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Cranial Nerves: Overview

Cranial Nerves: Overview

Cranial Nerves

There are 12 pairs of cranial nerves, and, each cranial nerve is designated by a number and a name.

The functional components of cranial nerves consists of 7 columns, that breaks up into smaller fragments to form nuclei of the cranial nerves.

Columns


The grey matter in the spinal cord differentiates into 2 somatic and 2 visceral functional columns. In addition, there are 2 more columns for the branchial apparatus of the head region and 1 column for the special sense.

  • Somatic columns: General somatic efferent (motor or anterior horn) & General somatic afferent (sensory or posterior horn). These supply the structures derived from somites.
  • Visceral columns: General visceral efferent (motor) & General visceral afferent (sensory). These are autonomic columns and supply the viscera, vessels and glands.
  • Columns for Branchial apparatus: Special visceral (branchial) efferent & Special visceral afferent.
  • Column for special sense: Special somatic afferent.

Nuclei


Nuclei of the cranial nerves, along with their location are as under:

General Somatic Efferent Nuclei

  • Oculomotor nucleus: Midbrain at the level of superior colliculus.
  • Trochlear nucleus: Midbrain at the level of inferior colliculus.
  • Abducent nucleus: Lower part of pons.
  • Hypoglossal nucleus: Medulla.

Special Visceral Efferent/Branchial Efferent Nuclei

  • Motor nucleus of trigeminal nerve: Upper part of the pons.
  • Nucleus of facial nerve: Lower part of the pons.
  • Nucleus ambiguus: Medulla.

General Visceral Efferent Nuclei

  • Edinger-Westphal nucleus: Midbrain in close relation to the oculomotor nucleus.
  • Lacrimatory nucleus: Lower pons near the salivatory nuclei.
  • Superior salivatory nucleus: Lower part of the pons.
  • Inferior salivatory nucleus: Lower part of the pons.
  • Dorsal nucleus of the vagus nerve: Medulla.

Nucleus of solitary tract (tractus solitarius): Medulla

  • Special Visceral Afferent Nucleus (Upper part)
  • General Visceral Afferent Nucleus (Lower part)

General Somatic Afferent Nuclei

  • Main/Superior sensory nucleus of the trigeminal nerve: Upper part of the pons.
  • Spinal nucleus of the trigeminal nerve: Descends from the main nucleus into the medulla.
  • Mesencephalic nucleus of the trigeminal nerve: Extends upwards from the main sensory nucleus into the midbrain.

Special Somatic Afferent Nuclei

  • Cochlear nuclei (dorsal and ventral): Junction of medulla and pons.
  • Vestibular nuclei (superior, spinal, medial and lateral): Junction of medulla and pons.

Cranial Nerves


I. Olfactory nerve: Nasal cavity (Smell).

II. Optic nerve: Eye (vision).

III. Oculomotor nerve: Ciliary muscles, sphincter pupillae and extraocular muscles except superior orbital and lateral rectus.

IV. Trochlear nerve: SO muscle.

V. Abducent nerve: LR muscle.

VI. Trigeminal nerve: Sensory - face, motor - muscles of mastication.

VII. Facial nerve: Muscles of face, posterior belly of digastric, stylohyoid, auricularis muscles, stapedius and platysma.

VIII. Vestibulocochlear nerve: Cochlear (hearing), Vestibular (balance).

IX. Glossopharyngeal nerve: Taste- Posterior 1/3rd of tongue, Sensory- Tonsil, pharynx, middle ear. Motor- Stylopharyngeus, Parotid gland.

X. Vagus nerve (+ Cranial root of accessory nerve): Motor- Heart, Lungs, palate, pharynx, larynx, trachea, bronchi, and GI tract. Sensory- Heart, lungs, trachea, bronchi, larynx, pharynx, GI tract up to right 2/3rd of transverse colon and external ear.

XI. Accessory nerve (Spinal root): Sternocleidomastoid and trapezius muscles.

XII. Hypoglossal nerve: Tongue muscles, Strap muscles (C1 fibres).