CNS Flashcards

1
Q

What is homonymous hemianopia?

A

Hemianopic visual field loss on the same side of both eyes
Posterior cerebral artery occlusion
Lesions from the optic tract to visual cortex

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2
Q

What is bitemporal hemianopia?

A

Partial blindness where vision is missing in the outer half of both the right and left visual field
Lesions of the optic chiasm (tumours mid-optic chiasm)

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3
Q

What does the anterior cerebral artery supply?

A

Medial surface of cerebral hemisphere until the peri-occipital sulcus

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4
Q

Where does the middle cerebral artery supply?

A

2/3 of the lateral surface of the brain

Central branches supply the corpus striatum, thalamus and internal capsule

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5
Q

Where does the posterior cerebral artery supply?

A

Corpus callosum
Cortex of occipital and temporal lobes
Central branches supply the optic radiation, subthalamic nucleus and thalamus

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6
Q

Which arteries are the brainstem and cerebellum supplied by?

A

Vertebral and basilar

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7
Q

CN I functions

A

Olfactory

Special sensory: smell from nasal mucosa

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8
Q

CN II functions

A

Optic

Special sensory: vision from retina

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9
Q

CN III functions

A

Oculomotor
Somatic motor: medial, superior, inferior rectus muscles, inferior oblique
Visceral motor: pupil constriction

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10
Q

CN IV functions

A

Trochlear

Somatic motor: superior oblique extra-ocular muscle

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11
Q

CN V functions

A

Trigeminal
Opthalmic V1: sensory superior 1/3 of face + cornea
Maxillary V2: sensory median 1/3 of face
Mandibular V3: sensory mandible + lower lip, motor=masseter & pterygoids/muscles of mastication

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12
Q

CN VI functions

A

Abducent

Somatic motor: lateral rectus extra-ocular

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13
Q

CN VII functions

A

Facial
Somatic motor: muscles of facial expression
Visceral motor: submandibular/sublingual glands, lacrimal glands
Special sensory: taste from anterior 2/3 of tongue
General sensory: skin of external acoustic meatus

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14
Q

CN VIII functions

A

Vestibulocochlear

Special sensory: hearing (vestibular) and balance (cochlear)

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15
Q

CN IX functions

A

Glossopharyngeal
Somatic motor: stylopharyngeus
Visceral motor: parotid gland
Special sensory: posterior 1/3 of tongue
General sensory: external ear and pharynx sensation
Visceral sensory: visceral feedback from carotid body

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16
Q

CN X functions

A

Vagus
Somatic motor: palatal/laryngeal/pharyngeal muscles of swallowing
Visceral motor: parasympathetic innervation to smooth muscles of the trachea, bronchi, digestive tract, heart
Visceral sensory: sensation from trachea, bronchi, digestive tract, heart
Special sensory: taste from epiglottis/palate
General sensory: sensation from auricle and external acoustic meatus

17
Q

CN XI functions

A

Accessory

Motor: sternocleidomastoid & trapezius

18
Q

CN XII functions

A

Hypoglossal

Intrinsic/extrinsic muscles of the tongue

19
Q

CN nuclei

A
CN I: olfactory epithelium
CN II: retinal ganglion cells 
CN III & IV: midbrain 
CN V, VI, VII: pons 
CN VIII: vestibular/spinal ganglion 
CN IX, X, XII: medulla 
CN XI: spinal cord