Cranial nerve pathways

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Notes

Figure 1: Schematic summarizing the origin and general distribution of the cranial nerves.
Figure 2: Location of the branchial motor and somatic motor cranial nerve nuclei. 
Figure 3: Schematic showing the parasympathetic cranial nerve pathways. 
Figure 4: Somatic sensory pathway of the Trigeminal nerve (CN V). 
Figure 5: Schematic showing the cranial nerves that carry special sensory information.
Figure 6: Special sensory information: Visual pathway involving the optic nerve (CN II).
Figure 7: Special sensory information: Peripheral portion of the gustatory (taste) pathway involving the facial (CN VII), glossopharyngeal (CN IX) and vagus (CN X) nerves.
Figure 8: Special sensory information: Vestibulocochlear nerve (CN VIII) carries information related to hearing (cochlear n.) and head position and movement (vestibular n.).
Figure 9: Special sensory information: Olfactory pathway involving the olfactory nerve (CN I).
Cranial NerveSensory or motor? Components
Location of Neuronal Cell bodies
Olfactory nerve (CN I)
Sensory
Special Sensory
1st order neurons: Olfactory epithelium
Optic nerve (CN II)
Sensory
Special Sensory
1st order neurons: Retina
Oculomotor nerve (CN III)
Motor
Somatic Motor
Nucleus of Oculomotor nerve

Visceral Motor (Parasympathetic)


Preganglionic: Edinger-Westphal nucleus

Postganglionic: Ciliary ganglion

Trochlear nerve (CN IV)
Motor
Somatic Motor
Nucleus of Trochlear nerve
Trigeminal nerve (CN V)
Both
Somatic (Branchial) Motor
Motor nucleus of Trigeminal nerve
Somatic Sensory
1st order neurons: Trigeminal ganglion
Abducens nerve (CN VI)
Motor
Somatic Motor
Nucleus of Abducens nerve
Facial nerve (CN VII)
Both
Somatic (Branchial) Motor
Motor nucleus of Facial n.

Visceral Motor (Parasympathetic)


Preganglionic: superior salivatory nucleus

Postganglionic:

  • Pterygopalatine ganglion

  • Submandibular ganglion

Special Sensory

1st order neurons: Geniculate ganglion
Vestibulocochlear nerve (CN VIII)
Sensory
Special Sensory

1st order neurons: Vestibular ganglion & Cochlear (spiral) ganglion

Glossopharyngeal nerve (CN IX)
Both
Somatic (Branchial) Motor
Nucleus Ambiguus

Visceral Motor (Parasympathetic)


Preganglionic: Inferior Salivatory Nucleus

Postganglionic: Otic ganglion

Somatic Sensory

1st order neurons: Superior ganglion of Glossopharyngeal nerve

Visceral Sensory
1st order neurons:
Inferior (Petrosal) ganglion of
Glossopharyngeal nerve
Special Sensory
Vagus nerve (CN X)
Both
Somatic (Branchial) Motor
Nucleus Ambiguus

Visceral Motor (Parasympathetic)

Preganglionic: Dorsal Motor Nucleus of the Vagus n.

Postganglionic: Cardiac, pulmonary & myenteric ganglia

Somatic Sensory

1st order neurons: Superior Ganglion of Vagus nerve

Visceral Sensory
1st order neurons: Inferior Ganglion of Vagus nerve
Special Sensory
Accessory nerve (CN XI)
Motor
Somatic (Branchial) motor (cranial portion of nerve)
Nucleus Ambiguus
Somatic Motor (spinal portion of nerve)

Nucleus of Spinal Accessory nerve

Hypoglossal nerve (CN XII)
Motor
Somatic Motor
Nucleus of Hypoglossal nerve
UNLABELLED

Questions

USMLE® Step 1 style questions USMLE

of complete

A researcher is currently studying the anatomy of the cranial nerve nuclei and pathways. He identifies the dorsal motor nucleus, which sends autonomic fibers to the upper gastrointestinal tract, heart, and lungs. Which of the following reflects the cranial nerve associated with the dorsal motor nucleus?  

Transcript

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Not only are there 12 cranial nerves with unique functions, each cranial nerve also has its own unique pathway from where it begins to where it ends. All this information can surely make your brain explode, but we are going to break it down for you!

Simply put, cranial nerves connect centrally to cranial nerve nuclei which is where cranial motor nerves begin, or where cranial sensory nerves terminate. Remember, nerve fibers leaving the brain are considered efferent fibers, where nerves fibers entering the brain are considered afferent fibers. These centrally located nuclei contain the cell bodies of motor and sensory neurons of the cranial nerves, and the nuclei are where these neurons will synapse with the neurons of higher brain centers such as the thalamus and cerebral cortex.

So essentially, these nuclei act as a pit stop for the exchange of signals travelling between higher brain centers such as our cerebral cortex, to all of the structures our cranial nerves go on to innervate, ultimately facilitating the function of the cranial nerves. This is important as the cranial nerves will carry different types of motor and sensory information, so the nuclei help organize all this information.

In short, cranial nerves can carry two types of motor information, the first being somatic and branchial motor information, and the second being visceral motor or parasympathetic motor information. Then there are the three types of sensory information, the first being somatic sensory information, the second is visceral sensory information, and the third is special sensory information. So, we used the analogy before that cranial nerve pathways are like highways, so let’s talk about these highways and how they transmit the information carried along cranial nerves from the brain centrally to our head, neck, and body peripherally.

Let’s begin by talking about the cranial nerves that carry somatic motor fibers and branchial motor fibers, which eventually go on to innervate voluntary muscles. Of note, the difference between somatic and branchial motor is that branchial motor fibers are just fibers that innervate structures derived from the pharyngeal arches, which are also sometimes called the branchial arches.

Summary

Cranial nerve pathways are responsible for transmitting information between the brain and the rest of the body. They consist of different fibers carrying information from the brain and afferent fibers which carry information to the brain. Humans have twelve cranial nerves, each of which provides motor, sensory, or sympathetic innervation to a specific region of the head, face, and some visceral organs. Some of the most important functions that cranial nerves control include vision, hearing and balance, facial sensation, facial movement, swallowing, and vomiting.

Elsevier

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