The hypoglossal nerve originates in the hypoglossal nucleus of the medulla and innervates the muscles of the tongue. It exits the skull through the hypoglossal canal and descends through the neck. Lesions can occur at the supranuclear, nuclear, or peripheral levels. Supranuclear lesions of the corticobulbar tract cause contralateral tongue weakness without atrophy. Nuclear lesions in the medulla result in ipsilateral tongue paresis, atrophy and fasciculations. Peripheral lesions of the hypoglossal nerve cause ipsilateral tongue paresis through the hypoglossal canal.
hypoglossal nerve, origin course an termination of hypoglossal nerve, function of hypoglossal nerve, clinical examination of hypoglossal nerve, hypoglossal nerve palsy
INTRODUCTION-FUNCTIONAL COMPONENTS-HYPOGLOSSAL NUCLEUS-INTRANEURAL COURSE-BRANCHES AND DISTRIBUTION-CLINICAL ANATOMY- It is very useful UG & PG Medical and dental & Nursing students. It also helps physiotherapist and paramedical students.
This document discusses the spinal accessory nerve (cranial nerve XI), which has both spinal and cranial parts. The spinal part arises from the cervical spinal cord and innervates the trapezius and sternocleidomastoid muscles. The cranial part arises from the medulla and joins with the vagus nerve. Damage to the spinal accessory nerve can cause weakness of the trapezius and sternocleidomastoid muscles and difficulty rotating the head.
The glossopharyngeal nerve is a mixed nerve that carries sensory and motor fibers. It has nuclei in the medulla and courses through the jugular foramen to innervate structures in the pharynx, tonsils, tongue, and mucus glands of the mouth. It has general sensory, special sensory, visceral motor, and branchial motor components. It mediates the gag reflex when the back of the pharynx is touched.
The hypoglossal nerve is a mainly motor nerve that innervates all the muscles of the tongue except one. It has its nucleus in the medulla and exits the skull through the hypoglossal canal to innervate the tongue muscles. Paralysis of
1. The document discusses the dural venous sinuses, their characteristics, classification, and the cavernous sinus in detail.
2. The dural venous sinuses drain blood from the brain and cranial cavity, absorb CSF, and receive valveless emissary veins. They are classified into unpaired and paired sinuses.
3. The cavernous sinus is a paired dural venous sinus located near the sphenoid bone. It contains the internal carotid artery and cranial nerves III and IV. Thrombosis or rupture of the cavernous sinus or internal carotid artery can cause symptoms like exophthalmos and ophthalmoplegia.
The fourth ventricle is located in the posterior cranial fossa between the pons and cerebellum. It has an triangular outline in sagittal section and rhomboidal shape in horizontal section. It contains five recesses and has superior, inferior, and lateral angles. Its boundaries include the inferior cerebellar peduncle laterally and superior cerebellar peduncle superiorly. It has a roof formed by the convergence of superior cerebellar peduncles and floor formed by the posterior surfaces of the pons and medulla, featuring a median sulcus and medial eminence.
The hypoglossal nerve is the twelfth cranial nerve that innervates all the muscles of the tongue except one. Damage to this nerve can cause unilateral paralysis of the tongue, causing it to curve towards the affected side when protruded. Causes of hypoglossal nerve palsy include strokes, brain tumors, multiple sclerosis, and infections. Affected individuals may have difficulty swallowing and speaking due to misarticulation of several sounds. Treatment involves speech therapy and tongue exercises.
hypoglossal nerve, origin course an termination of hypoglossal nerve, function of hypoglossal nerve, clinical examination of hypoglossal nerve, hypoglossal nerve palsy
INTRODUCTION-FUNCTIONAL COMPONENTS-HYPOGLOSSAL NUCLEUS-INTRANEURAL COURSE-BRANCHES AND DISTRIBUTION-CLINICAL ANATOMY- It is very useful UG & PG Medical and dental & Nursing students. It also helps physiotherapist and paramedical students.
This document discusses the spinal accessory nerve (cranial nerve XI), which has both spinal and cranial parts. The spinal part arises from the cervical spinal cord and innervates the trapezius and sternocleidomastoid muscles. The cranial part arises from the medulla and joins with the vagus nerve. Damage to the spinal accessory nerve can cause weakness of the trapezius and sternocleidomastoid muscles and difficulty rotating the head.
The glossopharyngeal nerve is a mixed nerve that carries sensory and motor fibers. It has nuclei in the medulla and courses through the jugular foramen to innervate structures in the pharynx, tonsils, tongue, and mucus glands of the mouth. It has general sensory, special sensory, visceral motor, and branchial motor components. It mediates the gag reflex when the back of the pharynx is touched.
The hypoglossal nerve is a mainly motor nerve that innervates all the muscles of the tongue except one. It has its nucleus in the medulla and exits the skull through the hypoglossal canal to innervate the tongue muscles. Paralysis of
1. The document discusses the dural venous sinuses, their characteristics, classification, and the cavernous sinus in detail.
2. The dural venous sinuses drain blood from the brain and cranial cavity, absorb CSF, and receive valveless emissary veins. They are classified into unpaired and paired sinuses.
3. The cavernous sinus is a paired dural venous sinus located near the sphenoid bone. It contains the internal carotid artery and cranial nerves III and IV. Thrombosis or rupture of the cavernous sinus or internal carotid artery can cause symptoms like exophthalmos and ophthalmoplegia.
The fourth ventricle is located in the posterior cranial fossa between the pons and cerebellum. It has an triangular outline in sagittal section and rhomboidal shape in horizontal section. It contains five recesses and has superior, inferior, and lateral angles. Its boundaries include the inferior cerebellar peduncle laterally and superior cerebellar peduncle superiorly. It has a roof formed by the convergence of superior cerebellar peduncles and floor formed by the posterior surfaces of the pons and medulla, featuring a median sulcus and medial eminence.
The hypoglossal nerve is the twelfth cranial nerve that innervates all the muscles of the tongue except one. Damage to this nerve can cause unilateral paralysis of the tongue, causing it to curve towards the affected side when protruded. Causes of hypoglossal nerve palsy include strokes, brain tumors, multiple sclerosis, and infections. Affected individuals may have difficulty swallowing and speaking due to misarticulation of several sounds. Treatment involves speech therapy and tongue exercises.
The facial nerve is the seventh cranial nerve that emerges from the brainstem and supplies motor innervation to the muscles of facial expression. It has three parts - a motor root, an intermedius nerve that carries taste and parasympathetic fibers, and branches that innervate the muscles of the face and neck. The facial nerve travels through the internal acoustic meatus, has three segments within the facial canal, and exits the skull through the stylomastoid foramen before branching within the parotid gland and terminating on individual facial muscles.
glossopharyngeal nerve, origin an course and termination of glossopharyngeal nerve, functional component of the nerve, sensory and motor component of glossopharyngeal nerve, gag reflex
The document summarizes key anatomical structures related to the dura mater and cavernous sinus. It describes the layers of the meninges and identifies four dural folds - the falx cerebri, tentorium cerebelli, falx cerebelli, and diaphragma sella. It also details the location, relations, tributaries, and communications of the cavernous sinus.
The glossopharyngeal nerve is the ninth cranial nerve. It is a mixed nerve that originates in the medulla oblongata and exits through the jugular foramen. It carries both sensory and motor fibers and innervates the middle ear, tonsils, back of the tongue, pharynx, and the stylopharyngeus muscle. Damage to the glossopharyngeal nerve can result in loss of sensation in these areas as well as difficulties swallowing and reduced salivation. Glossopharyngeal neuralgia is a condition characterized by severe pain in the throat and ear caused by compression of the nerve.
The accessory nerve has both a spinal and cranial component. The spinal component originates from spinal nerve roots C1-C6 and innervates the sternocleidomastoid and trapezius muscles. The cranial component originates in the medulla and joins with the vagus nerve. The accessory nerve is vulnerable to damage due to its superficial extracranial course.
The twelve pairs of cranial nerves serve the brain and structures of the head and neck. The first two pairs attach to the forebrain while the others are associated with the brain stem. Each nerve has a unique origin, course, functions and clinical implications. Damage to specific cranial nerves can impact functions like smell, vision, eye and facial muscle movement, hearing, balance, swallowing, speech and others.
The facial nerve has three nuclei and contains approximately 10,000 fibers. It exits the brainstem at the pontomedullary junction and travels through the internal acoustic meatus and fallopian canal. It has motor, parasympathetic, and sensory functions. Facial nerve palsy can result from various causes such as Bell's palsy, tumors, fractures, or inflammation. Diagnosis involves evaluating for signs of upper vs. lower motor neuron involvement. Treatment depends on the cause but may include corticosteroids, antivirals, or decompression surgery.
The document discusses the olfactory nerve (cranial nerve I), which is responsible for smell. It has four neurons - olfactory receptors in the nose, mitral/tufted cells in the olfactory bulb, neurons in the primary olfactory cortex, and neurons in the secondary olfactory cortex. The olfactory pathway projects from the nose to these cortical areas. Testing smell can localize pathology and determine laterality. Interpretations include describing degrees of smell ability or aberration and identifying potential causes of anosmia.
The document summarizes the key anatomical structures and contents of the temporal and infratemporal regions. The temporal fossa is bounded by bones and contains the temporalis muscle and arteries. The infratemporal fossa below contains muscles like the lateral and medial pterygoids and nerves like the mandibular nerve. The maxillary artery branches throughout these regions, including the pterygopalatine fossa which communicates between structures. The temporalis, masseter, and pterygoid muscles are involved in mastication.
MIDBRAIN basic anatomy and applied aspects.Pulak Agrawal
The document provides an overview of the anatomy and structures of the midbrain. It notes that the midbrain connects the pons and cerebellum to the forebrain, is about 0.8 inches long, and is traversed by the cerebral aqueduct filled with CSF. Key structures discussed include the crus cerebri, oculomotor nerve, superior and inferior colliculi, brachium, and trochlear nerve. The midbrain is divided into cerebral peduncles, tectum, and tegmentum. Transverse sections show structures like the substantia nigra, red nucleus, and tracts. Blood supply comes from the posterior cerebral, superior cerebellar, and basilar arteries.
The facial artery arises from the external carotid artery in the carotid triangle. It has two parts - the cervical part and facial part. The cervical part passes beneath muscles in the neck before curving upward over the mandible. The facial part enters the face and runs tortuously upward across the cheek, along the side of the nose, and ends at the medial corner of the eye. It supplies structures of the face, palate, and nose and is accompanied by the facial vein throughout its course.
The pons lies between the medulla oblongata and midbrain, connecting them. It contains motor and sensory nuclei for cranial nerves 5-8 and helps transmit signals between the cerebellum and cerebral cortex. The pons has anterior and posterior surfaces and contains fibers, nuclei, and tracts that process sensory information and coordinate motor functions. Damage to different areas can cause deficits like hemiplegia, hearing loss, or facial paralysis.
The document discusses the glossopharyngeal (CN IX) and vagus (CN X) nerves. It covers their anatomy, functions, and clinical assessment. The glossopharyngeal nerve innervates the pharynx and posterior tongue. The vagus nerve is the longest cranial nerve, innervating muscles of the pharynx and larynx, and the heart and gastrointestinal tract via parasympathetic fibers. Clinical examination focuses on motor function of soft palate, larynx, and reflexes. Lesions are localized based on involved structures and associated deficits in other cranial nerves.
Posterior triangle of neck - Powerpoint lecture notes by Dr.N.Mugunthan.mgmcri1234
The posterior triangle of the neck is bounded by the sternocleidomastoid muscle anteriorly and the trapezius muscle posteriorly. It is subdivided into the occipital and subclavian triangles by the omohyoid muscle. The posterior triangle contains nerves like the accessory nerve and branches of the brachial plexus, blood vessels like the external jugular vein and subclavian artery, and lymph nodes. Knowledge of the anatomy of the posterior triangle is important for procedures like brachial plexus blocks and catheterization of the external jugular vein.
This document provides an overview of the anatomy of the mandible. It discusses the parts and features of the mandible, including the body, ramus, condylar process and coronoid process. It describes the ossification, attachments, blood supply, nerve supply and age-related changes of the mandible. Key points covered include the mandible ossifying from Meckel's cartilage, its attachments to muscles like the masseter and temporalis, the inferior alveolar artery and nerve supplying it, and how its shape changes with age with tooth eruption and absorption.
The document describes the layers of fascia in the neck region. It discusses 7 main layers - the superficial fascia, investing layer of deep cervical fascia, prevertebral fascia, pretracheal fascia, carotid sheath, alar fascia, and buccopharyngeal fascia. Each layer is defined in terms of its attachments, boundaries, and relationships to surrounding structures. The document also discusses potential spaces in the neck and how infections can spread between fascial planes.
The fourth ventricle is located ventral to the cerebellum and dorsal to the pons and medulla. It is bounded laterally by the gracile and cuneate tubercles and inferior cerebellar peduncles, and superiorly by the superior cerebellar peduncle. Its roof is formed by the superior cerebellar peduncle and medullary velum. Its floor contains landmarks like the median sulcus, facial colliculus, and hypoglossal triangle. Cerebrospinal fluid circulates from the fourth ventricle through the median aperture and exits into the subarachnoid space through the foramina of Luschka and Magendi.
The medulla oblongata connects the pons superiorly to the spinal cord inferiorly. It has important cranial nerve nuclei and tracts that control vital functions like breathing and heart rate. A key feature is the decussation of the pyramids, where most corticospinal fibers cross to the opposite side. The medulla also contains nuclei that relay proprioceptive and fine touch sensations from the body to the brain.
The hypoglossal nerve is the twelfth cranial nerve that innervates the muscles of the tongue. It arises from the hypoglossal nucleus in the medulla and exits through the hypoglossal canal. The nerve then descends in the neck and divides into branches that innervate the extrinsic and intrinsic tongue muscles. Lesions along the course of the nerve can be localized based on the pattern of tongue weakness and atrophy. Common sites of lesion include the hypoglossal nucleus, internal capsule, and hypoglossal canal.
This document discusses disorders of the hypoglossal nerve, which innervates the tongue muscles. It describes the anatomy of the nerve and its motor function. Lesions of the hypoglossal nerve cause the tongue to deviate to the opposite side due to the dominance of the genioglossus muscle. Various pathologies that can affect the hypoglossal nerve are presented, including medial medullary syndrome, which involves tongue deviation along with other neurological deficits. Tongue fasciculations are also discussed as they can indicate lower motor neuron diseases like ALS. The differential diagnosis and proper technique for recording fasciculations on EMG are outlined.
The facial nerve is the seventh cranial nerve that emerges from the brainstem and supplies motor innervation to the muscles of facial expression. It has three parts - a motor root, an intermedius nerve that carries taste and parasympathetic fibers, and branches that innervate the muscles of the face and neck. The facial nerve travels through the internal acoustic meatus, has three segments within the facial canal, and exits the skull through the stylomastoid foramen before branching within the parotid gland and terminating on individual facial muscles.
glossopharyngeal nerve, origin an course and termination of glossopharyngeal nerve, functional component of the nerve, sensory and motor component of glossopharyngeal nerve, gag reflex
The document summarizes key anatomical structures related to the dura mater and cavernous sinus. It describes the layers of the meninges and identifies four dural folds - the falx cerebri, tentorium cerebelli, falx cerebelli, and diaphragma sella. It also details the location, relations, tributaries, and communications of the cavernous sinus.
The glossopharyngeal nerve is the ninth cranial nerve. It is a mixed nerve that originates in the medulla oblongata and exits through the jugular foramen. It carries both sensory and motor fibers and innervates the middle ear, tonsils, back of the tongue, pharynx, and the stylopharyngeus muscle. Damage to the glossopharyngeal nerve can result in loss of sensation in these areas as well as difficulties swallowing and reduced salivation. Glossopharyngeal neuralgia is a condition characterized by severe pain in the throat and ear caused by compression of the nerve.
The accessory nerve has both a spinal and cranial component. The spinal component originates from spinal nerve roots C1-C6 and innervates the sternocleidomastoid and trapezius muscles. The cranial component originates in the medulla and joins with the vagus nerve. The accessory nerve is vulnerable to damage due to its superficial extracranial course.
The twelve pairs of cranial nerves serve the brain and structures of the head and neck. The first two pairs attach to the forebrain while the others are associated with the brain stem. Each nerve has a unique origin, course, functions and clinical implications. Damage to specific cranial nerves can impact functions like smell, vision, eye and facial muscle movement, hearing, balance, swallowing, speech and others.
The facial nerve has three nuclei and contains approximately 10,000 fibers. It exits the brainstem at the pontomedullary junction and travels through the internal acoustic meatus and fallopian canal. It has motor, parasympathetic, and sensory functions. Facial nerve palsy can result from various causes such as Bell's palsy, tumors, fractures, or inflammation. Diagnosis involves evaluating for signs of upper vs. lower motor neuron involvement. Treatment depends on the cause but may include corticosteroids, antivirals, or decompression surgery.
The document discusses the olfactory nerve (cranial nerve I), which is responsible for smell. It has four neurons - olfactory receptors in the nose, mitral/tufted cells in the olfactory bulb, neurons in the primary olfactory cortex, and neurons in the secondary olfactory cortex. The olfactory pathway projects from the nose to these cortical areas. Testing smell can localize pathology and determine laterality. Interpretations include describing degrees of smell ability or aberration and identifying potential causes of anosmia.
The document summarizes the key anatomical structures and contents of the temporal and infratemporal regions. The temporal fossa is bounded by bones and contains the temporalis muscle and arteries. The infratemporal fossa below contains muscles like the lateral and medial pterygoids and nerves like the mandibular nerve. The maxillary artery branches throughout these regions, including the pterygopalatine fossa which communicates between structures. The temporalis, masseter, and pterygoid muscles are involved in mastication.
MIDBRAIN basic anatomy and applied aspects.Pulak Agrawal
The document provides an overview of the anatomy and structures of the midbrain. It notes that the midbrain connects the pons and cerebellum to the forebrain, is about 0.8 inches long, and is traversed by the cerebral aqueduct filled with CSF. Key structures discussed include the crus cerebri, oculomotor nerve, superior and inferior colliculi, brachium, and trochlear nerve. The midbrain is divided into cerebral peduncles, tectum, and tegmentum. Transverse sections show structures like the substantia nigra, red nucleus, and tracts. Blood supply comes from the posterior cerebral, superior cerebellar, and basilar arteries.
The facial artery arises from the external carotid artery in the carotid triangle. It has two parts - the cervical part and facial part. The cervical part passes beneath muscles in the neck before curving upward over the mandible. The facial part enters the face and runs tortuously upward across the cheek, along the side of the nose, and ends at the medial corner of the eye. It supplies structures of the face, palate, and nose and is accompanied by the facial vein throughout its course.
The pons lies between the medulla oblongata and midbrain, connecting them. It contains motor and sensory nuclei for cranial nerves 5-8 and helps transmit signals between the cerebellum and cerebral cortex. The pons has anterior and posterior surfaces and contains fibers, nuclei, and tracts that process sensory information and coordinate motor functions. Damage to different areas can cause deficits like hemiplegia, hearing loss, or facial paralysis.
The document discusses the glossopharyngeal (CN IX) and vagus (CN X) nerves. It covers their anatomy, functions, and clinical assessment. The glossopharyngeal nerve innervates the pharynx and posterior tongue. The vagus nerve is the longest cranial nerve, innervating muscles of the pharynx and larynx, and the heart and gastrointestinal tract via parasympathetic fibers. Clinical examination focuses on motor function of soft palate, larynx, and reflexes. Lesions are localized based on involved structures and associated deficits in other cranial nerves.
Posterior triangle of neck - Powerpoint lecture notes by Dr.N.Mugunthan.mgmcri1234
The posterior triangle of the neck is bounded by the sternocleidomastoid muscle anteriorly and the trapezius muscle posteriorly. It is subdivided into the occipital and subclavian triangles by the omohyoid muscle. The posterior triangle contains nerves like the accessory nerve and branches of the brachial plexus, blood vessels like the external jugular vein and subclavian artery, and lymph nodes. Knowledge of the anatomy of the posterior triangle is important for procedures like brachial plexus blocks and catheterization of the external jugular vein.
This document provides an overview of the anatomy of the mandible. It discusses the parts and features of the mandible, including the body, ramus, condylar process and coronoid process. It describes the ossification, attachments, blood supply, nerve supply and age-related changes of the mandible. Key points covered include the mandible ossifying from Meckel's cartilage, its attachments to muscles like the masseter and temporalis, the inferior alveolar artery and nerve supplying it, and how its shape changes with age with tooth eruption and absorption.
The document describes the layers of fascia in the neck region. It discusses 7 main layers - the superficial fascia, investing layer of deep cervical fascia, prevertebral fascia, pretracheal fascia, carotid sheath, alar fascia, and buccopharyngeal fascia. Each layer is defined in terms of its attachments, boundaries, and relationships to surrounding structures. The document also discusses potential spaces in the neck and how infections can spread between fascial planes.
The fourth ventricle is located ventral to the cerebellum and dorsal to the pons and medulla. It is bounded laterally by the gracile and cuneate tubercles and inferior cerebellar peduncles, and superiorly by the superior cerebellar peduncle. Its roof is formed by the superior cerebellar peduncle and medullary velum. Its floor contains landmarks like the median sulcus, facial colliculus, and hypoglossal triangle. Cerebrospinal fluid circulates from the fourth ventricle through the median aperture and exits into the subarachnoid space through the foramina of Luschka and Magendi.
The medulla oblongata connects the pons superiorly to the spinal cord inferiorly. It has important cranial nerve nuclei and tracts that control vital functions like breathing and heart rate. A key feature is the decussation of the pyramids, where most corticospinal fibers cross to the opposite side. The medulla also contains nuclei that relay proprioceptive and fine touch sensations from the body to the brain.
The hypoglossal nerve is the twelfth cranial nerve that innervates the muscles of the tongue. It arises from the hypoglossal nucleus in the medulla and exits through the hypoglossal canal. The nerve then descends in the neck and divides into branches that innervate the extrinsic and intrinsic tongue muscles. Lesions along the course of the nerve can be localized based on the pattern of tongue weakness and atrophy. Common sites of lesion include the hypoglossal nucleus, internal capsule, and hypoglossal canal.
This document discusses disorders of the hypoglossal nerve, which innervates the tongue muscles. It describes the anatomy of the nerve and its motor function. Lesions of the hypoglossal nerve cause the tongue to deviate to the opposite side due to the dominance of the genioglossus muscle. Various pathologies that can affect the hypoglossal nerve are presented, including medial medullary syndrome, which involves tongue deviation along with other neurological deficits. Tongue fasciculations are also discussed as they can indicate lower motor neuron diseases like ALS. The differential diagnosis and proper technique for recording fasciculations on EMG are outlined.
The vagus nerve is the longest cranial nerve originating from nuclei in the brainstem. It has both motor and sensory components and is one of the parasympathetic nerves. It exits the skull through the jugular foramen and gives rise to branches innervating the ear, pharynx, larynx, heart, lungs and gastrointestinal tract. Pathologies can be localized to supranuclear, nuclear, brainstem, skull base, nerve trunk or branchial divisions based on examination of voice, swallowing, autonomic and sensory functions.
The orbital cavity contains the eyeball and associated structures. It is formed by 7 bones and has dimensions of approximately 50mm deep, 40mm wide, and 35mm high. There are several openings including the superior and inferior orbital fissures, optic canal, and ethmoidal foramina. The walls are lined with periosteum and consist of a roof, floor, medial and lateral walls. Knowledge of the orbital anatomy is important for understanding orbital pathology and surgical planning.
The document summarizes the surgical anatomy of the eight cranial bones: occipital, sphenoid, ethmoid, temporal, frontal, parietal, and describes their structures and locations. It also discusses the diploic vessels within the skull, the three layers of the skull, the cranial spaces and their attachments, the dural septa including the falx cerebri and tentorium cerebelli, and the venous sinuses located within the dura mater.
This document provides information on spinal anatomy and spinal anesthesia. It describes the basic spinal anatomy including the vertebrae, spinal cord, meninges, and spinal nerves. It then discusses spinal anesthesia, including the indications, contraindications, procedure, advantages, disadvantages, mechanism of action, uptake and elimination of spinal anesthetics. It also covers factors that determine the distribution of spinal anesthetics such as characteristics of the local anesthetic solution, patient characteristics, injection technique, and characteristics of spinal fluid.
EMBRYOLOGY,GROWTH & DEVELOPMENT OF CRANIUM & CRANIAL BASE IRT ORTHODONTICS.pptxShrestha Majumdar
This document discusses growth and development of the cranium and cranial base. It covers prenatal craniofacial growth including development of the neural tube, pharyngeal arches, and cranial base. Postnatal growth includes growth of individual cranial bones through intramembranous and endochondral ossification, as well as remodeling and expansion at sutures. The cranial base grows through remodeling and growth at synchondroses. Anomalies can occur during development which are clinically significant. One study examined cranial base growth in children with and without orthodontic treatment.
Infratemporal fossa a systematic approachAugustine raj
infratemporal fossa is a irregular space with numerous neurovascular structures. an attempt has been made by me to decode all the boundaries and structures in a systematic way. sincere thanks to Dr. Viren Karia for his awesome video.
The document discusses the muscles of facial expression (mimetic muscles) that are innervated by the facial nerve (cranial nerve VII). It describes the various muscle groups - orbicular, nasal, oral and others. It details each individual muscle, their origin, insertion and function. The document also discusses applied anatomy concepts like Bell's palsy, Parkinson's disease, Ramsay Hunt syndrome and others where these facial muscles are involved. It provides clinical features and diagnostic evaluation for certain conditions. Overall, the document is a detailed overview of the facial expression muscles, their function and involvement in various clinical scenarios.
This document provides information on the 9th, 10th, 11th, and 12th cranial nerves:
- The glossopharyngeal nerve (CN IX) carries sensory and parasympathetic fibers and has branches that innervate the ear, pharynx, and tongue. It exits the skull through the jugular foramen.
- The vagus nerve (CN X) is a mixed nerve that innervates the pharynx, larynx, heart, lungs, and gastrointestinal tract. It exits the skull through the jugular foramen and has ganglia in the jugular fossa and inferiorly.
- The spinal accessory nerve (CN XI) innervates muscles of the neck and exits
This document summarizes key anatomical structures and features of the parotid and temporal regions, infratemporal fossa, temporomandibular joint, and muscles of mastication. It describes the boundaries and contents of these areas and discusses the innervation, blood supply, and functions of structures like the parotid gland, temporalis muscle, and temporomandibular joint.
The document provides an overview of the anatomy of the vertebral column. It discusses the 33 vertebrae that make up the spine, their typical features, and variations in different regions. It describes the protective, supportive, and weight-bearing functions of the vertebral column. Key structures like the intervertebral discs, spinal cord, meninges, nerve roots, and blood supply are summarized. Considerations for regional anesthesia techniques and anatomical variations are also covered at a high level.
The facial nerve has both sensory and motor components. It has nuclei in the pons that control muscles of facial expression, lacrimal and salivary glands, and taste sensation on the anterior tongue. The facial nerve exits the skull through the stylomastoid foramen and divides into branches that innervate muscles of the face, scalp and neck including the orbicularis oculi and orbicularis oris. It also communicates with adjacent cranial and spinal nerves to coordinate movements between branchial arches.
This document provides information on the muscles of facial expressions that are important for complete denture prosthesis. It discusses the boundaries of the face and identifies the main facial muscles of concern for prosthodontists as the buccinator, orbicularis oris, incisivus superioris and inferioris, and bucco-labial groups. The document then describes the specific muscles involved in facial expressions, including their origins, insertions, blood supply, and functions in producing expressions like smiling, frowning, and sadness. It emphasizes the importance of these muscles for proper placement of teeth and support of lips and facial contours in denture design.
The document discusses the 12 pairs of cranial nerves. It provides detailed information on the olfactory, optic, oculomotor, trochlear, trigeminal, abducent, and facial cranial nerves. It describes the embryology, course, distribution and functions of these nerves. It also discusses various clinical conditions that can arise from injuries or lesions to the different cranial nerves.
The document summarizes the anatomy of the maxilla and mandible. It describes the main parts and features of each bone, including their surfaces, processes, foramina, blood supply, nerves, and age-related changes. It discusses the clinical considerations for each bone in prosthodontics, such as relating the positions of anatomical landmarks to denture design and placement.
The document summarizes the anatomy of the salivary glands. It describes the locations and relations of the major salivary glands: the parotid gland is the largest salivary gland located in the preauricular region, the submandibular gland is inferior to the mandible, and the sublingual gland is beneath the floor of the mouth. It also discusses the minor salivary glands distributed in the oral mucosa, and the innervation and blood supply of the major salivary glands.
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Hiranandani Hospital in Powai, Mumbai, is a premier healthcare institution that has been serving the community with exceptional medical care since its establishment. As a part of the renowned Hiranandani Group, the hospital is committed to delivering world-class healthcare services across a wide range of specialties, including kidney transplantation. With its state-of-the-art facilities, advanced medical technology, and a team of highly skilled healthcare professionals, Hiranandani Hospital has earned a reputation as a trusted name in the healthcare industry. The hospital's patient-centric approach, coupled with its focus on innovation and excellence, ensures that patients receive the highest standard of care in a compassionate and supportive environment.
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Our backs are like superheroes, holding us up and helping us move around. But sometimes, even superheroes can get hurt. That’s where slip discs come in.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
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Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
4. INTRODUCTION
• The hypoglossal nerve (CN XII) is a purely motor nerve, supplying the tongue.
• Its cells of origin are in the hypoglossal nuclei, which are upward extensions of
the anterior gray columns of the spinal cord; they consist of large, multipolar cells,
similar to the anterior horn motoneurons.
• The column of cells extends from the caudal-most medulla oblongata to the
medullary-pontine junction and contains the somatic efferent fibres
7. ORIGIN
• Its fiber arise from the hypoglossal nucleus, a longitudinal cell column in the
paramedian medulla that lies beneath the hypoglossal trigone of the floor of the
fourth ventricle.
• The column of cells extends from the caudal-most medulla oblongata to the
medullary-pontine junction.
• The nucleus is somatotopically organized, with different cell groups innervating
different tongue muscles.
• From rostral to caudal, the innervation is intrinsic tongue muscles, then
genioglossus, hyoglossus and styloglossus
8.
9.
10.
11.
12. SUPRANUCLEAR CONTROL
• Supranuclear control lies in the lower portion of the precentral gyrus near and
within the sylvian fissure.
• The supranuclear fibers run in the corticobulbar tract through the genu of the
internal capsule and through the cerebral peduncle.
• Some corticolingual fibers shift to the medial lemniscus in the pons
• Other fibers leave the main ventral pyramidal tract and cross the midline at the
pontomedullary junction to enter the hypoglossal nucleus from the lateral aspect
14. COURSE
• From the hypoglossal nucleus, the nerve fibers travel in a ventrolateral direction
through the medullary reticular formation and medial portion of the inferior olive,
coursing immediately lateral to the medial longitudinal fasciculus, medial
lemniscus, and pyramid.
• Exit the medulla a series of 10 to 15 rootlets on each side, anterior to the rootlets
of CNs IX, X, and XI
21. COURSE
• The hypoglossal fibers gather into two bundles, which perforate the dura mater
separately, pass through the hypoglossal canal, and then unite.
• After bundles unite they descend vertically through the neck to the angle of the
mandible
22. HYPOGLOSSAL CANAL
• The hypoglossal canal is located between the occipital condyle and jugular
tubercle and runs obliquely forwards (posteromedial to anterolateral).
• Its proximal portion is often divided by a fibrous (sometimes ossified) septum,
which separates the two roots of the hypoglossal nerve (these have formed by
the convergence of numerous rootlets).
• These roots merge within the canal and a single nerve emerges.
25. COURSE
• In the upper portion of its course, the nerve lies beneath the internal carotid
artery and internal jugular vein, and near the vagus nerve.
• It passes between the artery and vein, runs forward above the hyoid bone,
between the mylohyoid and hyoglossus muscles, and breaks up into a number of
fibers to supply the various tongue muscles.
• The nerve sends communicating branches to the inferior vagal ganglion and to
the pharyngeal plexus
26. COURSE
• The ansa hypoglossi is formed by the descending hypoglossal ramus (CN XII and
C1 cervical root) and the descending cervical ramus(C2 and C3 cervical roots).
• The descending hypoglossal ramus, which courses downward to form the ansa
hypoglossi, is given off from the hypoglossal nerve proper in the neck.
27.
28.
29. BRANCHES
• The branches of the hypoglossal nerve
• MENINGEAL,
• DESCENDING,
• THYROHYOID,
• MUSCULAR,
30. MENINGEAL BRANCH
• The meningeal branches send filaments derived from communicating branches
with C1 and C2 to the dura of the posterior fossa
31. DESCENDING BRANCH
• The descending ramus join with fibers from C1, sends a branch to the omohyoid,
and then joins a descending communicating branch from C2 and C3 to form the
ansahypoglossi
• Which supplies the omohyoid, sternohyoid, and sternothyroid muscles.
32. THYROHYOID BRANCH
• The thyrohyoid branch supplies the thyrohyoid muscle.
• The descending and thyrohyoid branches carry hypoglossal fibers but are derived
mainly from the cervical plexus
33. MUSCULAR BRANCHES
• The muscular, or lingual, branches constitute the real distribution of the
hypoglossal nerve.
• CN XII supplies the intrinsic muscles, and all of the extrinsic muscles of the tongue
except the palatoglossus, and possibly the geniohyoid muscle.
37. ACTIONS
• The suprahyoid muscles also influence tongue movement by changing the
position of the hyoid bone.
• The geniohyoid is supplied by C1 fibers traveling in the hypoglossal nerve.
39. EXAMINATION
• The clinical examination of hypoglossal nerve function consists of evaluating the
strength, bulk, and dexterity of the tongue—looking especially for weakness,
atrophy, abnormal movements.
• Note the position and appearance of the tongue at rest in the mouth.
• Then the patient is asked to protrude it, move it in and out, from side to side, and
upward and downward, both slowly and rapidly.
40. EXAMINATION
• Motor power can be tested by having the patient press the tip against each cheek
as the examiner tries to dislodge it with finger pressure.
• The normal tongue is powerful and cannot be moved.
• For more precise testing, press firmly with a tongue blade against the side of the
protruded tongue, comparing the strength on the two sides.
41. CLINICAL FINDINGS
• When unilateral weakness is present, the tongue deviates toward the weak side on
protrusion because of the action of the normal genioglossus, which protrudes the
tip of the tongue by drawing the root forward.
• The patient cannot push the tongue against the cheek on the normal side but is
able to push it against the cheek on the side toward which it deviates.
• Also at rest, it may deviate or curl slightly toward the healthy side because of
unopposed action of the styloglossus, which draws the tongue upward and
backward.
42.
43. CLINICAL FINDINGS
• Lateral movements of the tip of the non protruded tongue, controlled by the
intrinsic tongue muscles, may be preserved.
• Facial muscle weakness or jaw deviation makes it difficult to evaluate deviation of
the tongue. Patients with significant lower facial weakness often have distortion
of the normal facial appearance that can produce the appearance of tongue
deviation when none is present.
48. SUPRANUCLEAR LESION
• Lesions of the corticobulbar tract anywhere in its course from the lower precentral
gyrus to the hypoglossal nuclei may result in tongue paralysis.
• The cortical area for controlling tongue movement may be the most lateral part
of the precentral gyrus lateral to the precentral knob.
• A lesion of the precentral and postcentral gyri may thus cause a contralateral
supranuclear hypoglossal palsy (“pseudoperipheral tongue weakness”) with
deviation of the tongue away from the lesion.
• A supranuclear lesion is not accompanied by atrophy or fibrillations of the tongue
49. SUPRANUCLEAR LESIONS
• Interruption of the corticolingual pathway to the tongue is crucial in the
pathogenesis of dysarthria following strokes affecting the internal capsule, basis
pontis, or corona radiata
• Damage to those uncrossed fibers may cause ipsilateral supranuclear lingual
paresis
• Bilateral upper motor neuron affection of the corticobulbar fibers to the
hypoglossal nuclei results in a paretic tongue with no atrophy or signs of
denervation
50. LEVEL OF DECUSSATION
• Pontine lesions at the ventral paramedian base close to the midline affect the
contralateral corticohypoglossal projections, whereas lateral lesions at the pontine
base affect ipsilateral projections.
• Lesions of the dorsolateral and mediolateral medulla impair only ipsilateral
corticohypoglossal projections.
• This suggests that the main decussation of supranuclear projections to the
hypoglossal nucleus in the brainstem is located close to the pontomedullary junction.
• Corticohypoglossal projections usually cross at the pontomedullary junction whereas
the uncrossed projections pass laterally in the basis pontis.
51. NUCLEAR LESIONS AND INTRAMEDULLARY CRANIAL
NERVE XII LESIONS
• Unilateral lesions of the HYPOGLOSSAL NUCLEUS or nerve result in paresis,
atrophy, furrowing, fibrillations, and fasciculations that affect the corresponding
half of the tongue.
• Because of close proximity- dorsal medullary lesions (e.g., multiple sclerosis,
syringobulbia) often result in bilateral lower motor neuron lesions of the tongue.
• ALS, Poliomyelitis, Infectious Mononucleosis.
52. INTRAMEDULLARY CRANIAL NERVE LESIONS
• Intramedullary hypoglossal involvement is suggested by the associated affection
of the medial lemniscus, pyramid, or other neighboring intramedullary structures.
• Causes-tumor, demyelinating disease, syringobulbia, vascular insult ( a rare
syndrome, Medial Medullary syndrome)
54. PERIPHERAL LESIONS OF CRANIAL NERVE XII
• The Cranial nerve XII leaves the skull through Hypoglossal canal.
• A basilar skull lesion (e.g., tumor, trauma, vascular lesion, or synovial cyst of the
occipito-cervical junction)may involve the twelfth cranial nerve alone, producing
an isolated cranial nerve XII lower motor neuron lesion.
• Frequently the other lower cranial nerves (IX, X, and XI) are variably involved as
well, due to the close proximity
55.
56.
57. PERIPHERAL LESIONS OF CRANIAL NERVE XII
• Isolated hypoglossal nerve palsy due to compression by a kinked vertebral artery
(hypoglossal vertebral entrapment syndrome) has been described.
• Combined abducens nerve and hypoglossal nerve palsies are rare. This is often an
ominous combination as may be seen with nasopharyngeal carcinoma
(Godtfredsen syndrome) and with other clival lesions, especially tumors (three-
fourths of which are malignant.
58. PERIPHERAL LESIONS OF CRANIAL NERVE XII
• Lesions, usually tumors or chronic inflammatory lesions, of the occipital condyle
may cause occipital pain associated with an ipsilateral hypoglossal nerve injury
(occipital condyle syndrome).
• The hypoglossal nerve may be injured in isolation in the neck or in its more distal
course near the tongue.
59. . The causes are
• Carotid aneurysms, aneurysms of a persistent hypoglossal artery, vascular
entrapment, spontaneous dissection of the extracranial internal carotid artery,
local infections, tuberculosis of the atlantoaxial joint, rheumatoid arthritis,
osteophytic projection from the atlanto-occipital joint,
• Surgical (e.g., carotid endarterectomy) or accidental trauma (e.g., occipital
condyle fracture), birth injuries, neck radiation,
• Epidural abscess of the nasopharyngeal/oropharyngeal carotid space, synovial
cysts, and tumors of the retroparotid or retropharyngeal spaces, neck, salivary
glands, and base of the tongue
• Tumors are the most important cause followed by trauma.
60.
61. ABNORMAL TONGUE MOVEMENTS.
• Choreiform movements of the tongue may result in bizarre lingual movements
and an inability to keep the tongue protruded on command (trombone tongue)
• Galloping tongue refers to an episodic, rhythmic involuntary movement of the
tongue that has been described after head and neck trauma, consisting of three
waves per second that began as posterior midline focal tongue contractions.
• Continuous lingual myoclonus has been described after head injury (EEG normal)
and is thought to be a form of branchial myoclonus without palatal myoclonus
62. DYSARTHRIA
• Dysarthria refers to impaired speech due to abnormal neuromuscular control and
is manifested by abnormalities of articulation, respiration, prosody, resonance of
voice, and phonation..
• The evaluation of motor speech requires the assessment of three speech
activities, they include-A sample of contextual speech, Vowel prolongation,
alternate motion rate of the lips, tongue, and mandible.