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51 Cards in this Set
- Front
- Back
The facial n. emerges form the brainstem at the _______, in line with the ____ of the medulla. The n. lies in angle btw the lateral pons and inferior aspecto fo the cerebellum, ______
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inferior pontine sulcus
postolicary sulcus cerebellopontine angle |
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the CN components of CN VII are
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SVE, GVE, SVA and GSA
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CN VII consists of 2 primary roots
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motor root (larger division)
nervus intermedius (smaller division) |
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motor roots of CN VII carries what fibers?
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branchial motor fibers (SVE)
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nervus intermedius contains what fibers?
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preganglionic parasympathetics (GVE)
SVA - taste (special sensory fiber) GSA - general sensory fiber |
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branchial motor efferent fibers (SVE) arise from ______. SVE fibers of CN VII innervates _________.
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facial motor nucleus
innervates muscles derived from the second pharyngeal arch |
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the axon of the motor neurons exiting the nucleus wraps around the _____, forming the internal _______
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wraps around the abducent nucleus
forming the internal genu of the facial n. |
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SVA and GSA fibers of CV VII arise from primary cell bodies in the ________ w/i the temporal bone. The taste fibers (SVA) terminate in the rostral end of the ______________. General sensory fibers (GSA) terminate in the ________.
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in the geniculate ganglion
nucleus of solitarius (gustatory nucleus) spinal nucleus of CNV |
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preganglionic parasympathetic fibers of GVE in the nervus intermedius arise from _______
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superior salivary nucleus
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CN VII transits the subarachnoid space and enters the temporal bone thru the _______
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thru the internal acoustic meatus
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what other nerve also enters internal acoustic meatus?
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CN VIII
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CN VII courses through the _____ within the petrous portion of the temporal bone, branches extensively to give off 3 nerves" ___, ____, ____. facial nerve trunk (motor trunk of VII) exits the cranial base via the ____.
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facial canal
greater petrosal n., chorda tympani, n to stapedius stylomastoid foramen |
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the greater petrosal n. exits the temporal bone thru ______ into ______ exit the skull thru ______. The nerve passes thru the pterygoid canal to reach the ____.
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hiatus of the greater petrosal n. .... middle cranial fossa .... foramen lacerum .... pterygopalatine ganglion
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stapidial n. innervates _____ muscle
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stapedius muscle
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chorda tympani exits the cranium thru the _____ at the medial end of the ______ to enter the _______ fossa
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anterior inter chordae
petrotrympanic fissure infratemporal fossa |
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Upon exiting the stylomastoid formen, facial nerve trunk gives off 3 branches: ____, _____, _____.
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posterior auricular, digastric and stylohyoid n.
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5 segments of CN VII w/i the facial canal:
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tympanic -> external genu -> labyrinthine
tympanic -> mastoid -> trunk |
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5 segments of CN VII
_____ travels posteriorly and laterally along the medial wall of the middle ear cavity. _____ includes the geniculate ganglion. _____ passes above the labyrinth housing the vestibular system. _____ gives rise to the nerve to stapedius and the chorda tympani. |
tympanic
external genu labyrinthine mastoid |
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____ fibers of CN VII innervate second arch derivatives: (3) muscles
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SVE fibers of motor trunk of VII
1. muscle of facial expression m. 2. stylohyoid + posterior digastric m. 3. stapedius m. |
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SVE fibers of facial nerve trunk ramify w/i the parotid gland to form ______.
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parotid plexus
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parotid plexus has 5 major branches:
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Temporal
Zygomatic Buccal Marginal mandibular Cervical Two Zebras Bit My Coccyx |
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_____ enters parotid gland and gives off 5 nerves.
Painfully Two Zebras Bit My Coccyx |
posterior auricular n.
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temporal n. innervates ____ m., which enable patients to _______
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frontalis m.
raise eyebrow |
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zygomatic n. innervates _____ m., which enable patients to _____.
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orbital m.
shut eye tightly |
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buccal n. innervates ____ m., which enable patients to _______.
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buccinator m.
pucker lips, are upper teeth, blow out or whistle |
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cervical n. innervates ____ m, which enable patients to _______
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platisma m.
flare skin of the neck |
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tumors of the parotid gland may compress or destroy _____.
Parotid tumor has tendency to extend toward the ________ (2). |
facial nerve fibers
stylomastoid formen and facial canal |
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greater petrosal nerve conveys secretomotor fibers which, after synapsing in the ______, innervate 4 glands.
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ptergopalatine ganglion
innervate the lacrimal gland, nasal + paranasal mucosa + palatine gland. |
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chorda tympani conveys secretomotor fibers which synapse in the ______ ganglion and innervate the ______ glands (2).
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submandibular ganglion
submandibular and sublingual salivary glands |
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greater petrosal n. and chorda tympani project from ____ nucleus
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pons - superior salivary nucleus
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lingual n. joins _______ and synapse @ submandibular ganglion
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chorda tympani
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entering the pterygoid fossa, the greater petrosal n. is joined by the ______ (postganglionic sympathetics) to form ________
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deep petrosal n.
Np of pterygoid canal or Vidian N. |
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lacrimal gland is innervated ______, a postganglionic autonomic fibers, which accompany the _____ branch of V2
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greater petrosal n.
zygomatic branch of V2 |
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nasal mucosa is innervated by greater petrosal n, a postganglionic autonomic fibers, which accompany ______ and _____ branches of V2
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posterior lateral nasal and nasaopalatine branches of V2
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palatine glands are innervated by greater petrosal n., a postganglionic autonomic fibers which accompany _____ and _____ branches of V2
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greater and lesser palatine branches of V2
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taste buds detect____, water-soluble molecules
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tastants
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nerve ending innervating the taste buds are from CN __, __ and ___.
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CN VII, IX, X
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taste buds are found: 4 places
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1. entire lingual dorsum + sides of tongue
2. epiglottis 3. lingual aspect of soft palate 4. posterior oropharynx |
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taste buds are found in 3 types of papillae:
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circumvallate, fungiform, foliate papillae
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what kind of papillae contain only general sensory . endings only?
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filiform papillae
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anterior 2/3 of tongue have dual innervation:
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chorda tympani (CN VII) - taste
lingual n. (CN V3) - somatic sensation |
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central projections of taste afferents in peripheral ganglia project to the ____ of medulla
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nucleus solitarius
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gustatory dysfunction usually produces
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ageusia, hypogeusia, dysgeusia
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some sources claim that the greater petrosal n. or chorda tympani conveys taste fibers
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T
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posterior auricular n. have _____ and ____ fibers.
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branchial motor fibers and afferent fibers
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branchia motor fibers of posterior auricular n. innervate
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auriculares and occipitalis
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afferent fibers of posterior auricular n. convey general sensation from ______
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the skin of concha of the external ear, small patch of skin behind the ear and a portion of the superficial aspect of the tympanic membrane
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Bell's Palsy is inflammation of CN VII that affect all actions of the
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ipsilateral facial muscles
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Bell's Palsy symptoms include
1. facial asymmetry with gravitational sagging of face and scalp due to ... 2. inability to wrinkle forehead on command due to .... 3. failure to retain tears and saliva in orbit and mouth respectively due to ... 4. retention of food in oval vestibule |
1. due to loss of tonus of facial m.
2. due to paralysis of frontalis (temporal branch of facial n) 3. due to paralysis of orbicularis oculi (zygomatic CN VII) and orbicularis oris (buccal and mandibular n.) 4. due to paralysis of buccinator (buccal branch of CN VII) |
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symptoms of _____ lesion of CN VII may be more extensive depending upon the exact location of the lesion btw ____ and _____
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peripheral leision
pons and stylomastoid foramen |
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peripheral lesion of CN VII have these symptoms:
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dysgeusia, hyperacusis (perception of loud sound) leision @ stapedius n., reduce lacrimation (greater petrosal n. leision) and salivation.
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