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Cranial Nerves Olfactory Optic Oculomotor Trochlear Trigeminal
Abducens Facial Auditory Glossopharyngeal Vagus Spinal Hypoglossal
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Copyright © 2004 Allyn and Bacon
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HEAD/NECK : Cranial Nerves
Special Sense Nerves I,II,VIII Somatic Motor Nerves Eye—III,IV,VI Tongue--XII “Rest of body” nerves IX,X,XI Face and jaws VII, V Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves 1
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Functional components
General somatic afferent fibers (GSA): transmit exteroceptive and proprioceptive impulses from head and face to somatic sensory nuclei Special somatic afferent fibers (SSA): transmit sensory impulses from special sense organs of vision, equilibrium and hearing to the brain General visceral afferent fibers (GVA): transmit interoceptive impulses from the viscera to the visceral sensory nuclei Special visceral afferent fibers (SVA): transmit sensory impulses from special sense organs of smell and taste to the brain General somatic efferent fibers (GSE): innervate skeletal muscles of eye and tongue Special visceral efferent fibers (SVE): transmit motor impulses from the brain to skeletal muscles derived from brachial (gill) arches of embryo. These include the muscles of mastication, facial expression and swallowing General visceral efferent fibers (GVE): transmit motor impulses from the general visceral motor nuclei and relayed in parasympathetic ganglions. The postganglionic fibers supply cardiac muscles,smooth muscles and glands
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Nerve “targets” in head
SENSORY Special General Smell skin Vision teeth Hearing eye tongue oral cavity nasal cavity middle ear throat meninges MOTOR Muscles Glands eyes salivary extrinsic sweat intrinsic lacrimal jaws mucous facial expression larynx tongue throat ear Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves 3
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Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves
M&M, Table 14.3 Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves 6
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Somatic Motor Nerves (eye muscles and tongue)
EXIT CR. CAVITY TARGET NERVE Hypoglossal canal (occipital) Intrinsic, extrinsic mm. of tongue XII. Hypoglossal “ Sup.,med.,inf.rectus Inferior Oblique Levator palpebrae superioris III. Oculomotor (Also parasympathetic to ciliary mm, constrictor pupillae) Lateral rectus VI. Abducens Sup. Orbital fissure (sphenoid) Superior oblique m. (with trochlea) IV. Trochlear Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves 7
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Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves
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Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves
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Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves
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“Rest of body” nerves (all exit from jugular foramen)
Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves 11
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Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves
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Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves
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Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves
VII: Facial Nerve (exits cranial cavity with VIII--internal auditory meatus) Facial muscles (five branches fan out over face from stylomastoid foramen) Temporal Zygomatic Buccal Mandibular Cervical “chorda tympani” (crosses interior ear drum to join V3 ) Taste to anterior 2/3 of tongue Submandibular, sublingual salivary glands Lacrimal glands Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves 14
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Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves
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V: Trigeminal (3 nerves in 1!)
V1. Ophthalmic Exits with eye muscle group (superior orbital fissure, through orbit to superior orbital notch/foramina) Sensory to forehead, nasal cavity V2. Maxillary Exits foramen rotundum through wall of maxillary sinus to inferior orbital foramina) Sensory to cheek, upper lip, teeth, nasal cavity V3. Mandibular Exits foramen ovale to mandibular foramen to mental foramen Motor to jaw muscles--Masseter, temporalis, pterygoids, digastric Sensory to chin Sensory to tongue Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves 16
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Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves
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Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves
Cranial Nerve Web Sites Clinical tests for cranial nerves with photos in clinic (New York U) More detail cranial nerves, but some missing (Yale Medical) NIce review of cranial nerves--includes clinical tests for nerves and cryptogram puzzle of nerves (Washington U) Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves 18
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