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CN I Olfactory

Special Sensory Efferent fibers to Olfactory Bulb Olfactory Tract Olfactory Bulb Cribiform Plate of Ethmoid

Anosmia Loss of sense of smell Uncinate Fits olfactory hallucinations

To Olfactory Epithelium on Superior Concha

CN II Optic
Special Sensory Retina

Lateral Geniculate Bodies

Pituitary

Optic Canals

Papilledema Moore, 1090 Optic Neuritis Moore, 1090 Visual Field Defects Moore, 1090

Optic Chiasm

Optic nerve

CN III Oculomotor
Motor Parasympathetic: dashed = preganglionic solid = postganglionic Sympathetic (not part of CN III here, Coming from Internal Carotid Plexus) Accessory Oculomotor (Edinger-Westphal) Nucleus
Nasoc iliary N . (V 1)

Superior Rectus

Eyelid

Levator Palpebrae Superioris


iliary N .

Long C

Dilator Pupillae Ciliary Muscle

Ciliary Ganglion Oculomotor Nucleus


Short Ciliary Nerves

Sphincter Pupillae

Oculomotor Nerve Palsy -Ptosis -No Pupillary Reflex -Dilation of the Pupil -Eye Abducted -No Lens Accomadation Compression of CN III Aneurism of Posterior Cerebral or Superior Cerebellar Artery

Medial Rectus

Inferior Rectus

Inferior Oblique

CN IV Trochlear
Motor

Trochlear Nucleus Superior Oblique (Eye Down and Out)

Trochlear Nerve Injury (Rarely alone) - Diplopia

LR6SO4 CN VI Abducent
Motor

Abducent Nucleus

Lateral Rectus

Abducent Nerve Injury - Long intercranial course - Stretched due to fluid pressure - Paralysis - Diplopia except opposite side of lesion or Aneurism of Willis or Septic Thrombosis of Cavernous Sinus

CN V Trigeminal V1 Opthalmic
Sensory Frontal Nerve

Supraorbital Foramen Supraorbital N. Lateral Scalp Forehead Frontal Sinus Internal Upper Eyelid

Supratrochlear N. Meningeal

Medial Scalp Forehead Medial Upper Eyelid

Trigeminal Ganglion

Lacrimal Nerve

Lacrimal Gland Skin Conjunctiva

Nasociliary Nerve

Infratrochlear
Post. Ethmoidal Foramen

Sup. Ext. Nasal Wall Medial Eyelids Conjunctiva Lacrimal Sac

Post. Ethmoidal Nerve

Ant. Ethmoidal Foramen

Ciliary Ganglion Short Ciliary Nerves

Eyeball

Long Ciliary Nerve

Sphenoid Sinus Post. Ethmoidal Air Cells

Ethmoidal Air Cells Nasal Cavity

Medial Internal Nasal

Lateral Internal Nasal

Ant. 1/3 Nasal Septum

Lat. Nasal Wall

Tip of Nose

External Nasal Branch

Iris, Cornea

Ant. Ethmoidal Nerve

Lacrimal Nerve (v1) Lacrimal Gland

CN V Trigeminal V2 Maxillary
Sensory Parasympathetic dashed = preganglionic solid = postganglionic Sympathetic Zygomatic N. Zygomaticotemporal N.

Zygomaticotemporal Foramen Temporal Fossa

Zygomaticofacial Foramen Zygomatic Arch Zygomaticofacial N.

Meningeal Trigeminal Ganglion Inferior Orbital Fissure Greater Petrosal N. (from CN VII) Deep Petrosal N. (from Internal Carotid Plexus) Vidian N. Of Pterygoid Canal PterygoPalatine Ganglion Greater Palatine N. Sphenopalatine Foramen Infraorbital Nerve Post., Mid., & Ant. Superior Alveolar N. Upper Teeth Maxillary Sinus

Infraorbital Foramen Upper Lip Medial Cheek Side of Nose

Lesser Palatine Foramen

Soft Palate
Greater Palatine Foramen

Pharyngeal Branch

Sensory to posterior 2/3 lateral nasal wall Nasal Concha Ethmoidal Air Cells

Hard Palate

Sensory to posterior 2/3 nasal septum

Roof of Pharynx Sphenoid Sinus

Incisive Canal

Nasopalatine Nerve

CN V Trigeminal V3 Mandibular

Sensory Special Sensory Parasympathetic: dashed = preganglionic solid = postganglionic Motor

Meningeal Trigeminal Ganglion Lesser Petrosal Nerve (IX)

Foramen Ovale

Foramen Spinosum

Auricle Scalp Lateral Face

Middle Meningeal Artery

Otic Ganglion

Muscles of Mastication Medial Pterygoid Lateral Pterygoid Temporalis Masseter ---------------------------------Tensor Veli Palatini Muscle Tensor Tympani Muscle

Parotid Gland (Parasympathetics from CN IX)

Buccal Nerve

Skin over Buccinator Cheek Mucosa Gums

Lingual Nerve

Sensation

VII

Chorda Tympani

Taste

Anterior 2/3 Tongue

Submandibular Ganglion Mandibular Foramen Inferior Alveolar Nerve

Submandibular Gland Sublingual Gland

Lower Teeth Gums Lower Lip

Mental Foramen Mental N.

Chin

Mylohyoid Anterior Digastric

CN VII Facial
Special Sensory Parasympathetic: dashed = preganglionic solid = postganglionic Motor Sympathetic Internal Acoustic Meatus Motor Nucleus of Facial Nerve Hiatus of Greater Petrosal Lacrimal Gland Pterygoid Canal Containing Vidian Nerve

Via V2 PterygoPalatine Ganglion

Geniculate Ganglion

Greater Petrosal N. Deep Petrosal Nerve

Superior Salivatory Nucleus

Internal Carotid Plexus (Lingual Nerve of V3) Chorda Tympani Nerve

Solitary Tract Nucleus

Internal Carotid Artery

Stapedius

Taste on Anterior 2/3 of Tongue

Submandibular Ganglion Auricular Muscles Stylomastoid Foramen

Submandibular & Sublingual Glands

Occipitalis Muscle Temporal Occiptial Branch Posterior Auricular Nerve Parotid Gland Zygomatic Muscles Of Facial Expression (Including Buccinator & Platysma)

Buccal

Mandibular Stylohyoid Posterior Digastric

Cervical

Post. Auricular

CN VIII Vestibulocochlear
Special Sensory Internal Acoustic Meatus
Cochlea

Hearing
r Nerve

Vestibular Nuclei

Cochlear Ganglion

Cochlea

Balance Cochlear Nuclei


Vestib u lar Ne rve

Vestibular Ganglion

Vestibular Apparatus

Vestibulocochlear Nerve Injuries -Tinnitus, vertigo, loss of Hearing Deafness (conductive & sensorineural) Acoustic Neuroma Trauma & Vertigo Mnire Syndrome endolymphatic hydrops, tinnitus, vertigo, nausea Vestibular Disease TIA transient ischemic attack

CN IX Glossopharyngeal

Sensory Special Sensory Parasympathetic

Spinal Tract & Spinal Nucleus of Trigeminal Nerve Inferior Salivatory Nucleus Superior Glossopharyngeal Ganglion Jugular Foramen

Motor

Internal Carotid Artery

Inferior Glossopharyngeal Ganglion Tympanic Nerve Tympanic Plexus Solitary Tract Nucleus

Lesser Petrosal N.

Otic Ganglion

Parotid Gland

Nucleus Ambiguus Pharyngeal Branch

Pharyngotympanic tube & Pharyngeal Opening Stylopharyngeus

Pharynx Tonsillar Branch Palatine Tonsil Lingual Branch Carotid Branch Carotid Body Carotid Sinus Taste & Sensation of Posterior 1/3 of Tongue

Lesions of CN IX (uncommon) -Taste Absent posterior 1/3 -Gag Reflex missing on side of lesion -Jugular Foramen Syndrome Glossopharyngeal Neuralgia (uncommon) - Pain Paroxysms burning or stabbing

CN X Vagus
Auric ula Bran r ch

External Acoustic Meatus

Sensory Parasympathetic

3 2 1

Jugular Foramen Superior & Inferior Ganglia of Vagus Nerve

Motor

1) Posterior Nucleus of Vagus (Parasympathetic) 2) Solitary Tract Nucleus (Visceral Afferents) 3) Nucleus Ambiguus (Motor to Pharyngeal & Laryngeal Muscles) Pharyngeal Branch

All Pharyngeal Muscles (except Stylopharyngeus IX) All Palate Muscles (except Tensor Veli Palatini V3)

Superior Laryngeal N.

Internal Branch

Sensory Above Vocal Cords Parasympathetic

Cricothyroid Muscle (tenses, adducts, elongates vocal cords)

Recurrent Laryngeal N.

All Intrinsic Laryngeal Muscles (except Cricothyroid Ext. branch) Sensory & Parasympathetic to Larynx below vocal cords; Parasympathetic (Efferent & Afferent) to Upper Esophagus & Trachea

To Thorax & Abdominal Viscera

Lesions of Vagus Nerve -Injury to pharyngeal branch Dysphagia (difficulty swallowing) -Lesion of superior laryngeal nerve Anesthia in upper larynx & paralysis of cricothyroid muscle Voice is weak & tires easily -Injury to Recurrent Laryngeal Caused by aortic aneurysm or neck operations Hoarseness, dysphonia ( voice quality) If both sides, aphonia (no voice) & inspiratory stridor (crowing sound during inspiratory phase)

CN XI Spinal Accesory
Motor Sensory (Proprioceptive) Jugular Foramen Nucleus Ambiguus

Injury During Special Procedures Lesions - Weakness and atrophy - Impairment of opposite side rotary movements (SCM) & shrugging movements - Scapular winging during shoulder abduction

Foramen Magnum C1

Sternocleidomastoid

C2

Trapezius

C3

C4

CN XII Hypoglossal
Motor Hypoglossal Canal Hypoglossal nucleus All Glossus Muscles (except Palatoglossus - X)

C1

C2