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Neuroanatomy Cranial

Cranial Nerves

QuestionAnswer
CN 1 Olfactory Nerve
CN 1 Function Smell
CN 2 Optic Nerve
CN 2 Function Vision
CN 3 Oculomotor Nerve
CN 3 Function Eye Movement, Pupil Constriction
CN 4 Trochlear Nerve
CN 4 Function Eye Movement
CN 5 Trigeminal Nerve
CN 5 Function Somatosensory Information (touch, pain) from the face and head; muscles for chewing
CN 6 Abducens Nerve
CN 6 Function Eye Movement
CN 7 Facial Nerve
CN 7 Function Taste (anterior 2/3 of tongue); somatosensory information (touch, pain) from ear; controls muscles used for facial expression.
CN 8 Vestibulocochlear Nerve
CN 8 Function Hearing; balance
CN 9 Glossopharyngeal Nerve
CN 9 Function Taste (posterior 1/3 of tongue); somatosensory information (touch, pain) from tongue, tonsil, phaarynx; controls some muscles used for swallowing.
CN 10 Vagus
CN 10 Function Sensory, motor, and autonomic functions of viscera (glands, digestion, heart rate, breathing)
CN 11 Spinal Assessory Nerve
CN 11 Function Controls muscles used in head movement
CN 12 Hypoglossal Nerve
CN 12 Function Controls muscles of the tongue
Spinothalamic Tract carries FROM BODY: awareness of pain and temperature
SPINOTHALAMIC TRACT: The spinothalamic tract is a sensory pathway originating in the spinal cord. It transmits information to the thalamus about pain, temperature, itch and crude touch.
Posterior Column Medial Lemniscus Pathway The posterior column-medial lemniscus pathway is the sensory pathway responsible for transmitting fine touch, vibration and conscious proprioceptive information from the body to the cerebral cortex
PCML Posterior Column Medial Lemniscus Pathway
Posterior Column / Medial Lemniscus carries FROM BODY: touch, pressure, tactile proprioception.
Spinal Trigeminal / Ventral Trigeminal pain and temperature information FROM HEAD
Dorsal Trigeminal Tactile and proprioceptive information FROM HEAD
Solitary Tract A structure in the brainstem that along with the Solitary Nucleus carries and receives visceral sensation and taste from the body.
Lateral Lemniscus carries auditory input up the sides of the brainstem to the cerebrum
Reticular Formation The Lateral Lemniscus carries the auditory input and the Reticular Formation alerts the Cerebrum that the input is coming.
Medial Longitudinal Fasciculus A group of axons on each side of the brainstem that carries information about the direction that the eyes should move, also carries info about head movement and innervates some muscles of the back.
Droopy eyelids CN III Oculomotor
Facial Weakness CN IV Facial
Inability to elevate the shoulder CN XI Spinal Assessory
Weakness of tongue CN XII Hypoglossal Nerve
Loss of taste on the anterior tongue CN VII Facial
Trigeminal neuralgia Tic Douloureux
Trigeminal neuralgia / tig douloureux CN V Trigeminal
Deviation of the uvula in production of /a/ CN X Vagus
Loss of corneal blink reflex CN VII Facial
Lateral strabismus eye deviates laterally
Medial strabismus eye deviates medially
Lateral strabismus nerve CN III Oculomotor
Medial strabismus CN VI Abducens
Dysphagia difficulty in swallowing
Dysphagia nerve CN X and CN XII if affected bilaterally
Loss of sensation to the face CN V Trigeminal
Vocal fold paralysis and hoarseness CN X Vagus
Difficulty chewing CN V Trigeminal CN VII Facial and CN XII hypoglossal
Pain in the pharynx and external auditory meatus CN IX glossopharyngeal
Double vision (diplopia) CN III, CN IV and CN VI
Deafness CN VIII vestibulocochlear
Visual field cut CN II
Loss of taste in the posterior tongue CN IV glossopharyngeal
Which muscles are innervated by the Trigeminal Motor Nucleus Mastication, tensor tympani and other small muscles
Brief attack of excruciating pain in the distribution of the trigeminal nerve? tic douloureux or trigeminal neuralgia
Subserves taste? CN VII anterior 2/3 of the tongue and palate
Which muscles are innervated by the branchial motor fibers of CN VII? facial expression and the stapedius (the smallest striated muscle in the tympanic cavity in the middle ear)
Which muscle is innervated by the branchial motor fibers of CN IX? Stylopharyngeus muscle
What is the function of the stylopharyngeal muscle? elevation of the pharynx during speech and swallowing
Lesions to CN IX can have what effect? loss of gag reflex, loss of taste on posterior 1/3 of tongue
Name the attack of severe pain in the distribution of CN IX gloospharyngeal neuralgia
What are the three speech functions of the branchial motor fibers of CN X? Velum movement, pitch change, vocal fold movement
Lesions involving CN X can have what effect? deviation of soft palate to the intact side, hoarseness, breathiness, dysphasia
What is the function of the cranial portion of CN XI? innervates muscles of the larynx and the velum along with CN X
Heard CN VIII Vestibulocochlear
Tingly face CN V Trigeminal
Gagging CN IX Glossopharyngeal
Bitter taste CN VII Facial and CN IX Glossopharyngeal
Focusing of the eyes CN III Oculomotor
Moving the eyes CN IV Trochlear
Gazing up (raising eyes) CN III Oculomotor
Saw something CN II Optic
Chewing CN V Trigeminal
Swallowing CN X
Blinking CN VII Facial
Sticking out your tongue CN XII Hypoglossal
Making a face at someone CN VII Facial
Pitch change in voice CN X Vagus
Shrugging ones shoulders CN XI Spinal Assessory
Muscles innervated by Trigeminal Motor Nucleus Muscles of mastication, tensor tympani and other small muscles
CN VII subserves taste from which part of the head? anterior 2/3 of the tongue and palate
What would be the lesion effect of the Right Hemisphere Lesion involving CN VII on the patient's face? Left lower contralateral facial weakness
Lesion of right optic nerve = Defect: blindness of right eye (right circle is totally darkened)
Lesion of optic chiasma in midline Defect: bitemporal hemianopsia (outer sides of both circles are darkened)
Lesion of right edge of optic chiasma Defect: nasal hemianopsia in right eye (nose side of right circle is darkened)
Lesion of right optic tract Defect: left homonymous hemianopsia (left sides of both circles are darkened)
Lesion: cortical level damage Defect: left homonymous hemianopsia with macular sparing (left side of both circles are darkened with inner points spared.)
Fields of vision: Where are the temporal fields? Out toward the temples on both sides.
Fields of vision: Where are the Nasal fields? Toward the nose on both sides.
How many quadrants are in fields of vision? Left right and top and bottom
At level of retina you are looking at what? You are looking at both visual fields (visual worlds)
The right nasal retina is where? Close to nose on right side toward back of eye.
The right temporal retina is where? Close to temple on right side toward back of eye.
Where is the optic nerve? The optic nerve is just behind the eyeballs on each side.
Where is the optic tract? The optic tract is on both sides but after the optic chiasm.
Where is the optic chiasm? After the optic nerves but before the optic tracts. It is where the nasal optic nerves cross over to the other side.
LGN is what? Lateral Geniculate Body. Those lima bean looking things on both sides that are right after the optic tracts.
What does the right temporal retina look at? The right temporal retina looks at the left nasal side of view.
What does the right nasal retina look at? The right temporal view.
Lateral Geniculate Body? Right after the optic tracts LGN
Each eyeball looks at what? Both visual worlds / fields.
At level of optic chiasm what do you see? Only the opposite side.
Temporal retina looks at what? At opposite side of where retina is.
The image has to end up Backwards
To get backwards, nasal fibers which look at same side have to cross over at the level of the Fibers cross over at the level of the Optic Chiasm
Past Optic Chiasm you only see the opposite side of what You see the opposite side of the visual field past the optic chiasm
At optic chiasm, temporal fibers do this Temporal fibers stay on the same side at the level of the optic chiasm.
At the level of the optic chiasm, which fibers cross over? The nasal fibers cross over at the level of the optic chiasm.
The loopy things past the LGN bodies are called what? Optic radiation, except for the higher one which is called Meyer's Loop.
If the fibers are cut past the LGNs and past the Optic Radiations, close to the occipital poles and on the right side, what is the defect? Left homonymous hemianopia with macular sparing.
If the lesion was in the right optic nerve before the optic chiasm, what would the defect be? Blindness in right eye.
If the lesion was in the optic chiasm where the nasal fibers cross, NOTE THE TEMPORAL FIBERS DO NOT CROSS OVER, what would the defect be? Bitemporal hemianopia (outside half of both circles is darkened because nasal fibers look at opposite side at the level of optic chiasm.
If the lesion was after the optic chiasm but before the LGN on the right sides, what would the defect be? After the optic chiasm, only looking at opposite visual field, so the defect would be the left sides of the visual fields are dark and would be called left homonymous hemianopsia
If the lesion is in the right side of Meyer's Loop, what is the defect? It would be in the last quarter vision field, known as Left Homonymous Superior Quadrantanopia
If the lesion is in the Optic Radiation in the right side, what is the defect? It is called Left Homonymous Inferior Quadrantanopia and it is a vision field loss in the 3rd quarter.
If the lesion is right before the occipital poles and after the optic radiations and on the right side, what is the defect? It is called Left Homonymous Hemianopia with macular sparing.
Lesion = right optic nerve Defect = blindness of right eye
Lesion = optic chiasma in midline Defect = bitemporal hemianopsia
Lesion = right edge of optic chiasma Defect = nasal hemianopia, right eye
Lesion = right optic tract Defect = left homonymous hemianopsia
Lesion = cortical level damage Defect = left homonymous hemianopia with macular sparing.
The spinal cord extends from the foramen magnum
The spinal cord is continuous with the medulla
The spinal cord has how many segments? 31
The segments of the spinal cord are 31 segments 8 cervical, 12 thoracic, 5 lumbar, 5 sacral and 1 coccygeal
Which is shorter the spinal cord or the vertebral canal? The spinal cord is shorter than the vertebral canal
The spinal cord extends down to which part of vertebral column? L-1 through L-2
Filament that courses through L1-S2 Cauda Equina (in the lumbar cistern)
The spinal cord has 2 enlargements Cervical enlargement and Lumbar enlargement
The cervical enlargement contains motor neurons for which part of the body? The cervical enlargement contains motor neurons that supply the upper extremities.
The lumbar enlargement extends from which part of the vertebral column? L2 - S3
The lumbar enlargement contains motor neurons that supply which part of the body? The lumbar enlargement contains motor neurons that supply the lower extremities.
Dorsal rootlets carry which kind of information from the body to the spinal cord? Dorsal rootlets carry sensory information from the body to the spinal cord.
Ventral rootlets carry which kind of information from the spinal cord to the muscles? Ventral rootlets carry motor information from the spinal cord to the muscles.
Dorsal and ventral roots join to form what? Spinal nerves.
Dorsal comes into the spinal cord and ventral comes out. Which kind of information do each carry? Doral comes into the spinal cord carrying sensory information and ventral comes out carrying motor information.
The spinal cord has meningeal layers. What are they called? Dura Mater, Arachnoid, and Pia Mater.
The spinal cord Dura Mater is what? A single layered meningeal layer in the spinal cord.
What is the Arachnoid meningeal layer in the spinal cord closely attached to? The Dura Mater in the spinal cord.
Does the Arachnoid meningeal layer in the spinal cord have a subarachnoid space? Yes.
Spinal dural sheath and arachnoid end at which vertebral segment? The dural sheath and the arachnoid end at S2.
At what vertebral segment does the spinal cord end? The spinal cord ends at L1 - L2.
Where is the Lumbar Cistern and what is it filled with? The lumbar cistern is located between L1 and L2 and S2 and is filled with CSF.
What is the Pia Mater like in the spinal cord? The pia mater in the spinal cord is THICK and gives rise to the DENTATE LIGAMENT.
What does the Dentate Ligament that arises from the Pia Mater DO? The dentate ligament anchors the spinal cord to the arachnoid and to the dura.
What are three functions of the spinal cord? Sensory Processing, Controlling Motor Outflow, and Reflexes
How is the spinal cord grey and white matter organized? Opposite of that in the brain; in the spinal cord, the white matter is OUTSIDE, and the grey matter is within.
Grey matter in the spinal cord is divided into what? Horns
White matter in the spinal cord is divided into what? Funiculi
What is the posterolateral sulcus? The posterolateral sulcus is where the dorsal rootlets enter the spinal cord.
What is the anterolateral sulcus? The anterolateral sulcus is where the ventral rootlets EXIT the spinal cord.
What is located at the tip of the grey matter in the spinal cord, posteriorly? The substantia gelatinosa. It is in the posterior tip of the grey matter and it carries pain and temperature information.
The anterior horn of the grey matter in the spinal cord contains what? The anterior horn contains large motor neurons that supply skeletal muscles and also lower motor neurons that allow for muscle contraction.
What can happen as a result of the destruction or interruption of lower motor neurons? Complete paralysis of involved muscles.
What is Clarke's nucleus? Clarke's nucleus is located in the grey matter; it is a relay station for info going to the cerebellum. It sends info from the legs to the brain.
Where is Clarke's nucleus located? Clarke's Nucleus is located between T1 and L2.
Posterior Column Medial Lemniscus System FROM BODY: touch, pressure, tactile proprioception.
PCML Fasciculus Gracilis sends sensory information from lower body/limbs
PCML Fasciculus Cuneatus sends sensory information from the upper body/limbs
Kinesthia and loss of proprioception could come from what? Damage to PCML
Spinothalmic Tract carries information from the body to the thalamus regarding localization of painful stimuli
Substantia gelatinosa located in posterior horn of grey matter of spinal cord
spinothalamic tract carries pain and temperature info, itch sensation, pressure sensation from bladder and bowel, sexual sensation
Contralateral analgesia can occur from damage to spinothalmic tract
Spinocerebellar tract gets EXTRA information and that using that information, the cerebellum tells us how to move.
Major functions of the brainstem, Conduit function, cranial nerve function, integrative fuction
Which cranial nerves emerge from brainstem? CN II through XII project to or emerge from brainstem.
Pyramids major motor pathway on ventral surface of medulla
Olive also called inferior olives or inferior olivary nucleus
Olive An oval swelling, a relay nuclei for proprioception going into the cerebellum
Sulcus Limitans organization Motor medial, separate motor and sensory, on dorsal surface of medulla
Facial Colliculus On Pons, where CN VI is located,
Tegmentum On dorsal portion of pons, contains CN 5, 6, 7, & 8
Midbrain structures: cerebral aqueduct in center, tectum on dorsal surface
Superior Colliculi Visual pathway
Inferior colliculi auditory pathway
Tegmentum on cerebral peduncles contains nuclei of CN III oculomotor and CN IV trochlear
Red Nucleus a paired nucleus that receives info from contralateral cerebellum
substantia nigra synthesizes dopamine a neural transmitter
Parkinson's Disease no dopamine production from substantia nigra
substantia nigra strong connection with putamen and caudate nucleus
Reticular formation control of movement, modulates pain signals, arousal and consciousness
CN VII Facial travels in solitary tract to solitary nucleus
Facial nerves are in PNS or CNS? PNS because nerves are in PNS
Lower contralateral facial weakness unilateral upper motor neuron lesion
weakness in ipsilateral half of face unilateral lower motor neuron lesion
entire face weakness bilateral lesion
Branchial motor nerves arise from nucleus ambiguous
sytlopharangeous muscle innervated by glossopharyngeal nerve CN IX
CNX velum movement, pitch change, vocal fold movement
CN X arises from Nucleus ambiguous
CNX can affect phonation of /a/, swallowing, respiratory, cardiovascular and swallowing problems
bilateral damage to CN X respiratory, cardiovascular and swallowing problems can be fatal, laryngeal paralysis
unilateral damage to CN X deviation of soft palate to intact side, hoarseness, breathiness
damage to CN XI difficulty moving head away from side of lesion, weakness in shoulder elevation on affected side, hoarse voice quality
branchiomeric nerves muscles of larynx, pharynx, jaw, face, midle ear muscles, sternocleidomastoid, trapezius
sensory nuclei lateral to sulcus limitans
visceral nuclei nearer the sulcus limitans
Branchiomeric nerves #s CN V, VII, IX, X and XI
CN III Oculomotor
Levator palpebrae superioris elevates and retracts upper eyelid
superior rectus controls upward eye gaze
medial rectus controls medial eye movement
inferior rectus controls downward eye gaze
inferior oblique controls upward and medial eye gaze
pupillary sphincter in oculomotor nerve CN III controls pupil size
cilliary muscles control shape of lense CN III
Pupillary light reflex CN III constriction of pupil to light
lateral strabismus eye deviates laterally
diplopia double vision
ptosis drooping of the eyelid
which CN abducts the eye CN VI ABDUCENS
Damage to CN VI can cause what medial strabismus (eye deviates medially)
Hypoglossal Nerve CN XII is what? 100% motor! only moves the tongue.
Bilateral lesion to CN XII difficulties in speaking and eating
weakness of one side of the tongue ipsilateral damage to CN XII
Created by: Lynnzi
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