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Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves
HEAD/NECK IV: 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
Overview Head/Neck I-IV
• Head I: Skull—a framework to hang on
– Overall organization of skull
– Base of the skull—the hard part
• Developmental view
• Cranial nerves out (to “targets”)
• Head II: Throat targets
• Head III: Special Sense targets
• Head IV: Cranial nerves in depth
Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves
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
Base of the skull—cranial nerves out
• Ethmoid (olfactory)
I. Olfactory
• Sphenoid (optic)
II. Optic
III. Oculomotor
IV. Trochlear
VI. Abducens
• Temporal (otic)
VII. Acoustic/Auditory/
Vestibulocochlear
• Face/Jaws
V. Trigeminal
VII. Facial
• Throat (rest of body)
IX Glossopharyngeal
X. Vagus
XI. Spinal Accessory
XII. Hypoglosal
Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves
Special Sense Nerves
Internal auditory
meatus (temporal)
Inner earVIII. Auditory
Optic canal
(sphenoid)
RetinaII. Optic
Cribiform plate
(ethmoid)
Olfactory
epithelium
I. Olfactory
EXIT FROM
CRANIAL CAVITY
TARGETNERVE
Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves
M&M, Table 14.3
Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves
Somatic Motor Nerves
(eye muscles and tongue)
EXIT CR. CAVITYTARGETNERVE
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 rectusVI. Abducens
Sup. Orbital fissure
(sphenoid)
Superior oblique m.
(with trochlea)
IV. Trochlear
Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves
Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves
Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves
Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves
“Rest of body” nerves
(all exit from jugular foramen)
NERVE TARGET
X: Vagus •Somatic motor to larynx/pharynx
•Parasympathetic to most of gut
•Taste to back posterior pharynx
XI: (Spinal)
Accesory
•Motor to traps,
sternocleidomastoid
IX: Glosso-
pharyngeal
•Sensory to carotid body/sinus
•Taste to posterior tongue
•Sensory to ear opening/middle
ear
•Parotid salivary gland
Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves
Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves
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
Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves
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
Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves
Clinical tests for cranial nerv
(New York U)
Cranial Nerve Web Sites
NIce
review of cranial nerves--includes
(Washington U)
More detail cranial nerves, b
(Yale Medical)

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Cranial Nerves Overview

  • 1. Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves HEAD/NECK IV: 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
  • 2. Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves Overview Head/Neck I-IV • Head I: Skull—a framework to hang on – Overall organization of skull – Base of the skull—the hard part • Developmental view • Cranial nerves out (to “targets”) • Head II: Throat targets • Head III: Special Sense targets • Head IV: Cranial nerves in depth
  • 3. Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves 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
  • 4. Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves Base of the skull—cranial nerves out • Ethmoid (olfactory) I. Olfactory • Sphenoid (optic) II. Optic III. Oculomotor IV. Trochlear VI. Abducens • Temporal (otic) VII. Acoustic/Auditory/ Vestibulocochlear • Face/Jaws V. Trigeminal VII. Facial • Throat (rest of body) IX Glossopharyngeal X. Vagus XI. Spinal Accessory XII. Hypoglosal
  • 5. Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves Special Sense Nerves Internal auditory meatus (temporal) Inner earVIII. Auditory Optic canal (sphenoid) RetinaII. Optic Cribiform plate (ethmoid) Olfactory epithelium I. Olfactory EXIT FROM CRANIAL CAVITY TARGETNERVE
  • 6. Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves M&M, Table 14.3
  • 7. Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves Somatic Motor Nerves (eye muscles and tongue) EXIT CR. CAVITYTARGETNERVE 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 rectusVI. Abducens Sup. Orbital fissure (sphenoid) Superior oblique m. (with trochlea) IV. Trochlear
  • 8. Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves
  • 9. Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves
  • 10. Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves
  • 11. Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves “Rest of body” nerves (all exit from jugular foramen) NERVE TARGET X: Vagus •Somatic motor to larynx/pharynx •Parasympathetic to most of gut •Taste to back posterior pharynx XI: (Spinal) Accesory •Motor to traps, sternocleidomastoid IX: Glosso- pharyngeal •Sensory to carotid body/sinus •Taste to posterior tongue •Sensory to ear opening/middle ear •Parotid salivary gland
  • 12. Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves
  • 13. Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves
  • 14. 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
  • 15. Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves
  • 16. Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves 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
  • 17. Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves
  • 18. Human Anatomy, Frolich, Head/Neck IV: Cranial Nerves Clinical tests for cranial nerv (New York U) Cranial Nerve Web Sites NIce review of cranial nerves--includes (Washington U) More detail cranial nerves, b (Yale Medical)