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83 Cards in this Set

  • Front
  • Back
where does the middle meningeal artery innervate the skull?
foramen spinosum
what does the anterior cranial fossa house?
olfactory bulbs and frontal lobes
what does the middle cranial fossa house?
temporal lobes and pituitary gland
what does the posterior cranial fossa house?
cerebellum and brain stem
sella turcica
hypophyseal fossa. houses pituitary gland
optic canal
transmits optic nerve (CN II) and ophthalmic artery
superior orbital fissure
transmits CN III, IV, VI and V1- ophthalmic division
foramen rotundum
transmits CN V2- maxillary division to pterygopalatine division
foramen ovale
transmits CN V3- mandibular division to infratemporal fossa
foramen magnum
transmits medulla, meninges, vertebral and spinal vessels as well as spinal root of CN XI
hypoglossal canal
transmits CN XII
jugular foramen
transmits internal jugular vein, CN IX, CN X and CN XI
internal acoustic meatus
transmits cranial nerves VII and VIII
preganglionic parasympathetic axons (GVE) leave brainstem in what cranial nerves?
III (occulomotor), VII (facial), IX (glossopharengeal) and X (vagus)
SSA fibers
vision, sound and equillibrium
SVA fibers
associated with ingestion of food. taste and smell
muscles from the first arch including muscles of mastication are innervated by what nerve?
CN V- trigeminal
muscles from the second arch including the muscles of facial expression are innervated by what nerve?
CN VII facial nerve
the only muscle from the third arch (stylopharyngeus) is innervated by what nerve?
glossopharyngeal nerve CN IX
muscles of the larynx and pharynx from the 4th and 6th arches are innervated by what nerve?
vagus nerve CN X
extraocular muscles
arise from preotic somites and are innervated by CN III IV and VII
tongue muscles
from postotic somites and are innvervated by CN XII
CN I
olfactory nerve. SVA fibers mediate smell
CN II
optic nerve. SSA fibers mediate vision from retina
CN III
occulomotor nerve. GSE fibers innervate most ocular muscles
GVE fibers to ciliary ganglion
CN IV
trochlear nerve. GSE fibers innervate the superior oblique muscle (extraocular)
CN V
trigeminal nerve.
GSA fibers: general sensation of facial skin, oral, nasal mucosa, teeth cornea and conjunctiva, meninges and ant tongue
SVE first pharyngeal arch musculature
CN VI
abducens nerve. GSE fibers innervate the lateral rectus muscle (extraocular)
CN VII
facial nerve. SVE- muscles of facial expression
some afferents too
CN VIII
vestibulocochlear nerve. SSA nerves convey inputs concerning sounds from cochlea and equillibrium and vestibular system
CN IX
glossopharyngeal nerve. GSA and SVA fibers mediate sensation from posterior tongue, middle ear and oropharynx. GVA input from carotid visceral receptors
GVE fibers to the otic ganglion SVE fibers innervate a single third arch muscle
CN X
Vagus nerve. SVE fibers innervate 4th and 6th arch, muscles of larynx and pharynx. GVE fibers innervate larynx, pharynx, thorax and abdomen
some afferents too
CN XI
spinal accessory nerve. GSE fibers innervate trapezius and sternocleidomastoid muscle
CN XII
hypoglossal nerve. GSE fibers innervate all intrinsic and most extrinsic muscles of the tongue
V1
ophthalmic division. supraorbital fissure
V2
maxillary division. foramen rotundum
V3
mandibular division. foramen ovale
contraction of frontalis
elevates the eyelids and wrinkles the forehead
scalp blood vessels
scalp gets blood supply from both carotid branches. lies in dense connective tissue layer (why scalp lacerations bleed so bad)
contraction of buccinator
milks the parotid duct
platysma
weak depressor of the lower lip and mandible.
flairs the skin of the neck
CN VII skull innervation
enters temporal bone through the internal auditory meatus courses through the facial canal and exits through stylomastoid foramen. enters parotid gland where it branches forming parotid plexus
temporal branch of parotid plexus
ask patient to raise eyebrows
zygomatic branch of parotid plexus
aask to shut eyes tight
buccal branch of parotid plexus
pucker lips, bare teeth
mandibular branch of parotid plexus
bare lower teeth
cervical branch of parotid plexus
flare skin of the neck
Bell's palsy
spontaneous unilateral paresis or paralysis of the muscles of facial expression from inflammation of the facial nerve (from virus infection or vasospasm)
lateral pterygoid muscle
only muscle of mastication that has horizontally oriented fibers. when it contracts it pulls the meniscus and condyle process of TMJ- depresses mandible
masseter muscle
arises from zygomatic arch. inserts on the lateral aspects of the coronoid process and ramus as well as the angle of the mandible
temporalis muscle
vertically oriented anterior and middle fibers are responsible for elevation of the mandible. horizontally oriented posterior fibers are responsible for retrusion (retracting the mandible)
medial pterygoid muscle
course in the same direction as masseter. elevates and protrudes the mandible
CN V3 innervates what muscles?
lateral and medial pterygoid, temporalis, masseter
contralateral excursion
origin of lateral pterygoid is medial to insertion. contraction of muscles draws mandible to opposite side.
a lesion of CN V3?
will produce deviation of the jaw to the side of the lesion when the mandible is protruded against resistance
auriculotemporal nerve
sensory division of CN V3. two roots surround the middle meningeal artery as it approaches the foramen spinosum
long buccal nerve
sensory division of CN V3.mediates sensation from both the skin superficial to and mucosa deep to the buccinator muscle. does not innervate the buccinator muscle itself
lingual nerve
sensory division of CN V3. general sensation to the ant 2/3 of the tongue, floor of the mouth and mandibular gingivae
chorda tympani
CN VII joins lingual nerve in infratemporal fossa. provides taste fibers
inferior alveolar nerve
sensory division of CN V3. dental and mental branches. dentists inject here wait for chin to go numb
pterygoid venous plexus
communicates between superficial veins of the face and scalp and emissary veins passing into cranial canal
emissary veins
valveless veins communicate between the veins of the scalp and face superficially and the venous dural sinuses endocranially
levator palpebrae superioris
elevates upper lid. innervated by CN III
rectus muscles
all come from a common tendinous ring (annular tendon) all attach to the anterior aspect of the sclera
lateral rectus
innervated by CN VI
superior oblique
medial to nasolacrimal gland. innervated by CN IV
depresses, abducts, intorts
look medially and downward
inferior oblique
elevates
abducts
extorts
look medially and upward
inferior rectus
depresses
adducts
extorts
look laterally and downward
superior rectus
elevates
adducts
intorts
look laterally and upward
anterior triangle
muscular, visceral and vascular structures within fascial compartments. including larynx, pharynx, esophagus, trachea and endocrine glands as well as suprahyoid and infrahyoid muscles
retropharyngeal space
the plane between the prevertebral and buccopharyngeal fasciae that is filled with loose alar fascia. extends from neck into thorax: can spread infection
lateral group of scalene muscles
rectus capitus lateralis, anterior scalene, middle scalene, posterior scalene
accessories to respiration, flex head and neck and assist in contralateral rotation
anterior group of scalene muscles
rectus capitis anterior, longus capitus, longus coli
flexion of head and spine against resistance
scalene triangle
middle and anterior scalene muscles and the first rib. transmits the major neuro-vascular supply of upper limb
scalene interval syndrome
compression of brachial plexus. cool, pale upper limb with diminished pulse. sensory and motor deficits in the upper limb
occipital triangle
4 groups of cutaneous nerves from cervical plexus; lesser occipital (C2), greater auricular (C2, C3), transverse cervical (C2, C3), supraclavicular (C3,C4)
Erb's point
branches of cerival plexus joining with branches of CN V providing cutaneous innervation can be blocked by an injection at this point
mylohyoid contraction
raises the tongue in the early stage of swallowing
CN V3
Digastric muscle
CN V3 and CN VII
elevate hyoid
stylohyoid muscle
CN VII
elevate hyoid
geniohyoid muscle
C1 via CN XII
elevate hyoid
braches of vagus nerve
pharyngeal, superior laryngeal and recurrent laryngeal (back in the direction that it came from)
Horner's syndrome
lesion of cervical sympathetic chain. ptosis, miosis (constricted pupil), anhidrosis (absence of sweating)