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Cranial nerves

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Image:Illu cranial nerves.jpg

Cranial nerves are nerves that emerge directly from the brain in contrast to spinal nerves which emerge from segments of the spinal cord. There are conventionally recognised twelve cranial nerves in humans. The nerves from the third onward arise from the brain stem. Except for the tenth and the eleventh nerve, they primarily serve the motor and sensory systems of the head and neck region. However, unlike peripheral nerves which are separated to achieve segmental innervation, cranial nerves are divided to serve one or a few specific functions in wider anatomical territories.

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[edit] Names of nerves

The 12 pairs of cranial nerves are traditionally abbreviated by the corresponding Roman numerals. They are numbered according to where their nucleii lie in the brain stem, i.e Cranial Nerve III (the Oculomotor nerve) leaves the brainstem at a higher position than Cranial nerve XII, whose origin is located more caudally (lower) than the other cranial nerves.

All cranial nerves except for the olfactory and optic nerves belong to the peripheral nervous system, having axons that are myelinated by Schwann cells (myelinating cells of the peripheral nervous system) rather than oligodendrocytes (myelinating cells of the central nervous system). The olfactory and optic nerves are named as such, but are technically not nerves, and are continuations of the central nervous system.

Note: technically the accessory nerve splits into the spinal accessory nerve and the cranial accessory nerve, but the latter quickly combines with the vagus nerve.

# Name Nuclei Function
I Olfactory nerve Anterior olfactory nucleus Sense of smell
II Optic nerve Lateral geniculate nucleus Transmits visual information to the brain
III Oculomotor nerve Oculomotor nucleus, Edinger-Westphal nucleus Controls most of the eye movements
IV Trochlear nerve Trochlear nucleus Rotates the eye away or down from the nose
V Trigeminal nerve Principal sensory trigeminal nucleus, Spinal trigeminal nucleus, Mesencephalic trigeminal nucleus, Trigeminal motor nucleus Gives sensations to the face
VI Abducent nerve (or abducens nerve) Abducens nucleus Controls each eye's ability to move away from the midline
VII Facial nerve (VII) Facial nucleus, Solitary nucleus, Superior salivary nucleus Controls facial expression and taste to two-thirds of the tongue, salivary glands
VIII Vestibulocochlear nerve (or auditory-vestibular nerve) Vestibular nuclei, Cochlear nuclei Senses sound, rotation and gravity (essential for balance & movement)
IX Glossopharyngeal nerve Nucleus ambiguus, Inferior salivary nucleus, Solitary nucleus Controls various sensations, glands, and muscles
X Vagus nerve Nucleus ambiguus, Dorsal motor vagal nucleus, Solitary nucleus Supplies motor parasympathetic fibers to nearly all internal organs
XI Accessory nerve (or cranial accessory nerve or spinal accessory nerve) Nucleus ambiguus, Spinal accessory nucleus Controls muscles of the neck and overlaps with functions of the vagus
XII Hypoglossal nerve Hypoglossal nucleus Controls most of the tongue muscles as well as others

[edit] Cranial nerves in non-human vertebrates

Human cranial nerves are evolutionarily homologous to those found in many other vertebrates. The reptiles including birds, and mammals). Cranial nerves XI and XII evolved in the common ancestor to amniotes (non-amphibian tetrapods) thus totalling twelve pairs. These characters are synapomorphies for their respective clades. In some primitive cartilagenous fishes, such as the dogfish (Squalos acanthos), there is a terminal nerve numbered 0 (as it exits the brain before the first cranial nerve).

[edit] Mnemonic devices

As the list is important to keep in mind during the examination of the nervous system, there are many mnemonic devices in circulation to help remember the names and order of the cranial nerves.

  • OLd OPie OCCasionally' TRies TRIgonometry And Feels VEry GLoomy, VAGUe Acutely HYPOactive
  • On Old Olympus' Towering Top A Finely Vested German Viewed A Hawk
  • On Old Olympus' Towering Top A Finn And German Viewed Some Hops
    • (Note that the Vestibulocochlear nerve is referred to by its former name, Auditory, in this mnemonic.)
  • Oliver the optimistic octopus trots triumphantly about facing audiences glossily vaguely spinning hippos.
    • (Note that the accessory nerve is referred to by its alternate name Spinal accessory nerve, and the Vestibulocochlear nerve by its former name, Auditory, in this mnemonic.)
  • Old Opticians Occasionally Too Try And Feel Audrey Glossop's Vagina AcH!
  • Oh, Oh, Oh, To Touch And Feel Virgin Girl's Vagina And Hymen.
  • Oh, Oh, Oh, To Touch And Feel A Girl's Vagina And Hymen.
    • (Note that the Vestibulocochlear nerve is referred to by its former name, Auditory, in this mnemonic.)
  • Ooh, Ooh, Ooh To Touch And Feel Very Good Velvet. Such Heaven!
    • (Note that the accessory nerve is referred to by its alternate name Spinal accessory nerve in this mnemonic.)
  • Ooh, Ooh, Ooh Topless Tiffany And Fat Valerie Got Vaginitis And Hepatitis
  • Oh Once One Takes The Anatomy Final Very Good Vacations Are Heavenly
  • OOO Truely There Are Five Very Gorgeous Vixens Awaiting Him
  • Another to help remember the types of information these nerves carry (sensory, motor, or both) is thus:
  • Some Say Money Matters, But My Brother Says Big Brains Matter More.
  • Some Say Marry Money, But My Brother Says Big Brains Matter More.
  • Some Say Marry Money, But My Brother Says Big Boobs Matter More.
  • Some Say Marry Money, But My Brother Says Big Butts Matter More.
  • Small Ships Make Money, But My Brother Says Big Boats Make More.
  • Some Says Marry Money But My Brother Says Bad Business Marry Money

[edit] Thirteen cranial nerves?

Although twelve nerves are classically described in humans, there is a theory that finds favour with some authors, that humans really have thirteen cranial nerves (Andy Lelli , 1999). If the C1 spinal nerve were considered the thirteenth cranial nerve, C2 through C8 would be renamed as the first through seventh cervical nerves (though anatomists might change the term 'cervical' to 'nuchal' or some other term to avoid confusion between the two nomenclatures). This would make the numbering system consistent all the way through the spinal column - every nerve would exit below its corresponding vertebra, and the number of vertebrae would equal the number of spinal nerves.

Alternatively, C1 could be considered the spinal root of the hypoglossal nerve (CN XII). This would, again, make the numbering system consistent.

[edit] See also

[edit] External links

Cranial nerves

I-IV: olfactory - optic - oculomotor - trochlear

V: trigeminal: semilunar ganglion
V1: ophthalmic: lacrimal - frontal (supratrochlear, supraorbital) - nasociliary (long root of ciliary, long ciliary, infratrochlear, ethmoidal) - ciliary ganglion - short ciliary
V2: maxillary: middle meningeal - in the pterygopalatine fossa (zygomatic, zygomaticotemporal, zygomaticofacial, sphenopalatine, posterior superior alveolar)
in the infraorbital canal (middle superior alveolar, anterior superior alveolar)
on the face (inferior palpebral, external nasal, superior labial, infraorbital plexus) - pterygopalatine ganglion (deep petrosal, nerve of pterygoid canal)
branches of distribution (palatine, nasopalatine, pharyngeal)
V3: mandibular: nervus spinosus - internal pterygoid - anterior (masseteric, deep temporal, buccinator, external pterygoid)
posterior (auriculotemporal, lingual, inferior alveolar, mylohyoid, mental) - otic ganglion - submandibular ganglion

VI: abducent

VII: facial: nervus intermedius - geniculate - inside facial canal (great petrosal, nerve to the stapedius, chorda tympani)
at exit from stylomastoid foramen (posterior auricular, digastric - stylohyoid)
on face (temporal, zygomatic, buccal, mandibular, cervical)

VIII: vestibulocochlear: cochlear (striae medullares, lateral lemniscus) - vestibular

IX: glossopharyngeal: fasciculus solitarius - nucleus ambiguus - sympathetic efferent fibers - ganglia (superior, petrous) - tympanic

X: vagus: ganglia (jugular, nodose) - Alderman's nerve - in the neck (pharyngeal branch, superior laryngeal, recurrent laryngeal) - in the thorax (pulmonary branches, esophageal plexus) - in the abdomen (gastric plexuses, celiac plexus, gastric plexus)

XI: accessory XII: hypoglossal

de:Hirnnerv

es:Par craneal fr:Nerf crânien it:Nervi cranici he:עצבים קרניאלים lt:Galviniai nervai nl:Hersenzenuw ja:脳神経 no:Kranienerver pl:Nerwy czaszkowe pt:Nervos cranianos sk:Hlavové nervy fi:Aivohermo vi:Thần kinh sọ não zh:脑神经

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