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脑神经 The cranial nerves 黄绍明 广西医科大学解剖教研室
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Peripheral nervous system
Central nervous system Brain Spinal cord Nervous System Peripheral nervous system Cranial nerves Spinal nerves
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Section 2 The Cranial Nerves
There are twelve pairs of cranial nerves which are attached to the brain. The cranial nerves can be designated in two way and listed as follows:
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Section 2 The Cranial Nerves
I Olfactory n. II Optic n. Ⅲ Oculomotor n. Ⅳ Trochlear n. Ⅴ Trigeminal n. Ⅵ Abducent n. Ⅶ Facial n. Ⅷ Vestibulocochlear n. Ⅸ Glossopharyngeal n. Ⅹ Vagus n. Ⅺ Accessory n. Ⅻ Hypoglossal n.
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The cranial nerve nuclei (review)
Functional components of the cranial nerve nuclei: 1.General somatic motor nuclei 2. Special visceral motor nuclei 3. General visceral motor nuclei 4.General and special visceral sensory nuclei 5.General somatic sensory nuclei 6. Special somatic sensory nuclei
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Cranial nerves contain seven components:
General and special somatic afferent (sensory) fibers General and special visceral afferent (sensory) fibers General somatic efferent (motor) fibers General and special visceral efferent (motor) fibers
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Classification of cranial nerves
According to the components and functions , the cranial nerves are divided into three types: 1. sensory nerves:Ⅰ, Ⅱ, Ⅷ (contain only sensory fibers) 2. motor nerves: Ⅲ, Ⅳ, Ⅵ, Ⅺ, Ⅻ (contain only motor fibers) 3. mixed nerves:Ⅴ, Ⅶ, Ⅸ, Ⅹ (contain both sensory and motor fibers)
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The Superficial origins of the cranial nerves on the brain
Ⅰ Telencephalon (olfactory bulb) Ⅱ Diencephalon (lateral geniculate body) Ⅲ Midbrain (interpeduncular fossa ) Ⅳ Midbrain (beneath the inferior colliculus) Ⅴ Pons (the junction between basilar part of pons and the middle cerebellar peduncle) Ⅵ Ⅶ Pons (bulbopontine sulcus) Ⅷ IX Ⅹ Medulla oblongata (behind the olive) Ⅺ Ⅻ Medulla oblongata (between the pyramid and olive)
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I. Olfactory nerve Nasoplatine n. Olfactory bulb Olfactory tract
Pterygopalatine ganglion Posterior nasal br. Platine n. Nasal conchae Cribriform plate of ethmoid bone Anterior ethmoidal n.
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Olfactory n.
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II. Optic nerve Optic n. Optic chiasma
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Optic n. Optic chiasma Optic tract Ledial geniculate body Optic radiation
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III. Oculomotor nerve Oculomotor nuclus
Supplies the levator palpebrae superioris, medial rectus, superior rectus, inferior rectus and inferior obliquus. The sphincter pupillae,ciliary muscle. Oculomotor nuclus Accessory nuclus of oculomotor n. Accessory nuclus of oculomotor n. Oculomotor n. Oculomotor nuclus Ciliary ganglion
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The parasympathetic nerve fiber of the oculomotor nerve
Ciliary ganglion Accessory nuclus The parasympathetic nerve fiber of the oculomotor nerve
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IV. Trochlear nerve Trochlear nucleus Superior obliquus Trochlear n.
Superior orbital fissure Trochlear nucleus Superior obliquus Trochlear n.
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Superior obliquus Trochlear n.
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V. Trigeminal nerve Motor nucleus of the trigeminal n.
Trigeminal ganglion V. Trigeminal nerve Motor nucleus of the trigeminal n. Potine nucleus of the trigeminal n. spinal nucleus of the trigeminal n. Trigeminal ganglion The motor fibers supplies the masticatory muscles, mylohyoid, anterior belly of digastric, tensor veli palatini and tensor tympani etc. The sensory fibers distributed to the skin of the face, the mucous membranes of the eye, tongue, oral cavity, nasal cavity and the paranasal sinuses as well as the teeth, the eyeball, the lacrimal gland and the meninges.
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ophthalmic n. Maxillary n. Trigeminal nerve Mandibular n. Frontal n.
Lacrimal n. Nasociliary n. ophthalmic n. Maxillary n. Mandibular n. Infraorbital n. Zygomatic n. Pterygopalatine n. Superior alveolar n. Trigeminal nerve Auriculotemporal n. Buccal n. Lingual n. Inferior alveolar n. The nerves of masticatory museles
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Ophthalmic n. Maxillary n. Mandibular n.
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VI. The abducent nerve Abducent nucleus Lateral rectus Abducent n.
Superior orbital fissure Abducent nucleus Lateral rectus Abducent n.
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Abducent n.
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VII. The facial nerve Facial nucleus Superior salivatory nucleus
The muscles of expression Facial nucleus The lacrimal gland The submandibular and sublingual glands and small glands in the mucous membrane of the nose and palate. Superior salivatory nucleus Pterygopalatine ganglion Submandibular ganglion Nucleus of the solitary tract Geniculete ganglion The taste buds on the anterior two-thirds of the tongue
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The branches of the facial nerve
① Chorda tympani n. ② Greater petrosal n. Braches within the facial canal Facial n. ① Temporal branches ② Zygomatic branches ③ Buccal branches ④ Marginal mandibular branch ⑤ Cervical branch Braches outside the facial canal
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VIII. Vestibulocochlear nerve
Facial nerve Cochlear ganglion Cochlear n. Vestibular ganglion Vestibular n. Vestibular nucleus Cochlear nucleus
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IX. Glossopharyngeal nerve
Supply or distribution: Origination: The stylopharyngeus, The parotid gland Nucleus ambiguus Inferior salivatory nucleus Otic ganglion The mucous membrane of the phartnx, the tonsils, the middle ear, the posterior 1/3 of the tongue, the carotid glomus and carotid sinus. Inferior ganglion Nucleus of the solitary tract Spinal nucleus of the trigeminal n. Superior ganglion The skin of the posterior surface of the auricle
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① Tympanic n. ② Carotid sinus branch ③ Lingual branches
The man branches of the glossophayngeal nerve Superior ganglion ① Tympanic n. ② Carotid sinus branch ③ Lingual branches ④ Pharyngeal branches Inferior ganglion Parotid gland Otic ganglion It srises from the inferior ganglion and enter the tympanic cavity to form the tympanic plexus which distributed to the mucous membrane of the middle ear.
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Inferior salivatory nucleus
Lesser petrosal n. Otic ganglion Parotid gland Inferior salivatory nucleus Tympanic n. Auriculotemporal n. The parasympathetic preganglionic fibers arises from the Inferior salivatory nucleus passe through the tympanic cavity and joins the otic ganglion. The postganglionic fibers supply the parotid gland.
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① Tympanic n. ② Carotid sinus branch ③ Lingual branches
The man branches of the glossophayngeal nerve Superior ganglion ① Tympanic n. ② Carotid sinus branch ③ Lingual branches ④ Pharyngeal branches Inferior ganglion Parotid gland Otic ganglion It distributed to the carotid glomus and the carotid sinus. They respond to the changes of either increased carbon dioxide tension or decreased oxygen tension in the blood, and to the changes of the arterial pressure reflexly. They contain the taste and general sensory visceral fibers, and distributed to the mucous membrane of the posterior 1/3 of the tongue. They supply the mucous membrane of the pharynx with sensory branches, the stylopharyngeus with motor branch.
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Lingual branches carotid sinus branch
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X. Vagus nerve Origination: Supply or distribution:
The striped muscle of the larynx and the pharynx Nucleus ambiguus Dorsal nucleus of vagus n. Intramural or paramural parasympathetic ganglia The smooth muscles, cardiac muscles and glands of the viscera in the thoracic and abdominal. The visceral of the neck, thorax and abdomen. Nucleus of the solitary tract Inferior ganglion Spinal nucleus of the trigeminal n. Superior ganglion The skin of the auricle and external acoustic meatus and cerebral dura mater. X. Vagus nerve
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The man branches of the vagus nerve
superior laryngeal n. cervical cardiac branches pharyngeal branch Branches in the neck: Branches in the thorax: recurrent laryngeal n. broncheal branches esophageal branches anterior gastric branches hepatic branches posterior gastric branches Celiac branches Branches in the abdomen:
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Cervical cardiac branches
Superior laryngeal n. Pharyngeal branch Cervical cardiac branches Recurrent laryngeal n. Broncheal branches Esophageal branches Hepatic branches Anterior gastric branches Celiac branches
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XI. Accessory nerve Nucleus ambiguus Accessory nucleus
Cranial root Nucleus ambiguus Accessory nucleus Vagus nerve Spinal root Accessory n. Cranial root join the vagus nerve to the muscles of the soft palate and intrinsic muscles of the larynx. Spinal root supplies the sternocleidomastoid and trapezius. Sternocleidomastoid Trapezius
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Hypoglossal n. Accessory n.
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XII. Hypoglossal nerve Hypoglossal nucleus
Supplies all the extrinsic and intrinsic muscles of the tongue Hypoglossal n.
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The nerves supply the tongue
1. Trigeminal n. (mucous membrane of the ant. 2/3 of the tongue) 2. Facial n. (the taste buds of the anterior 2/3 of the tongue) 3. Glossopharyngeal n. (the taste buds and the mucous membrane of the posterior 1/3 of the tongue) 4. Hypoglossal n. (lingual muscles)
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