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38 Cards in this Set

  • Front
  • Back
Cranial nerves associated with nucleus and tractus solitarius
VII, IX, X
Cranial nerves associated with nucleus ambigus
IX, X, XI
Cranial nerves associated with dorsal motor nucleus vagus (parasympathetic)
X only
Cranial nerves associated with anterior horn
XI only
Motor cell bodies in anterior horn [C1-C5]
Location of nucleus and tract solitarus
Posterolateral medulla (extend from caudal to rostral medulla)
Modalities carried by nucleus and tract solitarus
– Special sensory [taste] : VII and IX
– Visceral sensory: IX, X
Where do the fibers for CN VI, IX, X terminate within the nucleus solitaire
- Tastes fibers [7 and 9] terminate in the rostral part
– General visceral afferents [9 and 10] terminate in middle and caudal parts respectively
Pathway from nucleus solitarius --> cortex
nucleus ambigus --> dorsal motor nucleus of X --> Thalamus (VPM) and hypothalamus --> somatosensory cortex (post central gyrus)
What types of information is being carried by cranial nerves IX and X to the nucleus solitarus
– Gag reflex [9]
– Stretch of gut, blood pressure receptors, blood oxygen [10]
Modalities carried by nucleus ambiguus
– Somatic motor : IX and X
– Parasympathetic : vagal neurons to heart
Location of nucleus ambiguus
Central part of tegmentum of medulla, medial to spinal tract and nucleus of V.
- extends from caudal to rostral medulla
Targets for nerves arising from nucleus ambiuus
IX and X: voluntary skeletal muscle of
- soft palate
- pharynx
- larynx
- upper part of esophagus

X: Parasympathetic to heart (cardioinhibitory)
- most rostral cells are parasympathetic
Where do fibers leaving nucleus ambiuus emerge on brainstem?
posterior to olive
Modalities carried by dorsal motor nucleus of vagus (DMN X)
Parasympathetic (visceral motor)
Location of DMN X
Dorsal medulla, lateral to hypoglossal nucleus
(extends from caudal to rostral medulla)
Input to DMN X
from hypothalamus
Fibers from DMN X emerge where on brainstem?
Groove posterior to olive (as part of X)
Targets for fibers leaving DMN X
- thoracic viscera and abdominal viscera (smooth muscles and glands of resp and GI tracts)
- cardiac muscle
Locations of spinal trigerminal nucleus
nucleus extend from cervical spine level to rostral pons
Modalities carried by spinal trigeminal nucleus
pain and temp (and some touch)

* NB main input to spinal trigeminal nucleus is from CN V
Where do neurons leaving trigeminal nucleus travel to?
- cross midline
- ascend to VPM of thalamus
Location of accessory nucleus
cell bodies in anterior horns of C1-C5
Accessory nerve path after leaving spinal cord
from C1-C5 --> foramen magnum --> join with fibers of X --> exit through jugular foramen --> to target

** corticobulbar fibers to the accesory nucleus project IPSILATERALLY for SCM and CONTRALATERALLY for trapezius
Targets for accessory nerve
- trapezius
- SCM
modalities carried in chief sensory nucleus of V by CN IX
general somatic afferent
function of spinal trigeminal nucleus & cheif sensory ncl. of V for CN IX
general sensation from the posterior 1/3 of tongue, tonsil, skin of external ear, internal surface of tympanic membrane, pharynx
Functions of nucleus of tractus solitarius for CN IX
- chemoreceptors and baroreceptors from carotid body
- gag sensation from pharynx (afferent limb of gag reflex)
- taste from posterior 1/3 of tongue
Function of nucleus ambiguus for CN IX
innervation of stylophayngeus m.
Function of inferior salivatory nucleus for CN IX
stimulation of parotid gland
Modality carried by inferior salivatory nucleus for IX
General visceral efferent (parasympathetics) to parotid
Summary pf 6 main functions of glossophayngeal nerve
- general sensation to post 1/3 tongue etc (GSA)
- chemoreceptors and baroreceptors (GVA)
- gag sensation (GVA)
- taste from post 1/3 tongue (SVA)
- stylopharygeus muscle (SVE)
- parotid gland (GVE)
GSA functions of vagus
Sensation from
- posterior meniniges
- concha
- skin of back of ear and ext. aut meatus
- pharynx
- larynx
GVA functions of vagus
- larynx
- trachea
- esophagus
- thoracix and abd viscera
- stretch receptors in walls of aortic arch
- chemoreceptors in aortic bodies adj. to arch
SVE functions of vagus
innervate:
- constrictor muscles of pharynx
- levator palatini
- salpingophayngeus
- palatophayngeus
- palatoglossus
- cricothyroid
- intrinsic muscles of larynx
GVE functions of vagus
Parasympthetics to:
- smooth muscles and glands of pharynx, larynx and thoracic and abd viscera
- cardiac muscle
Clinical signs of damage to nucleus of tractus solitarius
- difficulty in regulating BP
Clinical signs of damage to nucleus ambiguus
- hoarse voice (when unilateral)
- difficulty with phonation
- efferent limb of gag reflex
Clinical signs of damage to dorsal vagus of nucleus
- trouble with swallowing
- history of tachycardia