GUIDE TO THE CRANIAL NERVES Forrest Monroe and Michael Carry, PhD University of Colorado School of Medicine 2009 Updated by Mike Pascoe, PhD Fall 2011 Key Sensory Motor Preganglionic Paraympathetic Postganglionic Paraympathetic Postganglionic Sympathetic Olfactory Nerve (I) Olfactory Bulb Olfactory Tract To medial temporal lobe Cribriform Plate Olfactory Nerves (I) Mucosa Nasal Cavity Layer of Mucus Sagittal section through ethmoid bone Optic Nerve (II) Anterior Retina Retina Optic Canals Optic Nerves (II) Optic Chiasma Optic Tracts Note: Red and blue here denote left/right visual fields. All are special sensory (vision) only. Lateral Geniculate Nuclei Posterior Superior view of cranium Oculomotor Nerve (III) Midbrain Superior Orbital Fissure S rR rio e up Oculomotor Nucleus Oculomotor Nerve (III) us am Ciliary Ganglion Infe rior Edinger-Westphal Nucleus Ram us iris unaccommodated, flat lens, distant vision zonule fibers contracted when ciliary muscle relaxes pupil sympathetic - dilation parasympathetic - constriction Levator Palpebrae Superioris Superior Rectus lens accommodated, thick lens, near vision zonule fibers relaxed when ciliary muscle contracts (CNV - Short Ciliary) Medial Rectus Inferior Rectus Inferior Oblique Ciliary Body (Accommodation) Iris (Constriction) Trochlear Nerve (IV) Midline trochlea Midbrain Troc h Ner lear ve ( IV ) Superior Orbital Fissure Trochlear Nucleus Superior Oblique Superior view of left eye Trigeminal Nerve (V1) Opthalmic Branch medial lateral Posterior Ethmoidal Posterior Ethmoidal Foramen Cornea gC ilia ry Anterior Ethmoidal ry Anterior Ethmoidal Foramen Short Cilia Internal Nasal Infratrochlear External Nasal Supratrochlear Supraorbital Ciliary Ganglion Trige Opth minal ( V almic ) Bran ch ia cil Superior Orbital Fissure Na so Trigeminal Ganglion ry Lo n Pons l nta Fro l Lacrima Superior view of right orbit Supraorbital Foramen Trigeminal Nerve (V2) - Maxillary Branch posterior Pons anterior Trigeminal Ganglion (skin of cheek bone) Zygomatic Inferior Orbital Fissure Foramen Rotundum Infraorbital Foramen Infraorbital Groove/Canal Infraorbital (Maxillary Sinus Mucosa) Pterygopalatine Ganglion Trigeminal (V) Maxillary Branch Anterior Superior Alveolar (canine, incisors) Medial Superior Alveolar (pre-molars) Palatovaginal Canal Pterygomaxillary Fissure (lateral coming toward you) l gea ryn x) Pha opharyn Posterior Superior Alveolar (molars) (nas Lateral view of right pterygopalatine fossa Sphenopalatine Foramen Lesser Palatine Foramen Greater Palatine Foramen latine Lesser Pa incl. taste) Greater e, (soft palat (hard pal Na so pal Lateral Posterior Superior Nasal Medial Posterior Superior Nasal atin e Incisive Fossa Palatine ate, incl. ta ste) Trigeminal Nerve (V3) - Mandibular Branch posterior Pons anterior Meningeal Branch Trigeminal Ganglion Foramen Spinosum Trigeminal Motor Nucleus Foramen Ovale Deep Temporal (temporalis) Masseteric Trigeminal (V) Mandibular Branch Lateral Pterygoid Medial Pterygoid (tensor palatini, tensor tympani) Auriculotemporal Long Buccal (skin/mucosa of cheek, gingiva) (skin of parotid gland) Lingual (mucosa of ant. 2/3 tongue, incl. taste) Inferior Alveolar Middle Meningial A. Mandibular Foramen Incisive Lateral view of skull Nerve to the Mylohyoid (ant digastric) Mental Mental Foramen (skin, mucosa of lower lip) Abducens Nerve (VI) abducts the eye Pons Superior Orbital Fissure Lateral Rectus Abducens Nerve (VI) optic nerve Abducens Nucleus Superior view of left eye Lacrimal Gland Facial Nerve (VII) Lacrimal N. Zygomatic N. Hiatus of Greater Petrosal N. Facial Motor Nucleus Superior Salivatory Nucleus ( Ta (incl. Taste) ni ) pa gue ym ton a T /3 of ord nt 2 Ch ste - a Facial (VII) Nerve of the Pterygoid Canal e Pons Pterygopalatine Ganglion N. to the Stapedius * Lesser Palatine (Taste) N. to the Stylohyoid Temporal Zygomatic Buccal Marginal Mandibular Cervical *Travels w/ Trigeminal Maxillary Branch to mucosa of hardpalate and nasal cavity; except to skin and dental pulp Greater Palatine (Taste) Petrotympanic Fissure Lingual N. to the Posterior Digastric * Pte Fos rygo sa pal ati n Geniculate Ganglion G Pe reat tro er sa l Internal Auditory Meatus Pterygoid Canal Stylomastoid Foramen (tongue/taste) Sublingual Gland Submandibular Gland Submandibular Ganglion (Note: Vestibulocochlear diagram not included by Dr. Carry - VIII has hearing axons only) Glossopharyngeal Nerve (IX) Hiatus for the Lesser Petrosal Foramen Ovale Medulla so(IX) Glos yngeal r a ) ph l. Taste Jugular Foramen sal er P etro Superior Ganglion Inferior Ganglion Tympanic Canaliculus Tympanic N. to the Stylopharyngeus Otic Ganglion w/ Auriculotemporal Ca ro tid Nucleus Ambiguus Hanging from mandibular br of CNV (inc Les s Inferior Salivatory Nucleus (middle ear) Parotid Gland Lingual [branch of glossopharyngeal] (Taste - Post. 1/3 of Tongue) Carotid A. carotid body Tonsilar (tonsilar bed) Pharyngeal (gag reflex) Vagus Nerve (X) Medulla Dorsal Motor Nucleus Jugular Foramen s (X) VaguTaste) (incl. Superior Ganglion Pharyngeal Plexus Muscles of Palate/Pharynx Inferior Ganglion Nucleus Ambiguus Auricular ro Ca tid (except tensor palatini, stylopharyngeus) r Pha eal yng Superior Laryngeal (incl. Taste) Internal Laryngeal (incl. Taste) Sensory and Taste: Epiglottis to Vocal folds External Laryngeal Cricothyroid, Inferior Constrictors Recurren t Laryng eal From Vocal folds to Trachea, Larynx except Cricothyroid & Inf Constrictors Vagal Tru n k Sensory to Left Colic Flexure Spinal Accessory Nerve (XI) Spinal Accessory (XI) Foramen Magnum Jugular Foramen Sterocleidomastoid Trapezius C1 C2 C3 C4 C5 Hypoglossal Nerve (XII) Medulla Hypoglossal Canal Hypoglossal Nerve (XII) Genioglossus Hyoglossus Styloglossus Intrinsic Muscles of Tongue Hypoglossal Nucleus emerging between pyramid/olive *damage to right hypoglossal nerve results in deviation of tongue to the right Bonus Content! Cranial Nerves Mnemonics: (G-rated) On Old Olympus’ Towering Tops A Famous Vocal German Viewed Some Hops (X-rated) Oh, Oh, Oh, To Touch And Feel Virgin Girls Vaginas And Hymens Some Say Marry Money, But My Brother Says Big Brains Matter More (S=Sensory, M=Motor, B=Both) Substitute “Boobs” for “Brains” for dirty version Bony Landmarks/Exit Points C O S3 R O S I2 J3 H Cribriform Plate - I Optic Canal - II Superior Orbital Fissure - III, IV, V 1 Rotundum (Foramen) - V 2 Ovale (Foramen) - V 3 Superior Orbital Fissure - VI Internal Acoustic Meatus - VII, VIII Jugular Foramen - IX, X, XI Hypoglossal Canal - XII