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Nerve                                Exits Skull        Branches                    Branchial             Somatic             Somatic                Special    Visceral        Parasympathetic           Defects/Test
                                                                                    motor                 motor               sensory                sensory    sensory                                   (not complete)
I       Olfactory                    Cribriform plate                                                                                                Smell                                                No smell


II      Optic (from retinal cells)   Optic canal        2branchescross @chiasm                                                                       Sight                                                See separate notes
III     Oculomotor                   Superior orbital   Superior and inferior                             LPS s rectus                                                          Ciliary m. and            Complete: ptosis and
                                     fissure            division (carries                                 (sup division)                                                        sphincter pupillae via    laterally deviated eye
                                                        parasymp)                                         m,i recti                                                             ciliary ganglion and      with dilated pupil (no
                                                                                                          inf. oblique                                                          short ciliary nerves Va   parasymp.)
IV      Trochlear                    Superior orbital                                                     Sup. oblique                                                                                    Can’t look in and
                                     fissure                                                                                                                                                              down
        Opthalmic division of        Superior orbital   Frontal, lacrimal,                                                    Forehead and nose,
Va      trigeminal                   fissure            nasociliary: long, short,                                             meninges
                                                        ant ethm, infratrochlear
        Maxillary division of        Foramen            Zygomatic, infraorbital,                                              Cheeks to upper lip,                                                        Loss of sensation,
Vb      trigeminal                   rotundum           nasopalatine, greater/                                                external surface of                                                         shingles, jaw deviates
                                                        lesser palatine, pharyng.                                             tympanic membrane                                                           to weak side when
        Mandibular division of       Foramen ovale      Ant to muscles, post:       1st arch muscles of                       Lower lip and jaw                                                           opening mouth
Vc      trigeminal                                      lingual, inf alveolar,      mastication plus
                                                        auriculotemporal            MATT
VI      Abducent                     Superior orbital                                                     Lat. rectus                                                                                     Eye deviates med
                                     fissure                                                                                                                                                              when looking laterally
VII     Facial                       Int. auditory      - Greater petrosal          2nd arch                                  Ear and tympanic                  Taste to ant    Lacrimal and hayfever     Loss of taste to ant.
        (motor root and nervous      meatus             - chorda tympani            muscles of facial                         membrane                          2/3 of tongue   glands via                2/3 of tongue, muscles
        intermedius)                 Motor fibres       - n. to stapedius           expression plus                                                                             pterigopalatine           of facial expression,
                                     exit via           - n. to post digastric,     POSS                                                                                        ganglion, sublingual      Bell’s palsy
                                     stylomastoid       occl, stylohyoid                                                                                                        and submandibular
                                     foramen            - temporal, zygomatic,                                                                                                  glands via
                                                        buccal, mandibular,                                                                                                     submandibular
                                                        cervical (from parotid)                                                                                                 ganglion
VIII    Vestibulocochlear            Int. auditory                                                                                                   Hearing,                                             Hearing and balance
                                     meatus                                                                                                          Balance                                              impaired
IX      Glossopharyngeal             Jugular foramen    Lesser petrosal, to         3rd arch stylo-                           Sensation to                      Taste to post   Parotid gland via otic    Function of carotid
                                                        stylopharyngeus,            pharyngeus                                posterior 1/3 of                  1/3 of tongue   ganglion                  baroreceptors
                                                        sensory, taste and to                                                 tongue, int. surface                                                        impaired, no gag
                                                        carotid sinus and body                                                of tymp. membrane                                                           reflex
X       Vagus                        Jugular foramen    Pharyngeal, internal and    4th arch sup.                             External ear                      Pharynx,        Neck, thorax,             Deviation of uvula
                                                        external superior           laryngeal = crico-                                                          larynx,         abdomen                   towards normal side
                                                        laryngeal, recurrent        thyroid, pharynx-                                                           viscera
                                                        laryngeal, cardiac,         geal plexus = m.
                                                        left/right = ant/post       of the palate and
                                                        vagus                       pharynx, 6th arch
                                                                                    rec. laryngeal
XI      Accessory                    Jugular foramen    Spinal and cranial root                           Spinal root:                                                                                    Can’t turn head or
                                                                                                          sternocleido-                                                                                   shrug shoulders
                                                                                                          mastoid,
                                                                                                          trapezius,
                                                                                                          cranial root to X
XII     Hypoglossal                  Hypoglossal        To tongue and ansa                                Muscles of                                                                                      Tongue deviates
                                     canal              cervicalis (geniohyoid                            tongue exc.                                                                                     towards lesion
                                                        and thyrohyoid)                                   palato-glossus
                                                                                                          (pharyngeal
                                                                                                          plexus)
Yellow: special sensory, orange: branchial motor, blue: somatic motor

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Overview of Cranial Nerves

  • 1. Nerve Exits Skull Branches Branchial Somatic Somatic Special Visceral Parasympathetic Defects/Test motor motor sensory sensory sensory (not complete) I Olfactory Cribriform plate Smell No smell II Optic (from retinal cells) Optic canal 2branchescross @chiasm Sight See separate notes III Oculomotor Superior orbital Superior and inferior LPS s rectus Ciliary m. and Complete: ptosis and fissure division (carries (sup division) sphincter pupillae via laterally deviated eye parasymp) m,i recti ciliary ganglion and with dilated pupil (no inf. oblique short ciliary nerves Va parasymp.) IV Trochlear Superior orbital Sup. oblique Can’t look in and fissure down Opthalmic division of Superior orbital Frontal, lacrimal, Forehead and nose, Va trigeminal fissure nasociliary: long, short, meninges ant ethm, infratrochlear Maxillary division of Foramen Zygomatic, infraorbital, Cheeks to upper lip, Loss of sensation, Vb trigeminal rotundum nasopalatine, greater/ external surface of shingles, jaw deviates lesser palatine, pharyng. tympanic membrane to weak side when Mandibular division of Foramen ovale Ant to muscles, post: 1st arch muscles of Lower lip and jaw opening mouth Vc trigeminal lingual, inf alveolar, mastication plus auriculotemporal MATT VI Abducent Superior orbital Lat. rectus Eye deviates med fissure when looking laterally VII Facial Int. auditory - Greater petrosal 2nd arch Ear and tympanic Taste to ant Lacrimal and hayfever Loss of taste to ant. (motor root and nervous meatus - chorda tympani muscles of facial membrane 2/3 of tongue glands via 2/3 of tongue, muscles intermedius) Motor fibres - n. to stapedius expression plus pterigopalatine of facial expression, exit via - n. to post digastric, POSS ganglion, sublingual Bell’s palsy stylomastoid occl, stylohyoid and submandibular foramen - temporal, zygomatic, glands via buccal, mandibular, submandibular cervical (from parotid) ganglion VIII Vestibulocochlear Int. auditory Hearing, Hearing and balance meatus Balance impaired IX Glossopharyngeal Jugular foramen Lesser petrosal, to 3rd arch stylo- Sensation to Taste to post Parotid gland via otic Function of carotid stylopharyngeus, pharyngeus posterior 1/3 of 1/3 of tongue ganglion baroreceptors sensory, taste and to tongue, int. surface impaired, no gag carotid sinus and body of tymp. membrane reflex X Vagus Jugular foramen Pharyngeal, internal and 4th arch sup. External ear Pharynx, Neck, thorax, Deviation of uvula external superior laryngeal = crico- larynx, abdomen towards normal side laryngeal, recurrent thyroid, pharynx- viscera laryngeal, cardiac, geal plexus = m. left/right = ant/post of the palate and vagus pharynx, 6th arch rec. laryngeal XI Accessory Jugular foramen Spinal and cranial root Spinal root: Can’t turn head or sternocleido- shrug shoulders mastoid, trapezius, cranial root to X XII Hypoglossal Hypoglossal To tongue and ansa Muscles of Tongue deviates canal cervicalis (geniohyoid tongue exc. towards lesion and thyrohyoid) palato-glossus (pharyngeal plexus) Yellow: special sensory, orange: branchial motor, blue: somatic motor