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Explore the functions and implications of cranial and spinal nerves. Learn about the sensory and motor fibers, nerve injuries, and key functions of 12 pairs of cranial nerves. Understand the classification of spinal nerves and the significance of plexuses and dermatomes.
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Cranial Nerves • emerge from the brain • emerge through holes in the cranium - cranial foramina • 12 pairs of cranial nerves • Contains: - sensory fibers (afferent) - motor fibers (efferent) - both sensory and motor fibers
I Olfactory II Optic III Oculomotor IV Trochlear V Trigeminal VI Abducens VII Facial VIII Vestibulocochlear IX Glossopharyngeal X Vagus XI Accessory XII Hypoglosseal Cranial Nerves (cont.)
I Olfactory • sensory nerve • Function: - smell (olfactory bulbs) anosmia - loss of sense of smell
II Optic • sensory nerve • Function: - vision (retina) anopsia - defective vision
III Oculomotor • mixed nerve (primarily motor) • Functions: - eyeball movement (4 eyeball muscles and 1 eyelid muscle) - lens accommodation - pupil constriction - muscle proprioception
III Oculomotor (cont.) • Injury or lesion may cause: - strabismus - squinting - ptosis - drooping of upper eye lid - diplopia - loss of accommodation for near vision and double vision
IV Trochlear • mixed nerve (primarily motor) • Functions: - eyeball movement (superior oblique muscles) - muscle proprioception
V Trigeminal • mixed nerve • Functions: - sensations ( face, scalp, teeth, lips, eyeballs, nose and throat lining) - general sensations from the tongue - proprioception (face and scalp) - chewing (muscles of mastication)
VI Abducens • mixed nerve (primarily motor) • Functions: - eyeball movement (lateral rectus muscle) - muscle proprioception
VII Facial • mixed nerve • Functions: - taste (anterior 2/3 of tongue) - proprioception (face and scalp) - facial expression (muscles of the face) • Injury: Bell’s palsy - loss of taste, inability to close eyes
VIII Vestibulocochlear • sensory nerve • Functions: - balance (vestibular apparatus of the internal ear) - hearing (cochlea of internal ear)
VIII Vestibulocochlear (cont.) • Injury may cause: - tinnitus - ringing of the ear or deafness - vertigo - feeling of rotation, dizziness - ataxia and nystagmus - involuntary rapid movement of the eyeball
IX Glossopharyngeal • mixed nerve • Functions: - taste (posterior 1/3 of the tongue) - proprioception for swallowing (throat muscles) - blood pressure receptors (carotid sinuses)
X Vagus • mixed nerve • Functions: - chemoreceptors (blood oxygen concentration, aortic bodies) - pain receptors (respiratory and digestive tracts) - sensations (external ear, larynx, and pharynx) - taste (tongue)
X Vagus (cont.) • Functions: - heart rate and stroke volume (pacemaker and ventricular muscles) - peristalsis (smooth muscles of the digestive tract) - airflow (smooth muscles in bronchial tubes) - speech and swallowing (muscles of larynx and pharynx)
XI Accessory • mixed nerve (primarily motor) • Function: - head rotation (trapezius and sternocleidomastoid muscles
XII Hypoglosseal • mixed nerve (primarily motor) • Functions: - speech and swallowing (tongue and throat muscles)
Classification of Spinal Nerves • all emerge from spinal cord • emerge through holes formed by notches on adjoining vertebrae • 31 pairs • all mixed nerves (containing both sensory and motor) • named and numbered according to region and level of spinal cord from which they emerge
Classification of Spinal Nerves (cont.) • 8 pairs of cervical nerves - first cervical pair emerges between atlas (first cervical vertebra) and occipital bone - first 7 emerge above vertebra of the same number - 8th emerges between 7th cervical vertebra and 1st thoracic vertebra
Classification of Spinal Nerves (cont.) • 12 pairs of thoracic nerves • 5 pairs of lumbar nerves • 5 pairs of sacral nerves • 1 pair of coccygeal nerves - all emerge below vertebra of the same number - emerge through intervertebral foramina
Plexuses (plexus = braid) network of adjacent nerves • cervical plexus: C1 - C5 • brachial plexus: C5 - T1 • lumbar plexus: L1 - L4 • sacral plexus: L4 - S4
Brachial Plexus C 4 C 5 C 6 C 7 C 8 T 1
Dermatomes • specific segment of skin which each spinal nerve innervates • knowledge can help physician determine which segment of the spinal cord or which spinal nerve is affected