Shared Flashcard Set

Details

brainstem and cranial nerves
Neuroanatomy Brainstem and Cranial Nerves
194
Anatomy
Graduate
03/13/2012

Additional Anatomy Flashcards

 


 

Cards

Term
which of the cranial nerves carry parasympathetic fibers
Definition
CN 3, 7, 9, 10
Term
what are the names of the parasympathetic cranial nerves
Definition
oculomotor, facial, glossopharyngeal, vagus
Term
which cranial nerves provide parasympathetics to the head and neck region
Definition
3, 7, 9
Term
where does the vagus nerve provide parasympathetic innervation
Definition
thorax and abdomen
Term
where do most cranial nerves originate
Definition
brainstem
Term
do the cranial nerves emerge from the ventral or dorsal side of the brainstem
Definition
ventral
Term
what is anosmic
Definition
loss of olfaction
Term
why does cranial I have special sensory fibers
Definition
only this nerve can detect smell
Term
path of axons in olfactory nerve
Definition
axons project through cribriform plate into olfactory bulb then to temporal lobe and limbic structures
Term
where is the primary olfactory cortexlocated
Definition
temporal lobe
Term
how much olfaction do we lose each year
Definition
1.00000%
Term
how to test cranial nerve I
Definition
standard scents like vanilla, peppermint
Term
what makes cranial II special sensory
Definition
only nerve in the body that can detect vision
Term
are the retina and optic nerve part of the PNS or CNS
Definition
CNS
Term
what is the path of the axons of CN II
Definition
optic axons go through optic canal, cross at chiasm, and then project into primary visual cortex in the occipital lobe
Term
what 2 things can you test to test the optic nerve
Definition
visual acuity, visual field
Term
how to test visual field
Definition
tell me when you see my finger
Term
where are the ganglion cells of the optic nerve located
Definition
retina
Term
what do physicians look for when they look into your eye
Definition
retina, optic disk
Term
what is in the middle of the back of the eye
Definition
fovea
Term
what diseases can physicians look for with the use of an ophthalmoscope
Definition
diabetes, hypertension, abnormal intracranial pressure
Term
what is CN III
Definition
oculomotor
Term
in what part of the brain does oculomotor originate
Definition
midbrain
Term
what are the 2 separate nuclei of the oculomotor nerve that originate in the midbrain
Definition
oculomotor nucleus, edinger-westphal nucleus
Term
what does the oculomotor nucleus do
Definition
controls 5 extraocular muscles
Term
what does the edinger-westphal nucleus do
Definition
provides parasympathetic neurons to the sphincter pupillary muscle and the ciliary muscle
Term
what is the oculomotor complex
Definition
the term used to refer to the edinger-westphal nucleus and to the oculomotor nucleus combined
Term
what do neurons from the oculomotor nucleus and the edinger-westphal nucleus form when they combine
Definition
oculomotor nerve
Term
where does the oculomotor nerve travel to after being formed by the edinger-westphal nucleus and the oculomotor nucleus
Definition
orbit
Term
with what type of fibers does the oculomotor nerve innervate 5 extraocular muscles
Definition
GSE
Term
what are the 5 muscles innervated by the oculomotor nerve
Definition
levator palpebrae superioris, superior rectus, medial rectus, inferior rectus, inferior oblique
Term
what is the action of the levaotr palpebrae superioris
Definition
raises upper eyelid
Term
what is the action of the superior rectus
Definition
elevates eye
Term
what is the action of the medial rectus
Definition
adducts eye
Term
what ist he action of the inferior rectus
Definition
depresses eye
Term
what is the action of the inferior oblique
Definition
turns eye up and out
Term
what is CN III's parasympathetic actions
Definition
pupillary reflex and lens accommodation
Term
what muscle affects the pupillar reflex
Definition
sphincter pupillary muscle
Term
what muscle affects lens accommodation
Definition
ciliary muscle
Term
does the oculomotor nerve have any sensory fibers
Definition
no
Term
what does lens accommodation allow for
Definition
close-up vision
Term
how can you test oculomotor nerve
Definition
by assessing movement of the 5 extraocular muscles (follow my hand) or by testing pupillary reflex with a light
Term
what are symptoms of CN III damage
Definition
ptosis, lateral strabismus, diplopia, loss of lens accommodation
Term
what is ptosis
Definition
drooping of upper eyelid
Term
what is lateral strabismus
Definition
unopposed action of other ocular muscles when oculomotor nerve is lost. Causes eye to look down and out.
Term
what is diplopia
Definition
double vision caused by muscle imbalance
Term
does diplopia from oculomotor nerve damage last forever
Definition
no. the brain usually figures out diplopia after a while so that the double vision is corrected
Term
what muscles are still working that cause lateral strabismus
Definition
lateral rectus and superior oblique
Term
what is the pupillary reflex
Definition
light projected into one eye should cause constriction of both pupils
Term
what can the loss of the pupillary reflex indicate
Definition
brainstem injury from trauma or stroke or damage to oculomotor nerve/EW nucleus
Term
what is CN IV
Definition
trochlear nere
Term
in what nucleus does the trochlear nerve originate
Definition
trochlear nucleus
Term
where is the trochlear nucleus
Definition
in the midbrain near the inferior colliculus
Term
what is the only cranial nerve that exits the back/dorsum of the brainstem?
Definition
CN IV
Term
why is CN IV a commonly injured nerve
Definition
it has a long intracranial course
Term
what is the path of the axons of CN IV after leaving the dorsum of the brainstem
Definition
courses into the orbit to innervate the superior oblique muscle
Term
action of superior oblique muscle
Definition
turns eye down and out like you're going down stairs
Term
what is the result of damage to trochlear nerve
Definition
difficulty turning eye down and out. Diplopia
Term
what does the affected eyeball do in response to trochlear nerve damage
Definition
drifts upward.
Term
how do patients with trochlear nerve damage compensate
Definition
tilt head away from affected side to bring the 2 visual fields back together and prevent diplopia
Term
what is CN VI
Definition
abducens
Term
in what nucleus does the abducens nerve originate
Definition
abducens nucleus
Term
in what part of the brain does CN VI originate
Definition
pons
Term
what is the path of the abducens nerve after it leaves the pons
Definition
courses to the orbit and innervates the lateral rectus muscle
Term
what is the action of the lateral recuts muscle
Definition
abducts the eyeball so that you can look laterally
Term
how do you test the abducens nerve
Definition
ask the pt to look laterally without moving their head
Term
why is CN VI a commonly injured nerve
Definition
long intracranial course
Term
what is the result of damage to abducens nerve
Definition
medial strabismus of eye due to unopposed action of medial rectus = cross-eyed
Term
is CN V a sensory or motor nerve
Definition
both
Term
where does CN V receive sensation information
Definition
from the face
Term
what nerve conveys sensory information from the cornea
Definition
trigeminal
Term
what nerve conveys sensory information from the oral cavity
Definition
trigeminal
Term
what are the 3 main branches of the trigeminal nerve
Definition
ophthalmic, maxillary, mandibular
Term
what is V1
Definition
ophthalmic branch of trigeminal
Term
what is V2
Definition
maxillary branch of trigeminal
Term
what is V3
Definition
mandibular branch of trigeminal
Term
where do the sensory nerve cell bodies of the trigeminal nerve reside
Definition
trigeminal ganglion
Term
where do the sensory nerve cell bodies project
Definition
to neurons in the trigeminal sensory complex located in the pons and medulla
Term
which branch of the trigeminal nerve innervates the muscles of mastication
Definition
mandibular (V3)
Term
what musles of mastication does the mandibular branch of the trigeminal innervate
Definition
masseter, temporalis, pterygoids
Term
where do the motor nerve cell bodies of the trigeminal nerve reside
Definition
motor nucleus of the trigeminal nerve
Term
where is the motor nucleus of the trigeminal nerve
Definition
pons
Term
how can you test the sensory portion of the trigeminal nerve
Definition
test sensation on various regions of the face.
Term
how can you test the motor portion of the trigeminal nerve
Definition
by palpating the masseter and temporalis muscles as the patient clenches their jaw
Term
what nerve does testing the corneal reflex test
Definition
trigeminal nerve as well as facial nerve
Term
how to test the corneal reflex
Definition
cotton swab gently applied to cornea should initiate corneal reflex: should elicit a blink
Term
is CN VII a sensory or motor nerve?
Definition
both. Also parasympathetic
Term
what is the sensory component of CN VII
Definition
taste
Term
where does the motor portion of CN VII originate
Definition
facial motor nucleus
Term
where is the facial motor nucleus
Definition
pons
Term
what muscles does the facial nerve innervate
Definition
all muscles of facial expression
Term
what does CN VII innervate parasympathetically
Definition
salivary glands, lacrimal glands
Term
from what part of the tongue does CN VII convey taste
Definition
anterior 2/3 of the tongue
Term
where are the cell bodies of the sensory fibers of the facial nerve located
Definition
geniculate ganglion
Term
how to assess CN VII
Definition
observe symmetry of facial muscles as patients smile, raise eyebrows, tightly close their eyes. Administer common tastes to the tip of the tongue
Term
what is the result of damage to motor portion of CN VII
Definition
facial nerve palsy
Term
what is the result of loss of sensory and parasympathetic portions of CN VII
Definition
loss of taste, reduced salivation/lacrimation
Term
what is the nerve of hearing and balance
Definition
vestibulocochlear nerve
Term
what is CN VIII
Definition
vestibulocochlear nerve
Term
where does the vestibulocochlear nerve originate
Definition
from the labyrinth located in the temporal bone
Term
what are the 2 separate sensory nerves of the vestibulocochlear nerve
Definition
vestibular nerve, cochlear nerve
Term
what is the cochlear nerve responsible for
Definition
hearing
Term
what is the vestibular nerve responsible for
Definition
balance and equilibrium
Term
where does the cochlear nerve receive hearing stimuli from?
Definition
cochlea: inner ear
Term
where are the cell bodies of the cochlear nerve
Definition
cochlear nuclei
Term
where are the cochlear nuclei
Definition
medulla
Term
from where does the vestibular nerve receive balance/equilibrium stimuli
Definition
semicircular canals and otolith
Term
where are the cell bodies of the vestibular nerve
Definition
vestibular nuclei
Term
where are the vestibular nuclei located
Definition
pons and medulla
Term
how to test the vestibulocochlear nerve
Definition
audiologist, finger snap test, Weber test, Caloric test
Term
what is the Weber test
Definition
test of hearing: tuning fork applied to top of head
Term
what is the Caloric test
Definition
easy procedure to assess vestibular nerve
Term
when would you want to test the vestibular nerve
Definition
if the patient has vertigo, dizziness
Term
what is CN IX
Definition
glossopharyngeal nerve
Term
what are the functions of the glossopharyngeal nerve
Definition
1. taste to posterior 1/3 tongue; 2. sensation to posterior 1/3 tongue; 3. sensation to pharynx/throat; 4. sensation to the carotid body/sinus; 5. parasympathetic to parotid gland
Term
how to assess CN IX
Definition
use tongue depressor to stimulate gag reflex in the throat
Term
which cranial nerve carries the afferent limb of the gag reflex
Definition
glossopharyngeal nerve
Term
what are the functions of of the vagus nerve
Definition
1. parasympathetic to organs in thorax and abdomen; 2. visceral sensation from organs in thorax and abdomen; 3. motor to muscles of the palate,pharynx, larynx
Term
what type of fibers carry visceral sensation from organs in thorax and abdomen up vagus
Definition
GVA
Term
where do parasympathetics of CN X originate
Definition
dorsal motor nucleus
Term
where is the dorsal motor nucleus
Definition
medulla
Term
what is the path of the parasympathetics of the vagus nerve after they leave the dorsal motor nucleus in the medulla
Definition
course in to the thorax and abdomen
Term
how to assess CN X function
Definition
observe swallowing, talking
Term
what can hoarseness indicate
Definition
paralysis of the laryngeal muscles
Term
what is CN XI
Definition
accessory nerve
Term
is CN XI motor or sensory
Definition
motor only
Term
what does CN XI innervate
Definition
SCM and trapezius
Term
where does CN XI originate
Definition
spinal nucleus of accesesory nerve
Term
where is the spinal nucleus of the accessory nerve
Definition
upper cervical spinal cord
Term
how to assess CN XI
Definition
observe symmetry of neck musculature; look for winged scapula; shrug shoulders against resistance; turn head against resistance
Term
what is CN XII
Definition
hypoglossal
Term
is hypoglossal motor or sensory
Definition
motor
Term
what does hypoglossal innervate
Definition
motor innervation to muscles of the tongue
Term
where does CN XII originate
Definition
hypoglossal nucleus
Term
where is the hypoglossal nucleus located
Definition
medulla
Term
how to assess CN XII
Definition
inspect tongue for atrophy, strength, and symmetry. Protude and abduct tongue against resistance.
Term
if there is damage to a hypoglossal nerve, will the tongue deviate toward or away from damaged nerve
Definition
deviate towards
Term
if the patient sticks their tongue out and it deviates to the right, what is wrong
Definition
right hypoglossal nerve damage
Term
what is the location of cell bodies of CN I
Definition
nasal epithelium
Term
what is a test for CN I
Definition
test sense of smell with standard odor
Term
what is the location of cell bodies of CN II
Definition
retina
Term
what is a test for CN II
Definition
visual acuity, visual field
Term
what is the location of cell bodies of CN III
Definition
oculomotor nucleus, edinger-westphal nucleus. Both in midbrain
Term
what is a test for CN III
Definition
test eye movements. Look for ptosis. Pupillary dilation.
Term
what is the location of cell bodies of CN IV
Definition
trochlear nucleus in midbrain
Term
what is a test for CN IV
Definition
can't look downward when eye is abducted
Term
what is the location of cell bodies of CN V
Definition
trigeminal motor nucleus in pons; trigeminal sensory ganglion
Term
what is a test for CN V
Definition
test sensation on the face. Palpate masseter and temporal muscles
Term
what is the location of cell bodies of CN VI
Definition
abducens nucleus in pons
Term
what is a test for CN VI
Definition
can't look laterally
Term
what is the location of cell bodies of CN VII
Definition
motor in facial motor nucleus in the pons; sensory (taste) in geniculate ganglion 
Term
what is a test for CN VII
Definition
test facial expression and taste on anterior tongue
Term
what is the location of cell bodies of CN VIII
Definition
spiral ganglion in the cochlea; vestibular ganglion
Term
what is a test for CN VIII
Definition
test hearing with tuning fork. Test vestibular function with caloric test
Term
what is the location of cell bodies of CN IX
Definition
infeior salivatory
Term
what is a test for CN IX
Definition
test swallowing and pharyngeal gag reflex
Term
what is the location of cell bodies of CN X
Definition
dorsal motor nucleus of vagus; vagal nerve ganglion
Term
what is a test for CN X
Definition
hoarsness
Term
what is the location of cell bodies of CN XI
Definition
spinal accessory nucleus;
Term
what is a test for CN XI
Definition
test sCM and trapezius
Term
what is the location of cell bodies of CN XII
Definition
hypoglossal nucleus in medulla
Term
what is a test for CN XII
Definition
test of deviation of tongue during protrusion
Term
are the cranial nerves central or periphery nervous system?
Definition
periphery
Term
which of the cranial nerves carry parasympathetic fibers (GVE)?
Definition
III, VII, IX, X
Term
what are the names of the cranial nerves that have parasympathetic fibers?
Definition
CN III oculomotor, CN VII facial, CN IX glossopharyngeal, CN X vagus
Term
which cranial nerves provide parasympathetic innervation to head and neck region?
Definition
CN III, VII, IX
Term
which cranial nerve provides parasympathetic innervation to thorax and abdomen
Definition
CN X vagus
Term
describe the neuron system of parasympathetic nerves
Definition
2 neuron system: preganglionic, postganglionic
Term
CN I name, function, type
Definition
olfactory, smell, sensory
Term
CN II name, function, type
Definition
optic, vision, sensory
Term
CN III name, function, type, foramen
Definition
oculomotor, eye movements/lens accommodation/pupillary reflex, motor and parasympathetic
Term
which cranial nerve opens eyes?
Definition
oculomotor
Term
which cranial nerve closes eyes?
Definition
facial
Term
what are the parasympathetic functions of CN III
Definition
pupil constriction, lens accommodation
Term
what are the regular motor functions of CN III?
Definition
motor to 5 muscles that move the eye, upper eyelid
Term
CN IV name, function, type, foramen
Definition
trochlear, moves superior oblique muscle of eye, motor
Term
CN VI name, function, type
Definition
abducens, moves lateral rectus muscle of eye, motor
Term
which nerve innervates lateral rectus muscle of eye?
Definition
abducens, CN VI
Term
which nerve innervates superior oblique muscle of eye
Definition
trochlear, CN IV
Term
CN V name, function, type
Definition
trigeminal, sensation from face and motor to muscles of mastication, sensory and motor
Term
what are the 3 parts of the trigeminal nerve?
Definition
V1 = ophthalmic, V2 = maxillary, V3 = mandibular
Term
CN VII name, type
Definition
facial: motor, sensory, parasympathetic
Term
what is facial nerves motor job?
Definition
innervate muscles of facial expression
Term
what is facial nerve's sensory job
Definition
special sensory to anterior tongue 
Term
what is facial nerve's parasympathetic jobs?
Definition
innervation to lacrimal and salivary glands
Term
CN VIII name, function, type
Definition
vestibulocochlear, balance and hearing, sensory
Term
CN IX name, type
Definition
glossopharyngeal, sensory/motor/parasympathetic
Term
what are the major functions of glossopharyngeal?
Definition
special sensory from posterior tongue (taste), sensation from pharynx, monitors carotid body/sinus, innervates parotid gland, moves one unimportant muscle
Term
CN X name, type
Definition
vagus, motor/sensory/parasympathetic
Term
CN XI name, function, type
Definition
accessory, motor to SCM and trapezius, motor
Term
CN XII name, function, type
Definition
hypoglossal, move tongue muscles, motor
Term
which cranial nerves have sensory fibers?
Definition
olfactory, optic, trigeminal, facial, vestibulocochlear, glossopharyngeal, vagus
Term
which cranial nerves have motor fibers?
Definition
oculomotor, trochlear, trigeminal, abducens, facial, glossopharyngeal, vagus, accessory, hypoglossal
Term
which cranial muscles have parasympathetic fibers?
Definition
III, VII, IX, X
Supporting users have an ad free experience!