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Head and Neck - cranial nerves 2
Anatomy of the head and neck
40
Health Care
Professional
10/06/2010

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Cards

Term
Visceral preganglionic efferents of the facial nerve originate in what part of the brain?
Definition
Superior salivatory nucleus
Term
The nervus intermedius contains which types of axons?
Definition
autonomic and sensory
Term
Which types of neuron cell bodies are found in the geniculate ganglion?
Definition
sensory
Term
GENERAL sensory nerves of the facial nerve come from which area?
Definition
Skin of the external ear (with a branch of the vagus)
Term
What are the main motor branches of the facial nerve?
Definition
Temporal, Zygomatic, Buccal, Marginal mandibular, Cervical
Term
The facial nerve travels through which structure and out of which foramen, to innervate the facial muscles?
Definition
The parotid gland, the stylomastoid foramen
Term
The attenuation reflex happens low long after exposure to a loud sound?
Definition
40 to 80 ms
Term
Which muscles contract during the attenuation reflex?
Definition
Stapedius and tensor tympani
Term
Upon which bones do the tensor tympani and stapedius act?
Definition
The malleus and the stapes
Term
What does the attenuation reflex do for you?
Definition
Protects from loud or low frequency sounds and decreases sensitivity to one's own voice
Term
What is the most common facial nerve disorder?
Definition
Bell's Palsy
Term
What is the onset of Bell's Palsy like?
Definition
Spontaneous, over hours or days
Term
What is the cause of Bell's Palsy?
Definition
Unknown, may be viral or inflammatory
Term
What is the recovery like for Bell's Palsy?
Definition
gradual, 80% recover in 3 weeks
Term
What are the main branches of CN VIII and what are they responsible for?
Definition
Vestibular nerve - sensory: balance, head position and movement, cochlear nerve - special sensory: hearing
Term
Where does the vestibulocochlear nerve arise?
Definition
At the level of the pontomedullary angle
Term
What large vein passes very close to the middle ear?
Definition
internal jugular vein
Term
What may cause tinnitus, vertigo, dizziness, and hearing loss with or without facial paralysis?
Definition
An acoustic neuroma (aka acoustic Schwannoma)
Term
What is the location of an acoustic neuroma?
Definition
The cerebellopontine angle
Term
Characterize the acoustic neuroma in terms of malignancy.
Definition
Benign, but space occupying
Term
The tympanic nerve is a branch of which CN, and its axons arise in which part of the brain? What type of axons does it carry?
Definition
Glossopharyngeal, the inferior salivatory nucleus, contains preganglionic parasympathics
Term
Describe the path of the tympanic nerve
Definition
To the tympanic plexus, leave via the lesser petrosal nerve to the otic ganglion, to the parotid via the auriculotemporal branch of V3
Term
What is the special sensory innervation to to the glossopharyngeal nerve?
Definition
Taste from the posterior 1/3 of the tongue
Term
What is the general sensory innervation to the glossopharyngeal nerve?
Definition
Posterior 1/3 of the tongue, pharyngeal mucosa, carotid body and middle ear
Term
What is the muscular motor innervation from the glossopharyngeal nerve?
Definition
The stylopharyngeus muscle
Term
Where does CN IX arise?
Definition
Posterior to the inferior olive
Term
The glossopharyngeal nerve is the afferent limb of what reflex? What makes up the efferent limb?
Definition
The gag reflex, the vagus nerve
Term
Does the vagus nerve have SPECIAL sensory innervation?
Definition
Yes, from the epiglottis and palate
Term
Where do the general sensory components of the vagus nerve come from?
Definition
Tongue, pharynx, larynx, trachea, heart, foregut, midgut, external auditory meatus, dura of posterior fossa
Term
What are the efferent components of the vagus nerve?
Definition
constrictor muscles of pharynx, intrinsic muscles of larynx, muscles of palate except tensor veli palatini, to the gut
Term
Where does the vagus nerve arise?
Definition
Posterior to the inferior olive
Term
Deviation of the uvula is caused by injury to which CN?
Definition
Vagus
Term
When the uvula deviates to the normal side, which muscle does not contract on the affected side?
Definition
Palatoglossus
Term
What is the curtain sign?
Definition
CN X lesion --> uvula deviates to the normal side, palatoglossus does not contract
Term
What does the cranial root of CN XI do?
Definition
Joins the vagus nerve to deliver motor fibers to the soft palate, larynx (except cricothyroid) and pharynx
Term
What does the spinal root of the accessory nerve do?
Definition
Motor to the trapezius and sternocleidomastoid
Term
What does CN XII do?
Definition
Motor to the muscles of the tongue except palatoglossus, NO sensory
Term
Where does the hypoglossal nerve arise?
Definition
Anterior to the inferior olive
Term
CN XII travels on top of (superficial to) which muscle?
Definition
Hyoglossus
Term
Hypoglossal nerve injury causes which symptoms?
Definition
Tongue will deviate to the affected side when pt is asked to protrude the tongue
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