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Motor speech lecture 4
Posterior fossa and cranial nerves
39
Science
Graduate
10/03/2010

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Term
Which skull fossae is NOT located in the supratentoial level?
Definition
posterior fossa
Term
What structures are located in the posterior fossa level?
Definition
brainstem, cerebellum, cranial nerves III- VIII, tectum, and tegmentum.
Term
What three structures comprise the brainstem.
Definition
pons, medulla oblangota, and midbrain
Term
What is the tectum?
Definition
the area dorsal to the cerebral aqueduct that includes the inferior and superior colliculi.
Term
What is the tegmentum?
Definition
area ventral to the central aquaduct that contain white matter pathways.
Term
What is the function of the cerebellum?
Definition
Known as the "little brain," it has a major role in speech. It functions to coordinate muscle groups for smooth flow of movements.
Term
damage to the cerebellum result in:
Definition
truncal ataxia, disturbances in gait, nystagmus, limb ataxia, hypotonia, intentional tremor and incoordination
Term
What is truncal ataxia?
Definition
inability ot stand or sit without swaying or falling.
Term
What is nystagmus?
Definition
abnormal eye movement
Term
T/F We have several spinal nerves that innervate the speech mechanism
Definition
False
Term
T/F All cranial nerves are lower motor neurons and are fed by an UMN from the motor strip
Definition
true
Term
What is a fossa?
Definition
a shallow depression.
Term
Name the fossas located in the skull.
Definition
anterior fossa, middle fossa, and posterior fossa
Term
What is the final common pathway?
Definition
ALL motor systems coming out of the cortex to the muscles MUST FINALLY pass through the lowest level of organization or the LOWER MOTOR NEURON LEVEL.
Term
Where are motor nuclei of the cranial nerves located?
Definition
brainstem or bulbar level
Term
What cranial nerves are associated with speech and voicing?
Definition
CN V - trigeminal nerve, CN VII - facial nerve, CN IX - glossopharyngeal nerve, CN X - vagus nerve, CN XI - accessory nerve, CN XII - hypoglossal nerve
Term
What cranial nerve is THE major SENSORY nerve of the face?
Definition
trigeminal nerve
Term
What are the three major divisions of the trigeminal nerve?
Definition
Opthalmic, maxillary, and mandibular
Term
The maxillary branch of trigeminal nerve provides sensation to what areas?
Definition
maxilla and maxillary sinus, oral mucous membranes of mouth, nasal cavity, palate, nasopharynx, teeth, inferior auditory meatus (eustacian tube), face, and meninges of anterior & middle fossa
Term
What is the largest branch of the trigeminal nerve?
Definition
manibular
Term
The mandibular branch provides motor innervation to what areas?
Definition
tensor veli palatini (velum), tensor tympani (middle ear), jaw muscles, and extrinisic larynx
Term
The mandibular branch provides SENSORY innervation to what areas?
Definition
face, cornea, nose, sinuses, teeth, mouth, meninges, tympanic membrane, TMJ
Term
what affect does a lesion of the LMN of CN V have?
Definition
paresis or paralysis; atrophy of masticatory muscles on affected side.
Term
What motor areas does the facial nerve (CN VII) affect?
Definition
stapedius muscle and muscles of the face.
Term
What sensory areas are affected by the facial nerve (CN VII)?
Definition
Subandibular, sublingal and lacrimal glands; taste reception, anterior 2/3 of tongue, hard and soft palates
Term
LMN lesions of CN VII have what affect?
Definition
Paralysis of the entire IPSILATERAL side of the face.
Term
UMN lesions of CN VII have what affect?
Definition
Paralysis of lower face on CONTRALATERAL side of the face
Term
Cranial nerve that originates from the medulla that's name indicates its distribution.
Definition
glossopharyngeal
Term
What areas does CN IX impact motorically?
Definition
stylopharyngeus muscle and parotid gland
Term
What areas are affected by CN IX (Sensory)
Definition
carotid body & carotid sinus, posterior 1/3 of the tongue, skin of the external ear & internal surface of the tympanic membrane, and taste on the posterior 1/3 of the tongue.
Term
Which cranial nerve mediates the gag reflex?
Definition
CN IX (glossopharyngeal)
Term
Lesions of CN IX affect:
Definition
reduced pharyngeal sensation, decreased gag reflex, reduced hyolaryngeal elevation during swallowing, excessive saliva due to reduced control of parotid gland.
Term
Areas of affect (motorically) for the CN X
Definition
Pharynx, tongue & larynx striated muscles and pharynx & glands, thoracic & abdominal viscera (smooth muscles)
Term
areas affected by CN X (sensory)
Definition
larynx, trachea, esophagus, thorax & abdominal viscera, and stretch and chemoreceptors in aorta; skin on back of the ear & external auditory meatus, part of external surface of the typmanic membrane & pharynx
Term
What are the branches of the vagus nerve?
Definition
pharyngeal superior, laryngeal recurrent, and pharyngeal
Term
what is the motor innervation for CN IX?
Definition
sternomastoid and trapezius muscles
Term
Lesions at foramen magnum or juglar foramen of CN XI result in:
Definition
weak head roation to opposite side of lesion; weakened sternocleidomastoid muscle, and paresis for elevating and shrugging shoulders on side of lesion.
Term
hypoglossal nerve
Definition
an upaired nerve that serves the contralateral side of all intrinsic and extrinsic muscles of the tongue (except the palataoglossus muscle)
Term
lesions of the CN XII result in:
Definition
protruded tongue deviates to the opposite side as the lesion.
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