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NERVES
INDRANI S
INTRODUCTIO
N
The 12 pairs of cranial nerves arise from the
brain inside the cranial cavity and pass through
various foramina in the bones of the cranium.
Cranial nerves divides into three functions:
Sensory nerves
Motor nerves
Mixed nerves
SENSORY NERVES: Olfactory
nerve,Optic nerve,vestibulo cochlear
nerve
MOTOR NERVES: Oculomotor
nerve,Trochlear nerve,Abducens
nerve,accessory nerve,Hypoglossal
nerve
MIXED NERVES: Trigeminal nerve,Facial
nerve,Glossopharyngeal nerve,Vagus
nerve
OLFACTORY
NERVE(I)
OLFACTORY(I):
oComponent: sensory
oFunction: smell
oOrigin: olfactory receptor nerve cell
oOpening to the skull: Openings in
cribriform plate of ethmoid bone on
each side of the nose.
OPTIC NERVE(II)
OPTIC NERVE(II):
oComponent:sensory
oFunction:vision
oorigin:from the back of the eyeball.
oOpening to the skull: to the optic canal
OCULOMOTOR
NERVE(III)
OCULOMOTOR NERVE(III):
Oculo=eye ; motor= a mover
ocomponent: motor
oOrigin : from the anterior part of the midbrain.
oOpening to the skull: pass through the supra orbital
fissure into the orbit.
oFunctions :
• Raises upper eyelid
• Movement of eyeball
• Pupil constriction
• Eye accommodation
TROCLEAR NERVE
TROCLEAR NERVE(IV):
trochle= a pulley
Trochlear is the smallest of all the 12
cranial nerves.
ocomponent:motor
oOrigin : posterior surface of mid brain.
oOpening to skull:superior orbital
fissure
oFunction:involves in movement of
eyeball downward and laterally.
TRIGEMINAL NERVE(V)
Ophthalmic nerve
Maxillary nerve
Mandibular nerve
OPHTHALMIC NERVE:
oComponent: sensory
oOrigin: anterior aspect of pons
oOpening to the skull: superior orbital
fissure
oFunctions:
•Cornea
•Skin of fore head
•Eyelids and nose
•Mucous membranes of paranasal sinuses
and nasal cavity
•Scalp
Opthalmic nerve again has three branches:
Frontal nerve:supplies to
upperlid,frontalis,scalp,conjunctiva,forehead
Lacrimal nerve: supplies to lacrimal gland,
conjunctiva,and upperlid
Nasociliary nerve: supplies to
cornea ,iris,ciliary body, upperlids,nose
bridge,conjunctiva.
MAXILLARY NERVE :
oComponent: sensory
oOrigin: anterior aspect of pons
oOpening to skull: foramen ovale
oFunction:
Skin of the face over maxilla
Teeth of upperjaw
Mucous membrane of the nose , the maxillary
sinus and palate
MANDIBULAR NERVE:
oComponent: motor & sensory
oorigin: anterior aspect of pons
oOpening to the skull: foramen rotundum
o Function:
Muscles of mastication
Mylohoid
Anterior belly of digastric
Tensor veli palatine
Tensor tympani
Skin of cheek
Teeth of lower jaw
ABDUCENT
NERVE
ABDUCENT NERVE(VI):
Ab= away; ducens= to lead
oComponent: motor
oOrigin: medulla oblongata
oOpening to the skull: superior orbital fissure
oFunction: lateral rectus muscle turns eyeball
laterally
FACIAL NERVE
FACIAL NERVE(VII):
oComponent: mixed
oOrigin: medulla oblongata
oOpening to the skull: internal acoustic
meatus ,facial canal,stylomastoid foramen
oFunction:
Motor
• Muscles of the face and scalp
• Stapedius muscle
• Posterior belly of digastric
• Stylohyoid muscles
oFunction:
Sensory
• Taste from anterior 2/3 of tounge, from the
floor of the mouth and palate
oFunction:
Secretomotor
• Submandibular and sublingual salivary glands
• Lacrimal gland
• Glands of nose and palate
VESTIBULOCOCHLEAR
NERVE
VESTIBULOCOCHLEAR NERVE(VIII):
vestibulo= small cavity; cochlear=spiral, snail-
like
oComponent: sensory
oOrigin: medulla oblongata
oOpening to the skull: internal acoustic meatus
oFunction:
It has two branches
1. Vestibular branch- carries impulses for
equilibrium
2. Cochlear branch- carries impulse for hearing
GLOSSOPHARYNGEAL
NERVE
GLOSSOPHARYNGEAL NERVE(IX):
oComponent: mixed
oOrigin: medulla oblongata
oOpening to the skull: jugular foramen
oFunction:
motor
• Stylopharyngeus muscle- assists swallowing
sensory
• General sensation and taste from post. ½ of the
tounge and pharynx
• Carotis sinus and carotid body
• secretomotor
• Parotid gland
VAGUS NERVE
VAGUS NERVE(x):
oComponent: motor
oOrigin: medulla oblongata
oOpening to the skull: jugular foramen
oFunction:
• Heart and great thoracic blood vessels
• Larynx, trachea, bronchi and lungs
• Alimentary tract from pharynx to spenic
flexure of colon
• Liver , kidney , pancreas
ACCESSORY
NERVE
ACCESSORY NERVE(XI):
oComponent: motor
oOrigin: medulla oblongata
oOpening to the skull: jugular foramen
oFunction:
It is divided into two branches
• Cranial accessory nerve:
-Muscles of soft palate
- muscles of pharynx
-Muscles of larynx
• spinal accessory nerve:
- Sternocleidomastoid and trapezious muscle
HYPOGLOSSAL
NERVE
HYPOGLOSSAL NERVE(XII):
hypo= below; glossal = tongue
oComponent: motor
oOrigin: medulla oblongata
oOpening to the skull: hypoglossal canal
oFunction:
• Muscles of tongue
DYSFUNCTIONS
OF NERVES
Dysfunction of olfactory nerve:
ANOSMIA-
loss of sense of smell
Causes: due to head injuries, lesions along the
olfactory pathway or in brain ,smoking or
cocain use.
DYSFUNCTION OF OPTIC NERVE:
ANOPIA-
Blindness due to a defect in or loss of one or both eyes is
called anopia.
DYSFUNCTION OF OCULOMOTOR NERVE:
STRABISMUS
PTOSIS
DYSFUNCTION OF TROCHLEAR NERVE
AND ABDUCENS NERVE:
DIPLOPIA
DYSFUNCTION OF FACIAL NERVE:
BELLS ‘ PALSY
DYSFUNCTION OF
VESTIBULOCOCHLEAR NERVE:
VERTIGO- a
feeling that one ‘s own body or the
environment rotating
Ataxia- muscular incordination
Nystagmus- involuntary rapid movement of
eyeball
Tinnitus- ringing in the ears or deafness
Dysfunction of glossopharyngeal nerve:
Dysfunction of vagus nerve: gastroparesis
DYSFUNCTION OF ACCESSORY
NERVE:
Impaired movements of neck, shoulder
DYSFUNCTION OF HYPOGLOSSAL
NERVE:
Dysarthria-difficult of speaking
Dysphagia- difficult of swallowing
REFERENCE:
[1]Tortora GJ, Derrickson B. Anatomy & Physiology.
Wiley India Pvt Limited; 2014.