Neuroanatomy of Cranial Nerves Overview CNS Brain and Spinal Cord Information processing/Interneurons Sensory/Afferent PNS Motor/Efferent Nerves •General Sensory (Somatic and Visceral) •Special Sensory RECEPTORS •Somatic Motor •Visceral Motor (ANS) EFFECTORS Functional Components of Nerves • General sensory – Somatic sensory (GSA) – Visceral sensory (GVA) • Special sensory (SSA, SVA) • Somatic motor (GSE) – Branchial motor (SVE) to skeletal muscles derived from branchial arches – Somatic motor (GSE) to skeletal muscles derived from other sources • Visceral motor (GVE) to smooth muscle and glands Cranial Nerves • Carry 1-4 functional components – – – – General sensory Special sensory Somatic motor Visceral motor What to Know About Cranial Nerves • • • • Name and Number Origin from brain Functional components Location of cell bodies – Nucleus – Ganglion • Foramen of exit from cranial cavity • Distribution: branches, targets, and functions • Testing and lesions Cell Bodies of Cranial Nerves • General sensory neurons – in a sensory ganglion (no synapses, pseudounipolar) • Special sensory neurons – in a sensory ganglion or in the sensory organ • Somatic motor neurons – in a nucleus • Visceral motor neurons– – Preganglionic – in a nucleus – Postganglionic – in an autonomic ganglion (synapses) General Sensory Pathways • Neurons – Primary/peripheral – Secondary – Tertiary (cell body in thalamus) L 1-23 Voluntary Motor Pathway • AKA Pyramidal system • Upper motor neurons • Lower motor neurons L Fig 1-23 • • • • • • • • • • • • I Olfactory II Optic III Oculomotor IV Trochlear V Trigeminal VI Abducens VII Facial VIII Vestibulocochlear IX Glossopharyngeal X Vagus XI Spinal accessory XII Hypoglossal Special Sensory • CN I – Olfactory (olfaction) • CN II – Optic (vision) • CN VIII – Vestibulocochlear (hearing, equilibrium) • CN’s VII, IX, X - taste General Sensory • CN V – Trigeminal – V1 – V2 – V3 – Sensory neuron cell bodies in trigeminal ganglion • Other cranial nerves with general sensory fibers – CN’s VII, IX, and X Somatic Motor • • • • • • • CN’s III, IV and VI CN XI CN XII CN V3 (arch I) CN VII (arch II) CN IX (arch III) CN X (arches IV, VI) ocular muscles SCM and trapezius tongue muscles muscles of mastication, etc. m’s of facial expression, etc. stylopharyngeus m’s of soft palate, pharynx, and larynx Visceral Motor (Parasympathetic) • • • • CN’s III, VII, IX, X Ganglia: Targets: Postganglionic parasympathetics tend to follow branches of the trigeminal nerve. L 1-25 Sympathetics to the Head • • • • Origin: Ganglia: Targets: Postganglionic sympathetics follow branches of carotid arteries (in a perivascular plexus) L 1-26 CN’s Carrying All Four Functional Components • CN VII • CN IX • CN X Branches of Cranial Nerves May Serve Different Functions V3 Netter Plate 42 References • Regional anatomy – Liebgott Chapter 7 • Systemic anatomy – Liebgott Chapter 8 • Images – Netter Plates 112-125