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33 Cards in this Set
- Front
- Back
CN component that CN XI (spinal accessory nerve) have.
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GSE
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GSE of CN XI innervate 2 muscles
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SCM and trapezius
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____ of CN XI enters the posterior cranial fossa thru the _____ and exit the posterior cranial fossa thru _____ with CN IX and X.
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spinal root of CN XI
foramen magnum jugular foramen |
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spinal root of CN XI originate from the ____ nucleus w/i the lateral ventral horn of the ____ segments.
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from the accessory nucleus
C1 - C5 segments |
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cranial root arise from _____ of medulla joins the Vagus n. and exit the jugular formen with spinal root of CN XI.
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nucleus of ambiguus
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CN XI is vulnerable to lesion as it crosses _____ triangle, often due to ______
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posterior cervical triangle
iatrogenic lesion |
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lesions of CN XI lead to 2 muscle paresis, they are...
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trapezius and SCM paresis
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Trapezius paresis cause ....
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ipsilateral "shoulder drop" to the side of leision
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SCM paresis cause ...
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weaknss in contralateral rotation against resistance
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_____ of _____ innervate anterior and prevertebral cervical musculature and diaphragm.
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muscular branches of the cervical plexus
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what nerves innervate diaphragm? and these nerves are formed from what central rami?
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phrenic nerves of cervical plexus formed by C3, 4, 5 ventral rami
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branches of the ANSA cervicalis innervate most of the _____ m.
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infrahyoid "strap" muscles
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_____ or _____ arises from C1
______ arises from ___ and ____ |
superior root or descendens hypoglossi arises from C1
inferior root arises from C2 and C3 |
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2 roots make up ANSA cervicalis
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superior root or descendens hypoglossi
inferior root |
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4 groups of cutaneous nerves arises from the cervical plexus:
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lesser occupital n.
greater auricular n. transverse cervical n. supraclavicular n. |
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lesser occipital n. innervates ....
greater auricular n. innervates ... supraclavicular n. innervates ... |
skin of lateral scalp
skin overlying the MD skin overlying the posterior cervical triangle |
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1. lesser occipital n. arises from ___ of ventral ramus
2. greater auricular n. arises from ___ and ___ of ventral ramus 3. transverse cervical n. arises from ___ of ventral ramus 4. supraclavicular n. arises from ___ of ventral ramus |
1. C2
2. C2 and C3 3. C2 and C3 4. C3 and C4 |
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diaphramic pain is referred to ____
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shoulder
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branches of cervical plexus join with branches of _____ in providing the cutaneous innervation of the face
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CN V, trigeminal n.
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branches of cervical plexus can be blocked by an injection at _____
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Erb's point (aka Puncta Nervosum)
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CN XII - hypoglossal nerve rootlets arise from _____ of the medulla and converge on _____ canal
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pre-olivary sulcus
hypoglossal canal |
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_____ contains the cell bodies of the lower motor neurons of ______ is located in the medulla in the floor of the 4th ventricle
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hypoglossal nucleus
CN VII |
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hypoglossal nucleus give rise to how many rootlets of CN XII
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10 - 15
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CN XII exit the skull thru ____, courses inferiorly and laterally btw internal carotid artery and ______. The nerve loops anteriorly above the _______, deep to the posterior digastric. The nerve continues on the lateral surface of the ______ m. , w/i the _____ triangle.
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hypoglossal canal
internal jugular vein greater horn of the hyoid hyglossus muscle digastric triangle |
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CN XII supply 4 muscles
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hyoglossus muscle
styloglossus muscle genioglossus muscle all intrinsic tongue muscles |
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CN XII lies inferior to the 2 sensory nerves of the tongue:
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lingual n (V3)
glossopharyngeal n (CN IX) |
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CN XII is vulnerable to injury in procedure known as
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carotid endarterectomy
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CN XII is accompanied by fibers of the C1 ventral ramus, and C1 innervate 2 muscles
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thyrohyoid and geniohyoid muscles directly
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integrity of CN XII can be tested by asking patients to _______
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protrude the tongue
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unilateral hypoglossal lesion result in ______
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lick the wound - tongue protrude to the same side of lesion
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protrusion of tongue that deviate to one side is the result of ______
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functional genioglossus being unopposed
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muscular disorders that result in patients lick the wound
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1. ipsilateral atrophy of genioglossus m.
2. fibrillations and fasciculation (muscle twitching) 3. mild dysarthria (difficult to pronounce consonants) |
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lesions of CN XII include
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1. tumors or meningiomas of the posterior cranial fossa or nasopharynx
2. ICA aneurysm or dissection below the skull base 3. IJV puncture below the skull base 4. lesions w/i the sublingual space or tongue: neoplasm (e.g. squamous cell carinoma), infection (odontogenic abscess in sublingual space), iatrogenic (surgical mistake) |