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Chapter 21 Trigeminal nerve
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Nuclei of trigeminal nerve
Motor nucleus Sensory nuclei mesencephalic pontine (principal) spinal Muscles of mastication and tensor tympani muscle
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Trigeminal (gasserian) ganglion Meckel’s cave
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Mastication: supratrigeminal nucleus ? Digastric muscle Ant. Belly: Post. Belly:
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Mesencephalic nucleus
The only nucleus in CNS contains the cell bodies of primary sensory neurons Propriception from the muscles of mastication
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Pontine nucleus (類似: post. column )
Convey the touch and pressure (discriminative tactile) sensation from the oronasal cavity and face. Crossed fibers: trigeminal lemniscus ? Corneal reflex
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Spinal nucleus From the lower pons to the upper third cervical segment of the spinal cord Pars oralis Pars interpolaris Pars caudalis (main) mouth Topographic representation
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Pain, temperature, crossed fibers, trigeminothalamic tract
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Mastication supratrigeminal nucleus
proprioception (mesencephalic nucleus) tactile information (pontine nucleus) nociceptive information (spinal nucleus) Trigemincerebellar and trigeminothalamic projection Premotor area Motor nucleus
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? Sensation of the ear
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Trigeminal nerve Glossopharygeal and vagus nerves Cervical nerves (first three) Referred pain
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Trigeminal neuralgia (三叉神經痛)
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