Atlas of Human Anatomy by Netter

(Darren Dugan) #1
SVE (motor to muscles of pharynx/larynx)
XI Spinal
accessory nerve

SVE (motor to 2 muscles) Jugular foramen

XII Hypoglossal
nerve

GSE (motor to tongue muscles) Hypoglassal canal

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In general, CN I and II arise from the forebrain and are really tracts of the brain for the special senses of smell and sight. CN III, IV, and VI move the
extraocular skeletal muscles of the eyeball. CN V has three divisions: V 1 and V 2 are sensory, and V 3 is both motor to skeletal muscle and sensory.


CN VII, IX and X are both motor and sensory. CN VIII is the special sense of hearing and balance. CN XI and XII are motor to skeletal muscle. CN III,
VII, IX and X also contain parasympathetic fibers of origin (visceral), although many of the ANS fibers will "jump" onto the branches of CN V to reach
their targets. The following table summarizes the types of fibers in each cranial nerve and where each passes through the cranium:


Cranial nerves emerge through foramina or fissures in the cranium
Twelve pairs
Numbered in order of origin from the brain and brain stem, rostral to caudal
Contain one or more of six different types of fibers
Motor fibers to voluntary muscles
Somatic motor fibers to striated muscles (1)
a. Orbit
b. Tongue
c. Neck (sternocleidomastoid and trapezius)
Branchial motor (or special visceral efferent fibers) to striated muscles derived from pharyngeal arches (example: muscles of
mastication) (2)
Motor fibers to involuntary muscles = general visceral efferent (parasympathetic fibers) (3)
Sensory fibers
General visceral afferent fibers (4)
a. Carry sensation from viscera
b. Originate in carotid body, sinus, heart, lungs, and gastrointestinal tract
General somatic afferent fibers carrying pain, pressure, temperature, touch information (5)
Special sensory afferent fibers conveying taste, smell, vision, hearing, and balance (6)
Can be sensory, motor, or mixed

Sensory Innervation of the Dura


Dura of the cranial fossae innervated by meningeal branches of cranial and cervical nerves
Anterior cranial fossa
Anterior meningeal branches of the ethmoidal nerves from ophthalmic nerves (CNV 1 )
Meningeal branches of the maxillary nerves (cranial nerve [CN] V 2 )
Meningeal branches of the mandibular nerves (CN V 3 )
Middle cranial fossa
Meningeal branches of the maxillary nerves (CN V 2 )
Meningeal branches of the mandibular nerves (CN V 3 )
Posterior cranial fossa
Tentorial nerve from ophthalmic nerve (CN V 1 )
Meningeal branches directly from C2 and C3 spinal nerves or carried by CN X (vagus) or CN XII (hypoglossal)

Cervical Plexus
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Formed from anterior rami of C1-C4 spinal nerves
Consists of a series of loops and branches from the loops
Lies deep to sternocleidomastoid (SCM) and anteromedial to levator scapulae and middle scalene muscles
Cutaneous branches of the cervical plexus
Emerge from posterior border of SCM
Nerves from loop formed between anterior rami of C2 and C3
Lesser occipital (C2) to skin of neck and scalp posterior to auricle
Great auricular (C2 and C3) to skin over parotid gland, mastoid process, auricle, and between angle of mandible and
mastoid process
Transverse cervical nerve (C2 and C3) to skin over anterior cervical region
Supraclavicular nerves
Arise from C3-C4 loop
Emerge from under SCM
Supply skin over clavicle, superior thoracic wall, and shoulder
Motor branches
Are considered deep branches
Innervate prevertebral muscles
Sternocleidomastoid (C2 and C3)
Trapezius (C3 and C4)
Levator scapulae (C3 and C4)
Motor fibers from C1 travel with hypoglossal nerve
Some C1 fibers leave hypoglossal nerve and innervate
a. Thyrohyoid muscle
b. Geniohyoid muscle
Rest leave the hypoglossal as its descending branch
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