Nerve Supply to Head Lecture 8 Flashcards

(56 cards)

1
Q

What does Efferent mean?

A

Efferent refers to nerve transmission AWAY from the CNS, and is responsible for MOTOR activity

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2
Q

What does Afferent mean?

A

Afferent refers to nerve transmission TOWARD the CNS, and is purely SENSORY

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3
Q

What does Somatic mean?

A

Somatic refers to STRIATED muscle. Meaning voluntary control over the muscle.

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4
Q

What does Visceral mean?

A

Visceral refers to SMOOTH muscle and SECRETORY activity, or involuntary control over the muscle/viscera/glandular secretions.

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5
Q

What muscle activity in the head are Somatic Efferent nerves in control of?

A

All STRIATED muscle activity in the head. Eye movement, tongue movement, hyoid/laryngeal movement, mastication, facial expression, movement of palate/pharynx, and larynx/esophagus

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6
Q

What muscle activity are Visceral Efferent nerves in control of?

A

SMOOTH muscle and GLANDS. Glands in the eye, parotid glands, and secretory activity in the thoracic cavity and abdominal cavity

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7
Q

What muscle activity in the head are Somatic Afferent nerves in control of?

A

(SENSORY INPUT STRIATED MUSCLE) Vision, hearing, touch/pain/thermal from face and ear, and proprioception and nociception

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8
Q

What muscle activity in the head are Visceral Afferent nerves in control of?

A

(SENSORY INPUT SMOOTH MUSCLE) Smell, taste, internal sensory info from tongue, pharynx, carotid sinus, viscera etc.

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9
Q

What are the functional components of CN III (Oculomotor)? What muscle does this nerve carry fibers to?

A

CN III only has an efferent root, both somatic and visceral divisions.
Carries EFFERENT fibers to all eye muscles EXCEPT dorsal oblique, lateral rectus, and retractor bulbs muscles

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10
Q

Where does CN III enter the orbit?

A

Orbital Fissure

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11
Q

Where do the PREganglionic parasympathetic fibers of CN III go?

A

PREganglionic Parasympathetic fibers go to the ciliary ganglion

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12
Q

Where do the POST ganglionic parasympathetic fibers of CN III go?

A

Pupillary constrictor muscle and the ciliary body

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13
Q

Which cranial nerves have parasympathetic fibers?

A

CN III, VII, IX, and X

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14
Q

Clinical signs of nerve damage to CN III

A

Pupillary dialation, lateral ventral strabismus (deviation of the globe), ptosis (drippy eye)

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15
Q

What is another name for the sympathetic division of the autonomic system?

A

Thoraco Lumbar Divsion

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16
Q

Where does sympathetic innervation originate from?

A

The spinal cord. It goes to the cranial cervical ganglion (preganglionics)

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17
Q

What are the 3 divisions of CN V (Trgeminal)

A

Mandibular, Maxillary, Opthalmic

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18
Q

The mandibular division has what kind of nerves?

A

Somatic afferent and efferent fibers that go to skeletal muscle.

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19
Q

What do the afferent nerves of the Mandibular divsion innervate?

A

roatral 2/3 of the tongue (sensory but not taste), general sensation to skin of lower face, lower teeth, and oral/nasal cavities

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20
Q

What do the efferent nerves of the Mandibular division innervate?

A

Motor muscles that CLOSE the jaw

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21
Q

List the nerves we need to know from the Mandibular division

A

Lingual branch of CN V, mental nerve, auriculotemporal, and buccal nerve

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22
Q

What are the clinical signs of nerve damage to the Mandibular division?

A

Jaw drop, analgesia (lack of sensation) of lower jaw, lower dentition of oral mucosa and tongue.
Massater and temporalis muscle atrophy
Prominant zygomatic arch

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23
Q

The maxillary division has what kind of nerves?

A

Somatic afferent only (sensory)

24
Q

What does the maxillary division innervate?

A

Upper teeth, muzzle (nostrils and upper lip), innervates the horn of non equines via the zygomaticotemporal branch

25
List the nerves we need to know from the maxillary division?
Infraorbital nerve and zygomatic nerve
26
Clinical signs of CN V maxillary division nerve damage.
Analgesia (cannot sense pain/lack of sensation) of upper dorsal face. Can touch hairs inside nose for damage (highly sensitive area)
27
The ophthalmic division has what kind of nerves?
Somatic afferent only (sensory)
28
What does the ophthalmic division innervate?
Mainly the eye and skin of forehead, some innervation of oral/nasal cavities
29
List the nerves of the ophthalmic division we need to know.
Zygomatic, lacrimal, frontal, infratrochlear, and long ciliary n. (Innervate cornea).
30
What nerves are responsible for the afferent pathway of the corneal reflex?
Long ciliary nerves and infratrochlear nerve.
31
How would you test nerve damage to the ophthalmic division of CN V?
test corneal reflex. Touch cornea.
32
CN VII (Facial) has what kind of nerves
Mixed nerve with both afferent and efferent roots innervating skin and muscle
33
Where do the parasympathetics of CN VII go?
Mandibular and sublingual salivary glands. I.e. Lacrimal gland.
34
What does CN VII innervate/what is it responsible for
Facial expression, jaw opening, flare nostrils (Fleming response), taste to the rostral 2/3 of the tongue (afferent)
35
Clinical relevance of the Occiptalmandibularis muscle.
Part of digastricus, OPENS the jaw, does not exist in carnivores, significantly strong muscle.
36
Clinical signs of damage to CN VII
Facial paralysis, jaw would be more closed, bad smell from mouth due to food being stuck in cheek.
37
What is tetny? What causes it?
The inability to close the jaw due to overstimulation. Caused by yellow star thistle poisoning.
38
CN VII motor branches
Dorsal buccal, ventral buccal, auriculopalpebral and caudal auricular nerves
39
CN IX has what kind of nerves?
Mixed nerve with afferent and efferent roots
40
What does the lingual branch of CN IX supply?
General sensations and taste to the caudal 1/3 of the tongue
41
What does the pharyngeal branch of CN IX supply?
Sensory fibers to the pharynx (swallowing and gaggin reflex)
42
How does CN IX affect blood pressure?
Innervates the baraoreceptors in the carotid sinus
43
Where do the parasympathetic fibers of CN IX go?
PRE: optic ganglion POST: parotid salivary gland
44
Clinical signs of damage to CN IX
Difficulty swallowing (dysphagia) and strangles
45
What is strangles? How does it affect CN IX
Infection in the lump nodes which passes into the guttural pouch putting pressure on the pharynx. The pressure on the pharynx could pinch CN IX
46
CN X (Vagus) has what kind of nerves?
Mixed nerve. Afferent and Efferent roots
47
What do the visceral afferent fibers of CN X supply?
Upper respiratory and digestive tracts, and the cardiovascular system
48
Role of Efferent fibers of CN X?
Role in swallowing and vomiting. Supplies striated muscles of the larynx
49
What are the 2 most important branches off CN X to know?
Cranial Laryngeal and Recurrent Laryngeal
50
Clinical sign of damage to CN X?
Roaring and dysphagia
51
What is roaring?
Caused by laryngeal hemiplasia (one side). Reccurent laryngeal wraps around aortic arch on left side. Leads to collapse of glottis (Cricoarytenoideus Dorsalis). Difficulty breathing
52
How would you "fix" roaring?
Surgery. Use tie back or tie forward method.
53
Tie back surgery
Fixes roaring by removing all of damaged cricoarytenoideus Dorsalis muscle. Suture to cricoid cartilage on left side and pull glottis back and suture to arytenoid cartilage to permanently hold glottis open
54
Tie Forward surgery
Fixes roaring through scar tissue. Older method. Pull out laryngeal ventricle. Scar tissue forms and binds to vocal fold. As tissue heals ventricle retracts and pulls vocal fold with it.
55
What type of nerves does CN XI (Accessory have)?
Consist of efferents only
56
What muscles does CN XI innervate?
BOST | Brachiocephalicus, omotransversarius, sternocephalicus, trapezius muscles