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Head and Neck - cranial nerves 1
Anatomy of the head and neck
50
Health Care
Professional
10/06/2010

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Cards

Term
A lesion of CN I would cause what?
Definition
anosmia
Term
Anosmia could result from head trauma involving which bone?
Definition
The cribiform plate of the ethmoid bone
Term
Chronic exposure to toxins such as cadmium, lead, etc. could cause damage to...
Definition
the olfactory epithelial cells
Term
The optic tracts begin at the...
Definition
optic chiasm
Term
The optic tracts continue to the...
Definition
lateral geniculate nuclei
Term
The optic chiasm is located anterior to what structure?
Definition
The infundibular stalk
Term
The axons from which retinal parts will cross in the optic chiasm?
Definition
The nasal parts
Term
Does CN III do sensory, motor or both?
Definition
motor
Term
What are the extrinsic eye muscles innervated by CNIII?
Definition
Superior rectus, medial rectus, inferior rectus, inferior oblique
Term
The levator palpebrae superioris muscle is innvervated by...
Definition
CN III
Term
The autonomic component of CN III comes from which ganglion?
Definition
The ciliary ganglion
Term
The postganglionic parasympathics to the constrictor pupillae and ciliary muscles travel via which CN?
Definition
CN III
Term
Postganglionic sympathetic visceral efferents enter orbit from...
Definition
the internal carotid plexus
Term
The dilator pupillae muscle is innervated by what kind of nerves?
Definition
Postganglionic sympathetics from the internal carotid plexus
Term
What type of muscle is Muller's muscle, and what innervates it? What does it do?
Definition
Smooth muscle, postganglionic sympathetics from the internal carotid plexus. It helps open the eyelid.
Term
The occulomotor nerve has an important relationship to which blood vessels?
Definition
Superior cerebellar and posterior cerebral arteries
Term
The occulomotor nerve travels through which circular structure AFTER leaving the brainstem (hint-not a bony structure)?
Definition
The common tendinous ring
Term
The superior branch of the occulomotor nerve innervates which muscles?
Definition
Levator palpebrae and superior rectus
Term
Describe the innervations of the inferior branch of the occulomotor nerve.
Definition
Inferior rectus, medial rectus, to the ciliary ganglion, and then to inferior oblique
Term
My patient's affected eye looks "down and out." What nerve is injured.
Definition
CN III, causing 3rd nerve palsy
Term
The presentation of 3rd nerve palsy is caused by unopposed action of which muscles?
Definition
Lateral rectus and superior oblique
Term
Aside from looking "down and out," this nerve palsy also causes which symptoms?
Definition
Closed eyelid due to denervation of levator palpebrae superioris, fixed and dilated pupil due to unopposed action of sympathetics to dilator pupillae
Term
What does CN IV innervate? What type of innervation?
Definition
The superior oblique muscle, general motor
Term
Where does the trochear nerve enter the orbit?
Definition
The superior orbital fissure
Term
Where does the trochlear nerve pass in relation to the common tendinous ring?
Definition
Superior to it
Term
Where does the trochlear nerve ARISE?
Definition
From the dorsal mesencephalon, under the colliculi
Term
What is special about the superior oblique muscle?
Definition
It passes through a pulley
Term
CN IV is susceptible to injury associated with what kind of trauma?
Definition
Severe head trauma
Term
A CN IV lesion will produce which symptoms?
Definition
Diplopia, pt will tilt head down and toward the normal side
Term
What are the efferent innervations of the trigeminal nerve?
Definition
V3: the muscles of mastication, tensor tympani, tensor veli palatini, anterior belly of the digastric, mylohyoid
Term
Where does the trigeminal nerve arise?
Definition
At the level of the pons
Term
What does the opthalmic branch of the trigeminal nerve do?
Definition
Sensory from the cornea, nasal cavity and superior face/scalp
Term
What does the maxillary branch of the trigeminal nerve do?
Definition
Sensory from the maxillary teeth, sinuses, anterior part of the cheek
Term
What does the mandibular SENSORY portion of the trigeminal nerve do?
Definition
Mandibular region, side of the face, anterior 2/3 of the tongue, mandibular teeth, anterior skin of the ear, outer tympanic membrane
Term
What is the parasympathetic ganglion associated with V-1?
Definition
Ciliary ganglion
Term
What is the parasympathetic ganglion associated with V2?
Definition
Pterygopalatine ganglion
Term
What is the parasympathetic ganglion associated with V3?
Definition
otic ganglion
Term
What is another name for trigeminal neuralgia?
Definition
tic douloureux
Term
What is the condition characterized by attacks of severe pain over the face?
Definition
Trigeminal neuralgia
Term
Where are the most common areas of trigeminal neuralgia?
Definition
the distribution of V2 and V3
Term
Where are the most common trigger points of trigeminal neuralgia?
Definition
perioral, maxillary, around the nose
Term
What are the treatments for trigeminal neuralgia?
Definition
Anti-epileptics medications, lesioning via alcohol or radiowaves, surgical decompression via craniotomy
Term
What does the abducens nerve innervate?
Definition
The lateral rectus muscle
Term
Where does the abducens nerve exit the brainstem?
Definition
at the pontomedullary junction
Term
Where does CN VI enter the orbit?
Definition
The superior orbital fissure
Term
What structure does the abducens nerve pass through en route to it's muscular innervation?
Definition
the common tendinous ring
Term
A 6th nerve palsy would cause what symptom(s)?
Definition
Lateral gaze deficit
Term
What does the motor branch of the facial nerve innervate?
Definition
Muscles of facial expression (2nd branchial arch), stapedius and posterior belly of the digastric
Term
Does the facial nerve have any SPECIAL sensory innervations?
Definition
Yes, taste to the anterior 2/3 of the tongue via the chorda tympani
Term
Visceral preganglionic efferents from the facial nerve travel via which nerves to which ganglion, and postganglionics go to which structures?
Definition
Via the greater petrosal (joined by deep petrosal) to the pterygopalatine ganglia and onto the lacrimal gland, via the chorda tympani to the submandibular ganglion and onto the submandibular and sublingual glands
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