SlideShare a Scribd company logo
Cranial and
spinal
nerves
Domina Petric, MD
Cranial nerves
I.
Olfactory nerve (I.): sense of
smell
It is a set of fine axons that run from the nasal
epithelium to the olfactory bulb so it is not really
a nerve, but part of the brain.
Those axons run through the ethmoid bone
(cribriform plate).
Optic nerve (II.): vision
Grows out from retinal ganglion cells (inner layer of
the retina).
Two optic nerves make optic chiasm.
It is part of the brain.
Oculomotor nerve (III.): eye movements,
pupillary constriction and accommodation;
muscles of eyelid
– Emerges from the interpeduncular fossa in the midbrain
(mesencephalon).
– Somatic motor component innervates muscles of the
eyeball (not all of them) and muscle that elevates the
eyelid.
– Visceral motor component is parasympathetic
preganglionic outflow that is involved in constricting
the pupil.
Trochlear nerve (IV.): eye movements
(intorsion, downward gaze)
– Emerges from the dorsal aspect of the brain stem
(midbrain).
– It is only cranial nerve that exits on the dorsal side of
the central nervous system.
– It has only somatic motor outflow that innervates
superior oblique muscle of the eyeball (inward and
downward gaze).
Trigeminal nerve (V.): motor and sensory, somatic
sensation from face, mouth and cornea; muscles
of mastication
– Only nerve emerging from the ventro-lateral
aspect of the pons.
– Branchial motor component is for muscles of
mastication.
– General somatic sensory component for
somatic sensation from face, mouth and
cornea.
Abducens nerve (VI.): eye movements
(abduction or lateral movements)
– Emerges from the junctional region
between pons and medulla oblongata,
close to the midline.
– Single somatic motor output for lateral
rectus muscle of the eyeball.
Facial nerve (VII.): controles the muscles of facial
expression, taste from anterior tongue, lacrimal
and salivary glands
– Emerges from the junctional region between pons and medulla
oblongata.
– Branchial motor component supplies the muscles of facial expression.
– Parasympathetic outflow for the numerous glands in the cranial region:
lacrimal and salivary glands (exept for the parotid gland).
– Special visceral outflow (sense of taste) from anterior two thirds of the
tongue.
– General somatic sensory component: small patch of skin in the ear.
Vestibulocochlear nerve (VIII.): hearing,
sense of balance
– Emerges from the junctional region between
pons and medulla oblongata.
– It is the most lateral nerve emerging from the
junctional region.
– Special sensory nerve: hearing (cochlea) and
sense of balance (labyrinth).
Glossopharyngeal nerve (IX.): sensation from posterior
tongue and pharynx, taste from posterior tongue, carotid
baroreceptors and chemoreceptors
– Emerges from the medulla oblongata.
– Branchial motor component for the innervation of the muscles around the
pharynx.
– Parasympathetic outflow for the parotid gland.
– Special visceral sense of taste from the posterior one third of the tongue.
– General visceral sensory output from the carotid bodies which are important
for regulating blood pressure, cardiac output and respiration rate.
– Somatic sensory component: small patch of skin from the external ear.
Vagus nerve (X.): autonomic functions of
gut, sensation from larynx and pharynx,
muscles of vocal cords, swallowing
– Emerges from the medulla oblongata.
– Branchial motor component provide innervation to muscles of the posterior
pharynx and the region of the larynx.
– Parasympathetic outflow for the viscera in the thorax and in the upper part of the
abdomen.
– Special visceral sensation of taste from some taste buds in the posterior part of
the oral cavity.
– Visceral sensory signal for regulation of cardiovascular system (aortic arch).
– Somatic general sensory innervation to a patch of skin around the external
auditory meatus.
Spinal accessory nerve (XI.):
shoulder and neck muscles
–Emerges from the medulla oblongata.
–Branchial motor output for the upper
part of the trapezius muscle and the
sternocleidomastoid muscle.
Hypoglossal nerve (XII.):
movements of tongue
–Emerges from the medulla
oblongata, between medullary
pyramid and olive.
–Somatic motor output for tongue
muscles.
Cranial nerves
http://teachmeanatomy.info/wp-
content/uploads/Brain-stem.png
Cranial nerves nuclei in the
brain stem
–4 somatic motor nuclei
–4 branchial motor nuclei
–4 parasympathetic motor nuclei
–4 sensory nuclei
Somatic motor nuclei
–Oculomotor nucleus
–Trochlear nerve nucleus
–Abducens nucleus
–Hypoglossal nucleus
Branchial motor nuclei
–Trigeminal motor nucleus
–Facial nucleus
–Nucleus ambiguus (IX. and X.)
–Accessory nucleus
Parasympathetic nuclei
–Endinger Westphal nucleus (III.)
–Salivatory nuclei (VII. and IX.)
–Nucleus ambiguus (IX. and X.)
–Dorsal motor nucleus of vagal nerve
(XI. and XII.)
Sensory nuclei
– Nucleus of the solitary tract for special visceral and general
visceral sensation (VII., IX. and X.): rostral division is for the taste
and caudal division for visceral sensation.
– Trigeminal nuclear complex for the somatic (general) sensory
output (V., VII., IX. and X.): mechano-sensation, pain and
temperature sensitivity.
– Cochlear nucleus
– Vestibular nucleus
Cranial nerve
nuclei
http://www.instantanatomy.net/di
agrams/HN139.png
Spinal nerves
II.
Spinal nerves
–8 pairs of cervical nerves
–12 pairs of thoracic nerves
–5 pairs of lumbar nerves
–5 pairs of sacral nerves
–1 coccygeal nerve
Two spinal enlargements: motor
and sensory output
cervical enlargement (arms)
lumbosacral enlargement (legs)
Cauda equina
(horses tail)
http://www.rdehospital.nhs.uk/im
ages/services/PEOC%20Spinal%20U
nit/cauda%20equina.JPG
Spinal roots
Ventral root is a motor root and sends signals to
striated muscles.
Dorsal root is a sensory root.
BUT spinal nerves can be mixed nerves, with motor
and sensory axons.
http://www.spinalhub.com.au
Sympathetic chain
Literature
– https://www.coursera.org/learn/medical-
neuroscience/lecture: Leonard E. White,
PhD, Duke university.
– TeachMeAnatomy. Com
– www.instantanatomy.net
Literature
–www.rdehospital.nhs.uk
–http://www.spinalhub.com.au

More Related Content

What's hot

ANS (SYMPATHETIC and PARASYMPATHETIC)
ANS (SYMPATHETIC and PARASYMPATHETIC)ANS (SYMPATHETIC and PARASYMPATHETIC)
ANS (SYMPATHETIC and PARASYMPATHETIC)
Shubham Roy
 
Mechanism of-respiration
Mechanism of-respirationMechanism of-respiration
Mechanism of-respiration
Mohamed M. Elsaied
 
section 5, chapter 11 cranial nerves and spinal nerves
section 5, chapter 11 cranial nerves and spinal nervessection 5, chapter 11 cranial nerves and spinal nerves
section 5, chapter 11 cranial nerves and spinal nerves
Michael Walls
 
Autonomic & Somatic Nervous Systems.
Autonomic &Somatic Nervous Systems.Autonomic &Somatic Nervous Systems.
Autonomic & Somatic Nervous Systems.
Syed Abdul Naveed
 
Structure and function of arteries and veins.
Structure and function of arteries and veins.Structure and function of arteries and veins.
Structure and function of arteries and veins.
EXCELRA
 
Peripheral Nervous System
Peripheral Nervous SystemPeripheral Nervous System
Peripheral Nervous System
Mukul Sharma
 
Classification of Nervous System
Classification of Nervous SystemClassification of Nervous System
Classification of Nervous System
SalmaAsghar4
 
Central Nervous System (F.Y B Pharm Sem-II)
Central Nervous System (F.Y B Pharm Sem-II)Central Nervous System (F.Y B Pharm Sem-II)
Central Nervous System (F.Y B Pharm Sem-II)
Mirza Anwar Baig
 
Spinal cord
Spinal cordSpinal cord
Spinal cord
Dr. Vyom Jain
 
Nervous system
Nervous systemNervous system
Nervous system
DR .PALLAVI PATHANIA
 
Peripheral and Autonomic Nervous System EHS Unit 4
Peripheral and Autonomic Nervous System EHS Unit 4Peripheral and Autonomic Nervous System EHS Unit 4
Peripheral and Autonomic Nervous System EHS Unit 4
RHSHealthScience
 
Central nervous system
Central nervous systemCentral nervous system
Central nervous system
Dr. Sarita Sharma
 
Autonomic nervous system
Autonomic nervous systemAutonomic nervous system
Autonomic nervous system
Vipin Chandran
 
Spinal cord Anatomy by Dr. Naseer (RMC)
Spinal cord Anatomy by Dr. Naseer (RMC)Spinal cord Anatomy by Dr. Naseer (RMC)
Spinal cord Anatomy by Dr. Naseer (RMC)
Hassan Ahmad
 
Anatomy of autonomic nervous system
Anatomy of autonomic nervous systemAnatomy of autonomic nervous system
Anatomy of autonomic nervous systemMBBS IMS MSU
 
Cranial nerve
Cranial nerveCranial nerve
Cranial nerve
Sado Anatomist
 
Unit-I, Chapter_1 Nervous System Final PPT.ppt
Unit-I, Chapter_1 Nervous System Final PPT.pptUnit-I, Chapter_1 Nervous System Final PPT.ppt
Unit-I, Chapter_1 Nervous System Final PPT.ppt
Audumbar Mali
 
The peripheral nervous system
The peripheral nervous systemThe peripheral nervous system
The peripheral nervous system
Shehzad Hussain Raja
 

What's hot (20)

ANS (SYMPATHETIC and PARASYMPATHETIC)
ANS (SYMPATHETIC and PARASYMPATHETIC)ANS (SYMPATHETIC and PARASYMPATHETIC)
ANS (SYMPATHETIC and PARASYMPATHETIC)
 
Neurons
NeuronsNeurons
Neurons
 
Mechanism of-respiration
Mechanism of-respirationMechanism of-respiration
Mechanism of-respiration
 
section 5, chapter 11 cranial nerves and spinal nerves
section 5, chapter 11 cranial nerves and spinal nervessection 5, chapter 11 cranial nerves and spinal nerves
section 5, chapter 11 cranial nerves and spinal nerves
 
Cranial nerves
Cranial nervesCranial nerves
Cranial nerves
 
Autonomic & Somatic Nervous Systems.
Autonomic &Somatic Nervous Systems.Autonomic &Somatic Nervous Systems.
Autonomic & Somatic Nervous Systems.
 
Structure and function of arteries and veins.
Structure and function of arteries and veins.Structure and function of arteries and veins.
Structure and function of arteries and veins.
 
Peripheral Nervous System
Peripheral Nervous SystemPeripheral Nervous System
Peripheral Nervous System
 
Classification of Nervous System
Classification of Nervous SystemClassification of Nervous System
Classification of Nervous System
 
Central Nervous System (F.Y B Pharm Sem-II)
Central Nervous System (F.Y B Pharm Sem-II)Central Nervous System (F.Y B Pharm Sem-II)
Central Nervous System (F.Y B Pharm Sem-II)
 
Spinal cord
Spinal cordSpinal cord
Spinal cord
 
Nervous system
Nervous systemNervous system
Nervous system
 
Peripheral and Autonomic Nervous System EHS Unit 4
Peripheral and Autonomic Nervous System EHS Unit 4Peripheral and Autonomic Nervous System EHS Unit 4
Peripheral and Autonomic Nervous System EHS Unit 4
 
Central nervous system
Central nervous systemCentral nervous system
Central nervous system
 
Autonomic nervous system
Autonomic nervous systemAutonomic nervous system
Autonomic nervous system
 
Spinal cord Anatomy by Dr. Naseer (RMC)
Spinal cord Anatomy by Dr. Naseer (RMC)Spinal cord Anatomy by Dr. Naseer (RMC)
Spinal cord Anatomy by Dr. Naseer (RMC)
 
Anatomy of autonomic nervous system
Anatomy of autonomic nervous systemAnatomy of autonomic nervous system
Anatomy of autonomic nervous system
 
Cranial nerve
Cranial nerveCranial nerve
Cranial nerve
 
Unit-I, Chapter_1 Nervous System Final PPT.ppt
Unit-I, Chapter_1 Nervous System Final PPT.pptUnit-I, Chapter_1 Nervous System Final PPT.ppt
Unit-I, Chapter_1 Nervous System Final PPT.ppt
 
The peripheral nervous system
The peripheral nervous systemThe peripheral nervous system
The peripheral nervous system
 

Similar to Cranial and spinal nerves

Cranial nerves
Cranial nervesCranial nerves
Cranial nerves
Salah Khatib
 
Cranial nerves overview 2013
Cranial nerves overview 2013Cranial nerves overview 2013
Cranial nerves overview 2013jpbach01
 
Oral biology
Oral biologyOral biology
Oral biology
Oral biologyOral biology
Nerves and the Nervous System
Nerves and the Nervous SystemNerves and the Nervous System
Nerves and the Nervous System
kebnance
 
Olfactory and optic nerve
Olfactory and optic nerveOlfactory and optic nerve
Olfactory and optic nerve
Prisma Health Upstate
 
Facial nerve
Facial nerve Facial nerve
Facial nerve
Mohammad saleh Moallem
 
Peripheral Nervous System. Cranial Nerves – Part 1
Peripheral Nervous System. Cranial Nerves – Part 1Peripheral Nervous System. Cranial Nerves – Part 1
Peripheral Nervous System. Cranial Nerves – Part 1
Eneutron
 
CRANIAL NERVES.
CRANIAL NERVES.CRANIAL NERVES.
Facial nerve and it's applied aspect
Facial nerve and it's applied aspectFacial nerve and it's applied aspect
Facial nerve and it's applied aspect
Prachi Jha
 
Neuroanatomy._2..Cranial.nerves.2017.pptx
Neuroanatomy._2..Cranial.nerves.2017.pptxNeuroanatomy._2..Cranial.nerves.2017.pptx
Neuroanatomy._2..Cranial.nerves.2017.pptx
moonasadi99
 
Neuro
Neuro Neuro
cranial nerves - medicine 12345678911223
cranial nerves - medicine 12345678911223cranial nerves - medicine 12345678911223
cranial nerves - medicine 12345678911223
JesniAugusty
 
Cranial nerves
Cranial nerves Cranial nerves
Cranial nerves
Tetyana Knyazevych
 
CRANIAL NERVES-OVERVIEW.pptx
CRANIAL NERVES-OVERVIEW.pptxCRANIAL NERVES-OVERVIEW.pptx
CRANIAL NERVES-OVERVIEW.pptx
DrRashidKaziMahbubur
 
cranialnerve gokul.........................ppt
cranialnerve gokul.........................pptcranialnerve gokul.........................ppt
cranialnerve gokul.........................ppt
sacootcbe
 
Neuroanatomy seminar with special reference to trigeminal,facial and glossoph...
Neuroanatomy seminar with special reference to trigeminal,facial and glossoph...Neuroanatomy seminar with special reference to trigeminal,facial and glossoph...
Neuroanatomy seminar with special reference to trigeminal,facial and glossoph...
Karishma Sirimulla
 
Cranial nerves i by prof dr nader el;nemr
Cranial nerves i by prof dr nader el;nemrCranial nerves i by prof dr nader el;nemr
Cranial nerves i by prof dr nader el;nemr
sallamahmed1
 
Cranial nerves ppt
Cranial nerves pptCranial nerves ppt
Cranial nerves ppt
AminaMunawar3
 
Muscles of Face and Cranial Nerves.pptx
Muscles of Face and Cranial Nerves.pptxMuscles of Face and Cranial Nerves.pptx
Muscles of Face and Cranial Nerves.pptx
hailugudeta2013
 

Similar to Cranial and spinal nerves (20)

Cranial nerves
Cranial nervesCranial nerves
Cranial nerves
 
Cranial nerves overview 2013
Cranial nerves overview 2013Cranial nerves overview 2013
Cranial nerves overview 2013
 
Oral biology
Oral biologyOral biology
Oral biology
 
Oral biology
Oral biologyOral biology
Oral biology
 
Nerves and the Nervous System
Nerves and the Nervous SystemNerves and the Nervous System
Nerves and the Nervous System
 
Olfactory and optic nerve
Olfactory and optic nerveOlfactory and optic nerve
Olfactory and optic nerve
 
Facial nerve
Facial nerve Facial nerve
Facial nerve
 
Peripheral Nervous System. Cranial Nerves – Part 1
Peripheral Nervous System. Cranial Nerves – Part 1Peripheral Nervous System. Cranial Nerves – Part 1
Peripheral Nervous System. Cranial Nerves – Part 1
 
CRANIAL NERVES.
CRANIAL NERVES.CRANIAL NERVES.
CRANIAL NERVES.
 
Facial nerve and it's applied aspect
Facial nerve and it's applied aspectFacial nerve and it's applied aspect
Facial nerve and it's applied aspect
 
Neuroanatomy._2..Cranial.nerves.2017.pptx
Neuroanatomy._2..Cranial.nerves.2017.pptxNeuroanatomy._2..Cranial.nerves.2017.pptx
Neuroanatomy._2..Cranial.nerves.2017.pptx
 
Neuro
Neuro Neuro
Neuro
 
cranial nerves - medicine 12345678911223
cranial nerves - medicine 12345678911223cranial nerves - medicine 12345678911223
cranial nerves - medicine 12345678911223
 
Cranial nerves
Cranial nerves Cranial nerves
Cranial nerves
 
CRANIAL NERVES-OVERVIEW.pptx
CRANIAL NERVES-OVERVIEW.pptxCRANIAL NERVES-OVERVIEW.pptx
CRANIAL NERVES-OVERVIEW.pptx
 
cranialnerve gokul.........................ppt
cranialnerve gokul.........................pptcranialnerve gokul.........................ppt
cranialnerve gokul.........................ppt
 
Neuroanatomy seminar with special reference to trigeminal,facial and glossoph...
Neuroanatomy seminar with special reference to trigeminal,facial and glossoph...Neuroanatomy seminar with special reference to trigeminal,facial and glossoph...
Neuroanatomy seminar with special reference to trigeminal,facial and glossoph...
 
Cranial nerves i by prof dr nader el;nemr
Cranial nerves i by prof dr nader el;nemrCranial nerves i by prof dr nader el;nemr
Cranial nerves i by prof dr nader el;nemr
 
Cranial nerves ppt
Cranial nerves pptCranial nerves ppt
Cranial nerves ppt
 
Muscles of Face and Cranial Nerves.pptx
Muscles of Face and Cranial Nerves.pptxMuscles of Face and Cranial Nerves.pptx
Muscles of Face and Cranial Nerves.pptx
 

More from Domina Petric

Tetrodotoxin
TetrodotoxinTetrodotoxin
Tetrodotoxin
Domina Petric
 
NOAC
NOACNOAC
ECG S
ECG SECG S
ECG L
ECG LECG L
ECG I
ECG IECG I
ECG H
ECG HECG H
ECG F
ECG FECG F
ECG E
ECG EECG E
ECG D
ECG DECG D
ECG C
ECG CECG C
ECG B
ECG BECG B
ECG A: AVNRT, AVRT
ECG A: AVNRT, AVRTECG A: AVNRT, AVRT
ECG A: AVNRT, AVRT
Domina Petric
 
ECG A: AV blocks
ECG A: AV blocksECG A: AV blocks
ECG A: AV blocks
Domina Petric
 
ECG A: first part.
ECG A: first part.ECG A: first part.
ECG A: first part.
Domina Petric
 
Cardiorenal syndrome
Cardiorenal syndromeCardiorenal syndrome
Cardiorenal syndrome
Domina Petric
 
Categorization of risks and benefits (food additives)
Categorization of risks and benefits (food additives)Categorization of risks and benefits (food additives)
Categorization of risks and benefits (food additives)
Domina Petric
 
Benefits and risks of additives
Benefits and risks of additivesBenefits and risks of additives
Benefits and risks of additives
Domina Petric
 
Types of food additives
Types of food additivesTypes of food additives
Types of food additives
Domina Petric
 
Effector phase in immune mediated drug hypersensitivity
Effector phase in immune mediated drug hypersensitivityEffector phase in immune mediated drug hypersensitivity
Effector phase in immune mediated drug hypersensitivity
Domina Petric
 
T cell stimulation by drugs
T cell stimulation by drugsT cell stimulation by drugs
T cell stimulation by drugs
Domina Petric
 

More from Domina Petric (20)

Tetrodotoxin
TetrodotoxinTetrodotoxin
Tetrodotoxin
 
NOAC
NOACNOAC
NOAC
 
ECG S
ECG SECG S
ECG S
 
ECG L
ECG LECG L
ECG L
 
ECG I
ECG IECG I
ECG I
 
ECG H
ECG HECG H
ECG H
 
ECG F
ECG FECG F
ECG F
 
ECG E
ECG EECG E
ECG E
 
ECG D
ECG DECG D
ECG D
 
ECG C
ECG CECG C
ECG C
 
ECG B
ECG BECG B
ECG B
 
ECG A: AVNRT, AVRT
ECG A: AVNRT, AVRTECG A: AVNRT, AVRT
ECG A: AVNRT, AVRT
 
ECG A: AV blocks
ECG A: AV blocksECG A: AV blocks
ECG A: AV blocks
 
ECG A: first part.
ECG A: first part.ECG A: first part.
ECG A: first part.
 
Cardiorenal syndrome
Cardiorenal syndromeCardiorenal syndrome
Cardiorenal syndrome
 
Categorization of risks and benefits (food additives)
Categorization of risks and benefits (food additives)Categorization of risks and benefits (food additives)
Categorization of risks and benefits (food additives)
 
Benefits and risks of additives
Benefits and risks of additivesBenefits and risks of additives
Benefits and risks of additives
 
Types of food additives
Types of food additivesTypes of food additives
Types of food additives
 
Effector phase in immune mediated drug hypersensitivity
Effector phase in immune mediated drug hypersensitivityEffector phase in immune mediated drug hypersensitivity
Effector phase in immune mediated drug hypersensitivity
 
T cell stimulation by drugs
T cell stimulation by drugsT cell stimulation by drugs
T cell stimulation by drugs
 

Recently uploaded

ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptxANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
Swetaba Besh
 
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Oleg Kshivets
 
Physiology of Special Chemical Sensation of Taste
Physiology of Special Chemical Sensation of TastePhysiology of Special Chemical Sensation of Taste
Physiology of Special Chemical Sensation of Taste
MedicoseAcademics
 
Pharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptx
Pharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptxPharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptx
Pharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptx
Dr. Rabia Inam Gandapore
 
24 Upakrama.pptx class ppt useful in all
24 Upakrama.pptx class ppt useful in all24 Upakrama.pptx class ppt useful in all
24 Upakrama.pptx class ppt useful in all
DrSathishMS1
 
Non-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdfNon-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdf
MedicoseAcademics
 
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
i3 Health
 
Are There Any Natural Remedies To Treat Syphilis.pdf
Are There Any Natural Remedies To Treat Syphilis.pdfAre There Any Natural Remedies To Treat Syphilis.pdf
Are There Any Natural Remedies To Treat Syphilis.pdf
Little Cross Family Clinic
 
heat stroke and heat exhaustion in children
heat stroke and heat exhaustion in childrenheat stroke and heat exhaustion in children
heat stroke and heat exhaustion in children
SumeraAhmad5
 
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidadeNovas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Prof. Marcus Renato de Carvalho
 
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.GawadHemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
NephroTube - Dr.Gawad
 
basicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdfbasicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdf
aljamhori teaching hospital
 
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdfAlcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
Dr Jeenal Mistry
 
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
How STIs Influence the Development of Pelvic Inflammatory Disease.pptxHow STIs Influence the Development of Pelvic Inflammatory Disease.pptx
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
FFragrant
 
ACUTE SCROTUM.....pdf. ACUTE SCROTAL CONDITIOND
ACUTE SCROTUM.....pdf. ACUTE SCROTAL CONDITIONDACUTE SCROTUM.....pdf. ACUTE SCROTAL CONDITIOND
ACUTE SCROTUM.....pdf. ACUTE SCROTAL CONDITIOND
DR SETH JOTHAM
 
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists  Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Saeid Safari
 
Knee anatomy and clinical tests 2024.pdf
Knee anatomy and clinical tests 2024.pdfKnee anatomy and clinical tests 2024.pdf
Knee anatomy and clinical tests 2024.pdf
vimalpl1234
 
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...
VarunMahajani
 
BRACHYTHERAPY OVERVIEW AND APPLICATORS
BRACHYTHERAPY OVERVIEW  AND  APPLICATORSBRACHYTHERAPY OVERVIEW  AND  APPLICATORS
BRACHYTHERAPY OVERVIEW AND APPLICATORS
Krishan Murari
 
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
bkling
 

Recently uploaded (20)

ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptxANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
 
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
 
Physiology of Special Chemical Sensation of Taste
Physiology of Special Chemical Sensation of TastePhysiology of Special Chemical Sensation of Taste
Physiology of Special Chemical Sensation of Taste
 
Pharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptx
Pharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptxPharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptx
Pharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptx
 
24 Upakrama.pptx class ppt useful in all
24 Upakrama.pptx class ppt useful in all24 Upakrama.pptx class ppt useful in all
24 Upakrama.pptx class ppt useful in all
 
Non-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdfNon-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdf
 
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
 
Are There Any Natural Remedies To Treat Syphilis.pdf
Are There Any Natural Remedies To Treat Syphilis.pdfAre There Any Natural Remedies To Treat Syphilis.pdf
Are There Any Natural Remedies To Treat Syphilis.pdf
 
heat stroke and heat exhaustion in children
heat stroke and heat exhaustion in childrenheat stroke and heat exhaustion in children
heat stroke and heat exhaustion in children
 
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidadeNovas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
 
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.GawadHemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
 
basicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdfbasicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdf
 
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdfAlcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
 
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
How STIs Influence the Development of Pelvic Inflammatory Disease.pptxHow STIs Influence the Development of Pelvic Inflammatory Disease.pptx
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
 
ACUTE SCROTUM.....pdf. ACUTE SCROTAL CONDITIOND
ACUTE SCROTUM.....pdf. ACUTE SCROTAL CONDITIONDACUTE SCROTUM.....pdf. ACUTE SCROTAL CONDITIOND
ACUTE SCROTUM.....pdf. ACUTE SCROTAL CONDITIOND
 
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists  Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
 
Knee anatomy and clinical tests 2024.pdf
Knee anatomy and clinical tests 2024.pdfKnee anatomy and clinical tests 2024.pdf
Knee anatomy and clinical tests 2024.pdf
 
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...
 
BRACHYTHERAPY OVERVIEW AND APPLICATORS
BRACHYTHERAPY OVERVIEW  AND  APPLICATORSBRACHYTHERAPY OVERVIEW  AND  APPLICATORS
BRACHYTHERAPY OVERVIEW AND APPLICATORS
 
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
 

Cranial and spinal nerves

  • 3. Olfactory nerve (I.): sense of smell It is a set of fine axons that run from the nasal epithelium to the olfactory bulb so it is not really a nerve, but part of the brain. Those axons run through the ethmoid bone (cribriform plate).
  • 4. Optic nerve (II.): vision Grows out from retinal ganglion cells (inner layer of the retina). Two optic nerves make optic chiasm. It is part of the brain.
  • 5. Oculomotor nerve (III.): eye movements, pupillary constriction and accommodation; muscles of eyelid – Emerges from the interpeduncular fossa in the midbrain (mesencephalon). – Somatic motor component innervates muscles of the eyeball (not all of them) and muscle that elevates the eyelid. – Visceral motor component is parasympathetic preganglionic outflow that is involved in constricting the pupil.
  • 6. Trochlear nerve (IV.): eye movements (intorsion, downward gaze) – Emerges from the dorsal aspect of the brain stem (midbrain). – It is only cranial nerve that exits on the dorsal side of the central nervous system. – It has only somatic motor outflow that innervates superior oblique muscle of the eyeball (inward and downward gaze).
  • 7. Trigeminal nerve (V.): motor and sensory, somatic sensation from face, mouth and cornea; muscles of mastication – Only nerve emerging from the ventro-lateral aspect of the pons. – Branchial motor component is for muscles of mastication. – General somatic sensory component for somatic sensation from face, mouth and cornea.
  • 8. Abducens nerve (VI.): eye movements (abduction or lateral movements) – Emerges from the junctional region between pons and medulla oblongata, close to the midline. – Single somatic motor output for lateral rectus muscle of the eyeball.
  • 9. Facial nerve (VII.): controles the muscles of facial expression, taste from anterior tongue, lacrimal and salivary glands – Emerges from the junctional region between pons and medulla oblongata. – Branchial motor component supplies the muscles of facial expression. – Parasympathetic outflow for the numerous glands in the cranial region: lacrimal and salivary glands (exept for the parotid gland). – Special visceral outflow (sense of taste) from anterior two thirds of the tongue. – General somatic sensory component: small patch of skin in the ear.
  • 10. Vestibulocochlear nerve (VIII.): hearing, sense of balance – Emerges from the junctional region between pons and medulla oblongata. – It is the most lateral nerve emerging from the junctional region. – Special sensory nerve: hearing (cochlea) and sense of balance (labyrinth).
  • 11. Glossopharyngeal nerve (IX.): sensation from posterior tongue and pharynx, taste from posterior tongue, carotid baroreceptors and chemoreceptors – Emerges from the medulla oblongata. – Branchial motor component for the innervation of the muscles around the pharynx. – Parasympathetic outflow for the parotid gland. – Special visceral sense of taste from the posterior one third of the tongue. – General visceral sensory output from the carotid bodies which are important for regulating blood pressure, cardiac output and respiration rate. – Somatic sensory component: small patch of skin from the external ear.
  • 12. Vagus nerve (X.): autonomic functions of gut, sensation from larynx and pharynx, muscles of vocal cords, swallowing – Emerges from the medulla oblongata. – Branchial motor component provide innervation to muscles of the posterior pharynx and the region of the larynx. – Parasympathetic outflow for the viscera in the thorax and in the upper part of the abdomen. – Special visceral sensation of taste from some taste buds in the posterior part of the oral cavity. – Visceral sensory signal for regulation of cardiovascular system (aortic arch). – Somatic general sensory innervation to a patch of skin around the external auditory meatus.
  • 13. Spinal accessory nerve (XI.): shoulder and neck muscles –Emerges from the medulla oblongata. –Branchial motor output for the upper part of the trapezius muscle and the sternocleidomastoid muscle.
  • 14. Hypoglossal nerve (XII.): movements of tongue –Emerges from the medulla oblongata, between medullary pyramid and olive. –Somatic motor output for tongue muscles.
  • 16. Cranial nerves nuclei in the brain stem –4 somatic motor nuclei –4 branchial motor nuclei –4 parasympathetic motor nuclei –4 sensory nuclei
  • 17. Somatic motor nuclei –Oculomotor nucleus –Trochlear nerve nucleus –Abducens nucleus –Hypoglossal nucleus
  • 18. Branchial motor nuclei –Trigeminal motor nucleus –Facial nucleus –Nucleus ambiguus (IX. and X.) –Accessory nucleus
  • 19. Parasympathetic nuclei –Endinger Westphal nucleus (III.) –Salivatory nuclei (VII. and IX.) –Nucleus ambiguus (IX. and X.) –Dorsal motor nucleus of vagal nerve (XI. and XII.)
  • 20. Sensory nuclei – Nucleus of the solitary tract for special visceral and general visceral sensation (VII., IX. and X.): rostral division is for the taste and caudal division for visceral sensation. – Trigeminal nuclear complex for the somatic (general) sensory output (V., VII., IX. and X.): mechano-sensation, pain and temperature sensitivity. – Cochlear nucleus – Vestibular nucleus
  • 23. Spinal nerves –8 pairs of cervical nerves –12 pairs of thoracic nerves –5 pairs of lumbar nerves –5 pairs of sacral nerves –1 coccygeal nerve
  • 24. Two spinal enlargements: motor and sensory output cervical enlargement (arms) lumbosacral enlargement (legs)
  • 26. Spinal roots Ventral root is a motor root and sends signals to striated muscles. Dorsal root is a sensory root. BUT spinal nerves can be mixed nerves, with motor and sensory axons.
  • 29. Literature – https://www.coursera.org/learn/medical- neuroscience/lecture: Leonard E. White, PhD, Duke university. – TeachMeAnatomy. Com – www.instantanatomy.net