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Ch 15 Brain and Cranial Nerves.pdf - Faculty.piercecollege.edu

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<strong>Ch</strong>apter 1 <strong>15</strong> Lecture<br />

<strong>Ch</strong>apter <strong>15</strong><br />

The Nervous System:<br />

The <strong>Brain</strong> <strong>and</strong> <strong>Cranial</strong> <strong>Nerves</strong><br />

Copyright © 2005 Pearson Education, Inc., publishing as Benjamin Cummings<br />

HUMAN ANATOMY<br />

Fifth Edition<br />

Frederic Martini<br />

Michael Timmons<br />

Robert Tallitsch


The Ventricles of the <strong>Brain</strong><br />

Figure <strong>15</strong>.2a Lateral View Figure <strong>15</strong>.2c Anterior View


The <strong>Cranial</strong> Meninges<br />

Figure <strong>15</strong>.3a Lateral View Figure <strong>15</strong>.3b Superior View


The <strong>Cranial</strong> Meninges<br />

Figure <strong>15</strong>.3c Midsagittal View


The <strong>Cranial</strong> Meninges<br />

Figure <strong>15</strong>.4a Superior Cut away


The <strong>Cranial</strong> Meninges<br />

Figure <strong>15</strong>.4b,c Coronal Section


The Cerebrospinal Fluid<br />

<strong>and</strong> <strong>Ch</strong>oroid Plexus<br />

Figure <strong>15</strong>.5b The <strong>Ch</strong>oroid Plexus <strong>and</strong> Blood–<strong>Brain</strong> Barrier


The Cerebrospinal Fluid<br />

<strong>and</strong> <strong>Ch</strong>oroid Plexus<br />

Figure <strong>15</strong>.6 Circulation of Cerebrospinal Fluid


The Cerebrum<br />

Figure <strong>15</strong>.8a,b The Cerebral Hemispheres, Superior <strong>and</strong> Anterior Views


The Cerebrum<br />

Figure <strong>15</strong>.8c Posterior View Figure <strong>15</strong>.9a Lateral View


Functions of the Cerebrum<br />

Table <strong>15</strong>.2 The Cerebral Cortex


Motor <strong>and</strong> Sensory Areas<br />

of the Cerebral Cortex<br />

Figure <strong>15</strong>.9b Functional Areas of the Cortex


Central White Matter of the <strong>Brain</strong><br />

Figure <strong>15</strong>.10a Lateral View Figure <strong>15</strong>.10b Anterior View


Basal Nuclei<br />

Figure <strong>15</strong>.11b,c Coronal View


Basal Nuclei<br />

Figure <strong>15</strong>.11d,e Horizontal View


The Limbic System<br />

Figure <strong>15</strong>.12a Lateral View Figure <strong>15</strong>.12b Close up


Sectional View Inside the <strong>Brain</strong>:<br />

The Diencephalon<br />

Figure <strong>15</strong>.13a Midsagittal View


Sectional View Inside the <strong>Brain</strong>:<br />

The Diencephalon<br />

Figure <strong>15</strong>.13b Coronal Section


The Diencephalon: Thalamus<br />

Figure <strong>15</strong>.14 The Thalamus, Lateral <strong>and</strong> Deep Views


The Diencephalon: Hypothalamus<br />

Figure <strong>15</strong>.<strong>15</strong>b Deep View Table <strong>15</strong>.7 The Hypothalamus


The Mesencephalon<br />

Figure <strong>15</strong>.16a Lateral View Figure <strong>15</strong>.16c Posterior View


The Pons<br />

Figure <strong>15</strong>.18 The Pons


The Cerebellum<br />

Figure <strong>15</strong>.19a Posterior, Superior Surface


The Cerebellum<br />

Figure <strong>15</strong>.19b Sagittal Section of Cerebellum


The M<strong>edu</strong>lla Oblongata<br />

Figure <strong>15</strong>.20a Anterior View Figure <strong>15</strong>.20b Posterior View


The <strong>Cranial</strong> <strong>Nerves</strong><br />

• <strong>Cranial</strong> nerves are components of the<br />

peripheral nervous system that connect to<br />

the brain rather than to the spinal cord.<br />

– There are twelve pairs of cranial nerves.<br />

– <strong>Cranial</strong> nerves are numbered using Roman<br />

numerals.<br />

• Each cranial nerve attaches to the brain<br />

near the associated sensory or motor<br />

nuclei.


The Origins of the <strong>Cranial</strong> <strong>Nerves</strong><br />

Figure <strong>15</strong>.21a Inferior View


The Olfactory Nerve (N I)<br />

• Primary function:<br />

– Special sensory (smell)<br />

• Origin:<br />

– Receptors of olfactory epithelium<br />

Figure <strong>15</strong>.22 The Olfactory Nerve


The Olfactory Nerve (N I)<br />

• Passes through:<br />

– Cribriform plate of ethmoid<br />

• Destination:<br />

– Olfactory bulbs<br />

Figure <strong>15</strong>.22 The Olfactory Nerve


The Optic Nerve (N II)<br />

• Primary function:<br />

– Special sensory (vision)<br />

• Origin:<br />

– Retina of eye<br />

• Passes through:<br />

– Optic canal of sphenoid<br />

• Destination:<br />

– Diencephalon by way of the optic chiasm


The Optic Nerve (N II)<br />

Figure <strong>15</strong>.23 The Optic Nerve


The Oculomotor Nerve (N III)<br />

• Primary function:<br />

– Motor, eye movements<br />

• Origin:<br />

– Mesencephalon<br />

• Passes through:<br />

– Superior orbital fissure of sphenoid


The Oculomotor Nerve (N III)<br />

• Destination:<br />

– Somatic motor:<br />

• Superior, inferior, <strong>and</strong> medial rectus muscles; the<br />

inferior oblique muscle; the levator palpebrae<br />

superioris muscle<br />

– Visceral motor:<br />

• Intrinsic eye muscles


The Oculomotor Nerve (N III)<br />

Figure <strong>15</strong>.24 The Oculomotor Nerve


The Trochlear Nerve (N IV)<br />

• Primary function:<br />

– Motor, eye movements<br />

• Origin:<br />

– Mesencephalon<br />

• Passes through:<br />

– Superior orbital fissure of sphenoid<br />

• Destination:<br />

– Superior oblique muscle


The Trochlear Nerve (N IV)<br />

Figure <strong>15</strong>.24 The Trochlear Nerve


The Trigeminal Nerve (N V)<br />

• Primary function:<br />

– Mixed (sensory <strong>and</strong> motor)<br />

– Ophthalmic <strong>and</strong> maxillary branches sensory<br />

– M<strong>and</strong>ibular branch mixed


The Trigeminal Nerve (N V)<br />

• Origin:<br />

– Ophthalmic branch (sensory):<br />

• Orbital structures, nasal cavity, skin of forehead,<br />

superior eyelid, eyebrow, <strong>and</strong> part of the nose<br />

– Maxillary branch (sensory):<br />

• Inferior eyelid, upper lip, gums, <strong>and</strong> teeth; cheek;<br />

nose, palate, <strong>and</strong> part of the pharynx<br />

– M<strong>and</strong>ibular branch (mixed):<br />

• Sensory from lower gums, teeth, <strong>and</strong> lips; palate<br />

<strong>and</strong> tongue (part); motor from motor nuclei of pons


The Trigeminal Nerve (N V)<br />

• Passes through:<br />

– Ophthalmic branch through superior orbital<br />

fissure<br />

– Maxillary branch through foramen rotundum<br />

– M<strong>and</strong>ibular branch through foramen ovale<br />

• Destination:<br />

– Ophthalmic, maxillary, <strong>and</strong> m<strong>and</strong>ibular<br />

branches to sensory nuclei in the pons<br />

– M<strong>and</strong>ibular branch also innervates muscles of<br />

mastication


The Trigeminal Nerve (N V)<br />

Figure <strong>15</strong>.25 The Trigeminal Nerve


The Abducens Nerve (N VI)<br />

• Primary function:<br />

– Motor, eye movements<br />

• Origin:<br />

– Pons<br />

• Passes through:<br />

– Superior orbital fissure of sphenoid<br />

• Destination:<br />

– Lateral rectus muscle


The Abducens Nerve (N VI)<br />

Figure <strong>15</strong>.2 The Abducens Nerve


The Facial Nerve (N VII)<br />

• Primary function:<br />

– Mixed (sensory <strong>and</strong> motor)<br />

• Origin:<br />

– Sensory from taste receptors on anterior twothirds<br />

of tongue<br />

– Motor from motor nuclei of pons<br />

• Passes through:<br />

– Internal acoustic meatus of temporal bone,<br />

along facial canal to reach stylomastoid<br />

foramen


The Facial Nerve (N VII)<br />

• Destination:<br />

– Sensory to sensory nuclei of pons<br />

– Somatic motor: muscles of facial expression<br />

– Visceral motor: lacrimal (tear) gl<strong>and</strong> <strong>and</strong> nasal<br />

mucous gl<strong>and</strong>s via pterygopalatine ganglion;<br />

subm<strong>and</strong>ibular <strong>and</strong> sublingual salivary gl<strong>and</strong>s<br />

via subm<strong>and</strong>ibular ganglion


The Facial Nerve (N VII)<br />

Figure <strong>15</strong>.26 The Facial Nerve


The Vestibulocochlear Nerve (N VIII)<br />

• Primary function:<br />

– Special sensory:<br />

• Origin:<br />

• Balance <strong>and</strong> equilibrium (vestibular branch) <strong>and</strong><br />

hearing (cochlear branch)<br />

– Receptors of the inner ear (vestibule <strong>and</strong><br />

cochlea)<br />

• Passes through:<br />

– Internal acoustic meatus of the temporal bone


The Vestibulocochlear Nerve (N VIII)<br />

• Destination:<br />

– Vestibular <strong>and</strong> cochlear nuclei of pons <strong>and</strong><br />

m<strong>edu</strong>lla oblongata


The Vestibulocochlear Nerve (N VIII)<br />

Figure <strong>15</strong>.27 The Vestibulocochlear Nerve


The Glossopharyngeal Nerve (N IX)<br />

• Primary function:<br />

– Mixed (sensory <strong>and</strong> motor)<br />

• Origin:<br />

– Sensory from posterior one-third of the<br />

tongue, part of the pharynx <strong>and</strong> palate, the<br />

carotid arteries of the neck<br />

– Motor from motor nuclei of m<strong>edu</strong>lla oblongata<br />

• Passes through:<br />

– Jugular foramen between occipital <strong>and</strong><br />

temporal bones


The Glossopharyngeal Nerve (N IX)<br />

• Destination:<br />

– Sensory fibers to sensory nuclei of m<strong>edu</strong>lla<br />

oblongata<br />

– Somatic motor:<br />

• Pharyngeal muscles involved in swallowing<br />

– Visceral motor:<br />

• Parotid salivary gl<strong>and</strong>, after synapsing in the otic<br />

ganglion


The Glossopharyngeal Nerve (N IX)<br />

Figure <strong>15</strong>.28 The Glossopharyngeal Nerve


The Vagus Nerve (N X)<br />

• Primary function:<br />

– Mixed (sensory <strong>and</strong> motor)<br />

• Origin:<br />

– Visceral sensory from pharynx (part), auricle,<br />

external acoustic meatus, diaphragm, <strong>and</strong><br />

visceral organs in thoracic <strong>and</strong><br />

abdominopelvic cavities<br />

– Visceral motor from motor nuclei in the<br />

m<strong>edu</strong>lla oblongata


The Vagus Nerve (N X)<br />

• Passes through:<br />

– Jugular foramen between occipital <strong>and</strong><br />

temporal bones<br />

• Destination:<br />

– Sensory fibers to sensory nuclei <strong>and</strong><br />

autonomic centers of m<strong>edu</strong>lla oblongata<br />

– Somatic motor to muscles of the palate <strong>and</strong><br />

pharynx<br />

– Visceral motor to respiratory, cardiovascular,<br />

<strong>and</strong> digestive organs in the thoracic <strong>and</strong><br />

abdominal cavities


The Vagus Nerve (N X)<br />

Figure <strong>15</strong>.29 The Vagus Nerve


The Accessory Nerve (N XI)<br />

• Primary function:<br />

– Motor<br />

• Origin:<br />

– Motor nuclei of spinal cord <strong>and</strong> m<strong>edu</strong>lla<br />

oblongata<br />

• Passes through:<br />

– Jugular foramen between occipital <strong>and</strong><br />

temporal bones


The Accessory Nerve (N XI)<br />

• Destination:<br />

– Internal branch innervates voluntary muscles<br />

of palate, pharynx, <strong>and</strong> larynx<br />

– External branch controls sternocleidomastoid<br />

<strong>and</strong> trapezius muscles


The Accessory Nerve (N XI)<br />

Figure <strong>15</strong>.30 The Accessory Nerve


The Hypoglossal Nerve (N XII)<br />

• Primary function:<br />

– Motor, tongue movements<br />

• Origin:<br />

– Motor nuclei of the m<strong>edu</strong>lla oblongata<br />

• Passes through:<br />

– Hypoglossal canal of occipital bone<br />

• Destination:<br />

– Muscles of the tongue


The Hypoglossal Nerve (N XII)<br />

Figure <strong>15</strong>.30 The Hypoglossal Nerve

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