleus of Trigeminal Nerve Inferior Salivatory Nucleus Superior Glossopharyngeal Ganglion Jugular Foramen
Motor
Inferior Glossopharyngeal Ganglion Tympanic Nerve Tympanic Plexus Solitary Tract Nucleus
Lesser Petrosal N.
Otic Ganglion
Parotid Gland
Pharynx Tonsillar Branch Palatine Tonsil Lingual Branch Carotid Branch Carotid Body Carotid Sinus Taste & Sensation of Posterior 1/3 of Tongue
Lesions of CN IX (uncommon) -Taste Absent posterior 1/3 -Gag Reflex missing on side of lesion -Jugular Foramen Syndrome Glossopharyngeal Neuralgia (uncommon) - Pain Paroxysms burning or stabbing
CN X Vagus
Auric ula Bran r ch
Sensory Parasympathetic
3 2 1
Motor
1) Posterior Nucleus of Vagus (Parasympathetic) 2) Solitary Tract Nucleus (Visceral Afferents) 3) Nucleus Ambiguus (Motor to Pharyngeal & Laryngeal Muscles) Pharyngeal Branch
All Pharyngeal Muscles (except Stylopharyngeus IX) All Palate Muscles (except Tensor Veli Palatini V3)
Superior Laryngeal N.
Internal Branch
Recurrent Laryngeal N.
All Intrinsic Laryngeal Muscles (except Cricothyroid Ext. branch) Sensory & Parasympathetic to Larynx below vocal cords; Parasympathetic (Efferent & Afferent) to Upper Esophagus & Trachea
Lesions of Vagus Nerve -Injury to pharyngeal branch Dysphagia (difficulty swallowing) -Lesion of superior laryngeal nerve Anesthia in upper larynx & paralysis of cricothyroid muscle Voice is weak & tires easily -Injury to Recurrent Laryngeal Caused by aortic aneurysm or neck operations Hoarseness, dysphonia ( voice quality) If both sides, aphonia (no voice) & inspiratory stridor (crowing sound during inspiratory phase)
CN XI Spinal Accesory
Motor Sensory (Proprioceptive) Jugular Foramen Nucleus Ambiguus
Injury During Special Procedures Lesions - Weakness and atrophy - Impairment of opposite side rotary movements (SCM) & shrugging movements - Scapular winging during shoulder abduction
Foramen Magnum C1
Sternocleidomastoid
C2
Trapezius
C3
C4
CN XII Hypoglossal
Motor Hypoglossal Canal Hypoglossal nucleus All Glossus Muscles (except Palatoglossus - X)
C1
C2