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CRANIAL NERVES
By:Rabia ZulfiqarBy:Rabia Zulfiqar
Above the
superior
nasal
concha
Nasal
epitheli
um
present
Olfactory
cells
present on
epithelium
OLFACTORY NERVE :I (sensory nerve)
Central
processes
come out from
the olfactory
cells
central
process
form
olfactory
nerve
olfactory
nerve enter
into the
olfactory
bulb
which lie in the
cribriform plate
of ethmoid bone
mitral & tuft cells
in olfactory bulb
gives off fibers that
form olfactory tract
medial tracts decussate go into right &
left.lateral tract ant.into perforated
plate and finally into visual cortex area
(periamygdaloid prepiriform fossa)
OPTIC NERVE : II (sensory )
In Eye , granular
layer of ratina
gives off Axons
Optic nerve
enter into the
optic chiasma
Axons converge
into optic disc and
form optic nerve
All fibers end into
Lateral geniculate
body, pretactal
nucleus and
superior colliculus
Medial tacts
decusate and go
into opposite side
but lateral tacts
run contralaterally
in chiasma , optic
tracts form . (medial
& lateral tracts)
Lateral
geniculate
body converge
fibers as an
optic radiation.
Ends into the primary
visual cortex area
and then into 2ndry
visual Cortex area
Occulomotor N (III) : motor nerve
begins
from
superior
colliculus
Pass b/w 2
arteries
(pos.cerebral &
sup.cerebellar
Lateral wall
Cavernous
Sinus
Divide
Sup. & Inf.
divisions
Superior
orbital
fissure
sup. division --> Superior Rectus & levator palpebral Superiorus
Inf.division --> inf.rectus , inf. oblique , Medial rectus
Begins
from
inferior
colliculus
Lateral wall
Cavernous S
Superior
orbital
fissure
Pass b/w 2
arteries
(pos.cerebral &
sup.cerebellar
supply to Lateral
rectus muscle of
eye
Suply to the
Superior
oblique
muscle of eye
Abducent Nerve (VI)Groove
B/w pons
and
medulla
within
Cavernous Sinus closely
related to internal carotid
artery
Superior
orbital
fissure
Trochlear Nerve (IV)
lll , lV, Vl NervesOLFACTORY NERVE :I
OPTIC NERVE : II
TRIGEMINAL NERVE (V) :
Posterio
r.cranial
fossa
Middle
cranial
fossa
Lies at petrous
temporal bone in
Meckel's cave
Where sensory
components form
trigeminal ganglion .
V ganglion gives off
3 branches
Begin from
Anterolater
al part of
pons
Trigeminal
ganglion
Ophthalmic
Nerve
Maxillary
nerve
Mandibu
lar Nerve
Ophthalmic Division :Ophthalmi
c Nerve
Frontal
Nasociliary
Lacrimal
Supratroc
hlear
supraorbit
al
post.eth
moidal
Long
ciliary
Nerve to
ciliary
ganglion
infratrochl
ear
Ant.ethm
oidal
sphenoidal,
post.ethmoi
dal air sinus
sensory to
eyeball
frontal air
sinus,
upper
eyelid,,forehea
d,scalp till
vortex
upper eyelid,
conjuctiva,lower
part of forehead.
middle/ant.ethmoi
dal air
sinus,medial/latera
l internal nasal
lateral part of
uppereyelid , lacrimal
Both eyelids,side
of nose,lacrimal
sac
trigemin
al
ganglion
leaves middle
cranial fossa by
passing through
foramen
rotendum gives
meningeal
branches
Infraor
bital
nerve
MAXILLARY NERVE :
through
infraorbital
foramina
emerge on face
caverno
us sinus
pterygo
palatine
fossa
zygomati
c
pos.sup.
alveolar
zygomati
cotempor
al
zygomati
cofacial
Ganglioni
c
branches
in infraorbital canal
middle.sup.alveolar
Ant.sup. Alveolar
on face
Nasal
labial
palpebral
Orbital
branch
Palatine
branch
Nasal
branch
Pharyngeal
branch
MANDIBULAR NERVE
Trigeminal
ganglion
Middle
cranial fossa
sensory root
present
lateral to v
ganglion
Leave cranial
cavity
through
foramen
ovale
through
2 roots
Sensory Motor root
lie deep to
trigeminal
ganglion
pass
through
foramen
ovale
just below the foramen
ovale. sensory and
motor root join to form
main trunk.it lie into
ifratemporal fossa
Ant.division
Messeteric
Buccal nerve
Deep to the
temporal nerve
nerve to lateral
pterygoid
Post.division
Auriculartem
poral
Lingual
Inf.alveolar
nerve
mylohyoid and
mental branch
FACIAL NERVE
Derived from 2nd brachial arch
Nuclei (4)
Brachimotor lacrimatory Tractus solitarissup.salivatory
VII nerve attached to
brainstemby 2 roots
VII nerve attached to
brainstemby 2 roots
Sensory (nervous
intermedius)
Sensory (nervous
intermedius)
MotorMotor
2 roots attached to
lateral part of lower
border of pons.run
lateral /4wd to reach
interacusticmeatus
In
meatus,motor
root lie in a
groove
lie in a
petrous
temporal
bone
fundus of
meatus,two roots
fuse to form
single trunk
Directed
laterally,
above the
vestibule
At the junction of
1st & 2nd part.lie
over
anterosuperior
part of
pro,omtory
run
backward,pr
esent above
promontory
Within canal course
of nerve
gives 3 parts 2 bends
1st bend 2nd bend1st part 2nd part 3rd part
Lie b/w
promontory
and aditus of
mastoid
antrum
vertically
downward,
behind
promontory
Nerve leave the skull through stylomastoid foramina.In Extracranial Course,7th nerve
crosses the lateral side of styloid process.it enter into the parotid gland.Run 4wd through
glan and crosses the retromandibular vein and external carotid artery.divides into 5
terminal branches. Branches
Within canal
graeter petrosal nerve
Nerve to stapedius
chorda tympani
At exit from foramina Parotid gland
Zygomatic
Buccal
Marginal Mandibular
Post.Auricular
Digastric
Stylohyoid
Cervical Temporal
Vestibulocochlear VIII (sensory)
Eight cranial nerve. it is a sensory nerve. It contain two part Vestibular Part
(For static & kinetic balance)
Cochlear Part (For Hearing)
Leaving the skull by
Passing through
jugular foramina
Originate
b/w olive
&inf.cerebel
lar peduncle
Glossopharyngeal Nerve (IX)Mixed
Post.cranial
fossa ------>
middle
cranial fossa
motor root supply to
stylopharyngeus &
sensory root supply to
post.1/3 of tongue
Nuclei :
Nucleus Ambigus
(Brachiomotor)
Inferior salivatory
(parasympathetic)
Tractus solitarus
(Gustatory)
Branches & Distribution
Tympanic branch (middle ear,auditory tube &
mastoidantrum)
Carotid branch (carotid sinus & carotid body)
Pharyngeal Branch (mucous membrane of pharynx)
Muscular branch(stylopharyngeus muscle)
Tonsillar (tonsill & soft palate )
Lingual branch (carry taste & gen.sensation fro post. 1/3 of
tongue)
Vagus nerve (X): Mixed nerve : Nucleus l-Nucleus Ambigus
ll-Dorsal nucleus of vagus lll-Nucleus of tractus solitarius lv-Nucleus of spinal tract of
trigeminal.
originate
b/w olive
&
inf.cereb
ellar
peduncle
Nerve pass
laterally
through
pos.cranial
fossa
Leaves the skull by
passing through
jugular foramen b/w
sigmoid &
inf.petrosal sinus
In foramen ,it
is joined by
cranial root of
accessory
nerve
nerve enter
into carotid
sheath
it passes through mediastenum
of thorax , passing behind the
roots of lung & enter the
abdomen through esophageal
opening in diaphram
Vagus nerve
has 2 ganglia
Sup.ganglia
(gives 2
branches)
Inf.ganglia
(gives off
branches)
I-Auricular branch
(tumpanic
membrane,concha,root of
auricle)
II-Meningeal branch (dura
of pos.cranial fossa)
l-Pharyngeal Branch : (soft palate except tensor veli
palatini )
ll-carotid Branch:(carotid sinus & carotid body)
lll-sup.laryngeal : (cricothyroid muscle,mucous membrane
of larynx)
lv- Right recurrent laryngeal
v-cardiac
Accessory Nerve (XI) (Motor )
Spinal root
Arise from
upper 5
segment of
spinal cord
Cranial root
Arise from
lower part
of nucleus
ambigus
Two roots
enter into
the jugular
foramen
in
foramen,cranial
root unite for a
short distence
with spinal root
Again cranial
root separate
from spinal root
as it passes out
of foramen
Spinal root supply to the trapezius and sternocleidomasoid muscle & cranial root supply to
the muscle of soft palate , pharynx & larynx.
HYPOGLOSSAL NERVE (XIl)
It emerges from ant. surface of medulla b/w
olive & pyramid . It crosses the pos.cranial fossa
and leaves the skull through hypoglossal canal.
nerve then pass downward and forward in the
neck and crosses the ext. & internal carotid
arteries to reach the tongue.
Supply: It is supply to the all intrinsic and
extrinsic muscle of tongue except
palatoglossus, it is supplied by vago acessory
complex.

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cranial nerves by rabia zulfiqar

  • 2. Above the superior nasal concha Nasal epitheli um present Olfactory cells present on epithelium OLFACTORY NERVE :I (sensory nerve) Central processes come out from the olfactory cells central process form olfactory nerve olfactory nerve enter into the olfactory bulb which lie in the cribriform plate of ethmoid bone mitral & tuft cells in olfactory bulb gives off fibers that form olfactory tract medial tracts decussate go into right & left.lateral tract ant.into perforated plate and finally into visual cortex area (periamygdaloid prepiriform fossa) OPTIC NERVE : II (sensory ) In Eye , granular layer of ratina gives off Axons Optic nerve enter into the optic chiasma Axons converge into optic disc and form optic nerve All fibers end into Lateral geniculate body, pretactal nucleus and superior colliculus Medial tacts decusate and go into opposite side but lateral tacts run contralaterally in chiasma , optic tracts form . (medial & lateral tracts) Lateral geniculate body converge fibers as an optic radiation. Ends into the primary visual cortex area and then into 2ndry visual Cortex area
  • 3. Occulomotor N (III) : motor nerve begins from superior colliculus Pass b/w 2 arteries (pos.cerebral & sup.cerebellar Lateral wall Cavernous Sinus Divide Sup. & Inf. divisions Superior orbital fissure sup. division --> Superior Rectus & levator palpebral Superiorus Inf.division --> inf.rectus , inf. oblique , Medial rectus Begins from inferior colliculus Lateral wall Cavernous S Superior orbital fissure Pass b/w 2 arteries (pos.cerebral & sup.cerebellar supply to Lateral rectus muscle of eye Suply to the Superior oblique muscle of eye Abducent Nerve (VI)Groove B/w pons and medulla within Cavernous Sinus closely related to internal carotid artery Superior orbital fissure Trochlear Nerve (IV)
  • 4. lll , lV, Vl NervesOLFACTORY NERVE :I OPTIC NERVE : II
  • 5. TRIGEMINAL NERVE (V) : Posterio r.cranial fossa Middle cranial fossa Lies at petrous temporal bone in Meckel's cave Where sensory components form trigeminal ganglion . V ganglion gives off 3 branches Begin from Anterolater al part of pons Trigeminal ganglion Ophthalmic Nerve Maxillary nerve Mandibu lar Nerve
  • 6. Ophthalmic Division :Ophthalmi c Nerve Frontal Nasociliary Lacrimal Supratroc hlear supraorbit al post.eth moidal Long ciliary Nerve to ciliary ganglion infratrochl ear Ant.ethm oidal sphenoidal, post.ethmoi dal air sinus sensory to eyeball frontal air sinus, upper eyelid,,forehea d,scalp till vortex upper eyelid, conjuctiva,lower part of forehead. middle/ant.ethmoi dal air sinus,medial/latera l internal nasal lateral part of uppereyelid , lacrimal Both eyelids,side of nose,lacrimal sac
  • 7. trigemin al ganglion leaves middle cranial fossa by passing through foramen rotendum gives meningeal branches Infraor bital nerve MAXILLARY NERVE : through infraorbital foramina emerge on face caverno us sinus pterygo palatine fossa zygomati c pos.sup. alveolar zygomati cotempor al zygomati cofacial Ganglioni c branches in infraorbital canal middle.sup.alveolar Ant.sup. Alveolar on face Nasal labial palpebral Orbital branch Palatine branch Nasal branch Pharyngeal branch
  • 8. MANDIBULAR NERVE Trigeminal ganglion Middle cranial fossa sensory root present lateral to v ganglion Leave cranial cavity through foramen ovale through 2 roots Sensory Motor root lie deep to trigeminal ganglion pass through foramen ovale just below the foramen ovale. sensory and motor root join to form main trunk.it lie into ifratemporal fossa Ant.division Messeteric Buccal nerve Deep to the temporal nerve nerve to lateral pterygoid Post.division Auriculartem poral Lingual Inf.alveolar nerve mylohyoid and mental branch
  • 9. FACIAL NERVE Derived from 2nd brachial arch Nuclei (4) Brachimotor lacrimatory Tractus solitarissup.salivatory VII nerve attached to brainstemby 2 roots VII nerve attached to brainstemby 2 roots Sensory (nervous intermedius) Sensory (nervous intermedius) MotorMotor 2 roots attached to lateral part of lower border of pons.run lateral /4wd to reach interacusticmeatus In meatus,motor root lie in a groove lie in a petrous temporal bone fundus of meatus,two roots fuse to form single trunk
  • 10. Directed laterally, above the vestibule At the junction of 1st & 2nd part.lie over anterosuperior part of pro,omtory run backward,pr esent above promontory Within canal course of nerve gives 3 parts 2 bends 1st bend 2nd bend1st part 2nd part 3rd part Lie b/w promontory and aditus of mastoid antrum vertically downward, behind promontory Nerve leave the skull through stylomastoid foramina.In Extracranial Course,7th nerve crosses the lateral side of styloid process.it enter into the parotid gland.Run 4wd through glan and crosses the retromandibular vein and external carotid artery.divides into 5 terminal branches. Branches Within canal graeter petrosal nerve Nerve to stapedius chorda tympani At exit from foramina Parotid gland Zygomatic Buccal Marginal Mandibular Post.Auricular Digastric Stylohyoid Cervical Temporal
  • 11. Vestibulocochlear VIII (sensory) Eight cranial nerve. it is a sensory nerve. It contain two part Vestibular Part (For static & kinetic balance) Cochlear Part (For Hearing) Leaving the skull by Passing through jugular foramina Originate b/w olive &inf.cerebel lar peduncle Glossopharyngeal Nerve (IX)Mixed Post.cranial fossa ------> middle cranial fossa motor root supply to stylopharyngeus & sensory root supply to post.1/3 of tongue Nuclei : Nucleus Ambigus (Brachiomotor) Inferior salivatory (parasympathetic) Tractus solitarus (Gustatory) Branches & Distribution Tympanic branch (middle ear,auditory tube & mastoidantrum) Carotid branch (carotid sinus & carotid body) Pharyngeal Branch (mucous membrane of pharynx) Muscular branch(stylopharyngeus muscle) Tonsillar (tonsill & soft palate ) Lingual branch (carry taste & gen.sensation fro post. 1/3 of tongue)
  • 12. Vagus nerve (X): Mixed nerve : Nucleus l-Nucleus Ambigus ll-Dorsal nucleus of vagus lll-Nucleus of tractus solitarius lv-Nucleus of spinal tract of trigeminal. originate b/w olive & inf.cereb ellar peduncle Nerve pass laterally through pos.cranial fossa Leaves the skull by passing through jugular foramen b/w sigmoid & inf.petrosal sinus In foramen ,it is joined by cranial root of accessory nerve nerve enter into carotid sheath it passes through mediastenum of thorax , passing behind the roots of lung & enter the abdomen through esophageal opening in diaphram Vagus nerve has 2 ganglia Sup.ganglia (gives 2 branches) Inf.ganglia (gives off branches) I-Auricular branch (tumpanic membrane,concha,root of auricle) II-Meningeal branch (dura of pos.cranial fossa) l-Pharyngeal Branch : (soft palate except tensor veli palatini ) ll-carotid Branch:(carotid sinus & carotid body) lll-sup.laryngeal : (cricothyroid muscle,mucous membrane of larynx) lv- Right recurrent laryngeal v-cardiac
  • 13. Accessory Nerve (XI) (Motor ) Spinal root Arise from upper 5 segment of spinal cord Cranial root Arise from lower part of nucleus ambigus Two roots enter into the jugular foramen in foramen,cranial root unite for a short distence with spinal root Again cranial root separate from spinal root as it passes out of foramen Spinal root supply to the trapezius and sternocleidomasoid muscle & cranial root supply to the muscle of soft palate , pharynx & larynx. HYPOGLOSSAL NERVE (XIl) It emerges from ant. surface of medulla b/w olive & pyramid . It crosses the pos.cranial fossa and leaves the skull through hypoglossal canal. nerve then pass downward and forward in the neck and crosses the ext. & internal carotid arteries to reach the tongue. Supply: It is supply to the all intrinsic and extrinsic muscle of tongue except palatoglossus, it is supplied by vago acessory complex.