Corticonuclear Projections and

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Presentation transcript:

Corticonuclear Projections and Innervation of the Oral Cavity

Face Area of Somatomotor Cortex and Frontal Eye Field See Atlas Fig. 2-11

Corticonuclear Fibers * * * * * *

Internal Capsule in MRI Internal Capsule Atlas Fig. 5-12

Corticonuclear Fibers * * * * * *

Corticonuclear Fibers in the Crus Cerebri FP fibers Face UE LE POT fibers

Trigeminal Nerve: CN V * * * * * *

Facial Nerve: CN VII

Facial Nerve: CN VII * * * * * *

The Facial Nerve Central Seven Bell Palsy Text Fig. 25-14

Smile

Smile

Pan Am Smile Duchenne smile

Pan Am Smile

Duchenne smile

Corticonuclear Fibers Vagus X Nucleus ambiguus Hypoglossal nucleus Text Fig. 25-15

Corticonuclear Fibers Nucleus ambiguus Hypoglossal nucleus Text Fig. 25-15

Lesion of the Hypoglossal Nerve Text Fig. 25-16

Accessory Nerve CN XI * * * * * *

Trapezius & sternocleidomastoid Accessory Nerve CN XI Motor neurons in the cervical spinal cord Trapezius & sternocleidomastoid muscles

Thereby, rotating the head to turn the face to the opposite direction Sternocleidomastoid Trapezius Gray’s Anatomy for students: Figs. 8.171 page 920, 7.9 page 614 The sternocleidomastoid will tilt the head towards the shoulder on the same side, Thereby, rotating the head to turn the face to the opposite direction

Case Study

Case Study

Brainstem Syndromes Involving Corticospinal Fibers and Cranial Nerves

Table 25-1

The Uncus and Uncal Herniation

Uncus Pernkopf Anatomy, Urban & Schwarzenberg, Munich, 1989, Figure 202

The Uncus and Uncal Herniation Text Fig. 25-17 Atlas Fig. 5-14

Third Nerve Palsy Eye “down and out”

Corticonuclear Fibers in the Crus Cerebri FP fibers Face UE LE POT fibers Atlas Fig. 5-24 Atlas Fig. 5-24

The Kernohan Syndrome Atlas Fig. 5-23 Text Fig. 25-18

Thank you