Neuro L.8 Main Concepts Flashcards
CN I: olfactory
Foramen: cribriform plates
Function: sensory - smell
Reflex: N/A
CN II: optic
Foramen: optic canal
Function: sensory - vision
Reflex: pupillary light reflex (afferents)
CN III: oculomotor
Foramen: superior orbital fissure
Function: motor - eye movements (except LR, SO), accommodation; parasympathetics
Reflex: pupillary light reflex - efferents, vestibulo-ocular reflex
CN IV: trochlear
Foramen: superior orbital fissure (only cranial nerve that exits brain dorsally)
Function: motor - superior oblique - down/in
Reflex: vestibulo-ocular reflex
CN V: trigeminal
Foramen:
V1: superior orbital fissure
V2: foramen rotundum
V3: foramen ovale
Function: Sensory - sensation to face; Motor: muscles of mastication
Reflex: afferents corneal blink
CN VI: abducens
Foramen: superior orbital fissure
Function: motor - lateral rectus
Reflex: n/a
CN VII: facial
Foramen:
- enters: internal auditory meatus
- exits: stylomastoid foramen
Function: Sensory - anterior ⅔ tongue; Motor - orbicularis oculi (closes eye), muscles of facial expression, stapedius; Parasympathetics: tear and salivation
Reflex: corneal blink - efferents
CN VIII: vestibulocochlear
Foramen: internal auditory meatus
Function: sensory - head position, hearing
Reflex: vestibulo-ocular - afferents
CN IX: glossopharyngeal
Foramen: jugular foramen
Function: Sensory - posterior ⅓ tongue, pharynx; Motor - stylopharyngeus; parasympathetics
Reflex: gag reflex - afferents
CN X: vagus
Foramen: jugular foramen
Function: Sensory - tongue → visceral; Motor - larynx, pharynx; parasympathetics
Reflex: gag reflex - efferents
CN XI: accessory
Foramen:
- enters: foramen magnum
- exits:jugular foramen
Function: traps and SCM
Reflex: n/a
CN XII: hypoglossal
Foramen: hypoglossal foramen
Function: tongue movement
Reflex: n/a
Mononeuropathy
Single nerve involvement
Traumatic myelinopathy
Myelin damage, carpal tunnel syndrome
Traumatic axonopathy
Myelin intact, axon damage; crush injury
Nerve regrowth rate
Nerves regrow at a rate of 1 mm/day
Severance prognosis
Poor prognosis
Polyneuropathy
Symmetric involvement of sensory, motor, autonomic fibers; DIABETES
Stocking glove, LMN symptoms
Multimononeuropathy
Multifocal, asymmetric involvement of an individual nerve