Neuro Cranial Nerves Review Nerve Nucleus XII In caudal medulla; as it moves rostrally forms hypoglossal trigone in floor of 4th ventricle XI Spinal accessory nucleus in lateral gray matter of C1-C5 XI X X X Some fibers from caudal nucleus ambiguus Dorsal motor nucleus contains parasympathetics and forms vagal trigone Nucleus ambiguus contains parasympathetics and motor fibers Spinal Trigeminal nucleus X IX Solitary nucleus Spinal trigeminal nucleus, sensory fibers IX VIII Solitary nucleus, sensory fibers Dorsal and ventral cochlear nuclei, sensory fibers VIII VII Four vestibular nuclei in the upper medulla and lower pons; form vestibular area of floor of 4th ventricle; sensory fibers Facial nucleus; motor fibers VII Superior salivatory nucleus; motor fibers VII Solitary nucleus; sensory fibers VII V V VI IV Spinal trigeminal nucleus, sensory fibers Main sensory nucleus in the middle pons, sensory fibers Rostral spinal trigeminal nucleus extends through the medulla and C1-C3 in the dorsal horn, sensory fibers Trigeminal motor nucleus, medial to main sensory nucleus, motor fibers In dorsal pons under facial colliculus In the caudal midbrain at the level of the inferior colliculus III In the dorsomedial midbrain at the level of the superior colliculus V Exit (motor)/Entrance (sensory) Route Preolivary sulcus Dorsal to the denticulate ligaments and into the posterior cranial fossa and into the foramen magnum; through jugular foramen Through jugular foramen Near postolivary sulcus and through the jugular foramen Near postolivary sulcus and through the jugular foramen Sensory fibers come from superior ganglion and join spinal trigeminal tract Sensory fibers come from inferior ganglion and join the solitary tract Sensory fibers from the superior and inferior ganglia join the spinal trigeminal tract Sensory fibers from the inferior ganglia join the solitary tract Sensory fibers from spiral ganglion enter through the pontomedullary junction at the cerebellopontine angle Sensory fibers from the vestibular ganglion enter through the pontomedullary junction at the cerebellopontine angle Loop over abducens nucleus to form the facial colliculus; through the pontomedullary junction, medial to VIII; Through the pontomedullary junction, medial to VIII; in the nervus intermedius branch which branches into the greater petrosal and chorda tympani From the geniculate ganglion; In the nervus intermedius; Into the solitary tract From the geniculate ganglion; In the nervus intermedius Through the lateral pons to the middle of the middle cerebellar peduncle Through the lateral pons, into the spinal trigmenial tract Through the middle of the middle cerebellar peduncle Exit ventrally at the pontomedullary junction Leave dorsally, all fibers cross before exiting the brainstem caudal to the inferior colliculus Exits in the interpeduncular fossa at the junction of the pons and III with five levels: dorsal lateral, intermediate lateral, ventral lateral, medial, and central Edinger-Westphal at the rostral end of III nucleus Nerve XII XII XI VII V V V V V Input Cerebral motor cortex in corticobulbar pathway Sensory from solitary and spinal trigeminal nuclei Corticospinal tract Facial nucleus receives sensory information about blink reflex from the spinal trigeminal nucleus Axons from main sensory nucleus travel onto the ventroposterior medial nucleus of the thalamus Axons from main sensory nucleus travel onto the dorsal trigeminothalamic tracts Axons from spinal trigeminal nucleus travel onto the VPM of the thalamus Axons from the mesencephalic trigeminal nucleus travel onto the trigeminal motor nucleus Motor input from the cerebral cortex Nerve Contents XII Alpha motor neurons XI Motor neurons from C1-C5 XI Somatic motor neurons from nucleus ambiguus X Parasympathetic X Motor X Sensory with cell bodies in the superior ganglion X Sensory with cell bodies in the inferior ganglion IX Sensory fibers with synapse in the spinal trigeminal nucleus IX Sensory fibers with synapse in the solitary nucleus VIII Sensory fibers with cell bodies in spiral ganglion VIII Sensory fibers with cell bodies in vestibular ganglion VII motor fibers with cell bodies in the facial nucleus midbrain and goes between the superior cerebellar and posterior cerebral arteries on its way to the eye Terminate in ciliary ganglion Laterality Bilateral with a contralateral dominance Ipsilateral Bilateral Bilateral Contralateral Mostly ipsilateral but some contralateral Contralateral Ipsilateral Bilateral Function Controls tongue movement Innervates the sternocleidomastoid and trapezius Join Vagus Control of thoracic and abdominal organs Innervate pharyngeal muscles Transmit pain, temperature and touch Transmit taste from epiglottis and esophagus and chemoreceptor information from carotid body Transmit pain, temperature, and touch form posterior 1/3 of tongue Baroreceptor information from carotid sinus and taste from the posterior 1/3 of the tongue; also mediates sensory limb of the gag reflex Transmit auditory information from cochlea by innervating cochlear hair cells Transmit balance and equilibrium information from the utricles, saccule, and semicircular canals of the inner ear by innervating hair cells of these structures Innervates muscles of facial expression VII VII VII VII VII VII V V V V VI IV III III III III III III Motor fibers in the greater petrosal nerve Motor fibers in the Chorda Tympani Sensory fibers in the greater petrosal nerve Sensory fibers in the chorda tympani Sensory fibers terminating in the spinal trigeminal nucleus Sensory fibers terminating in the facial nucleus Sensory fibers terminating in the main sensory nucleus Sensory fibers terminating in the spinal trigeminal nucleus Sensory fibers synapsing in the mesenchephalic trigeminal Motor fibers Motor fibers Motor fibers Motor fibers in the dorsal lateral subnucleus Motor fibers in the intermediate lateral subnucleus Motor fibers in the ventral lateral subnucleus Motor fibers in the medial subnucleus Motor fibers in the central subnucleus Sensory fibers (parasympathetic from ciliary ganglion) Innervates lacrimal gland and mucous glands of nasopharynx Innervate sublingual and submandibular salivary glands Taste from the palate Taste from anterior 2/3 of the tongue Sensation to external auditory meatus Mediates corneal blink reflex Discriminative touch in the face Pain and temperature in the face and the sensory limb of the blink reflex Reflex control of chewing and proprioception for muscles of mastication Muscles of mastication Lateral rectus Superior Oblique Ipsilateral inferior rectus Ipsilateral inferior oblique Ipsilateral medial rectus Contralateral superior rectus Bilateral levator palpebrae superioris ciliary muscle (accommodation) and sphincter pupillae of iris(diameter) and efferent limb of papillary light reflex (consensual)