(Redirected from Cranial nerve)
Cranial nerves
'Cranial nerves' are
nerves that emerge directly from the
brain in contrast to
spinal nerves which emerge from segments of the
spinal cord. Although thirteen cranial nerves in
humans fit this description, twelve are conventionally recognized. The nerves from the third onward arise from the
brain stem.
Except for the tenth and the eleventh nerve, they primarily serve the
motor and
sensory systems of the
head and neck region. However, unlike
peripheral nerves which are separated to achieve
segmental innervation, cranial nerves are divided to serve one or a few specific functions in wider anatomical territories.
Names of Nerves
The 12 pairs of cranial nerves are traditionally abbreviated by the corresponding
Roman numerals. They are numbered according to where their
nuclei lie in the brain stem, e.g. Cranial Nerve III (the Oculomotor nerve) leaves the brainstem at a higher position than Cranial nerve XII, whose origin is located more caudally (lower) than the other cranial nerves.
All cranial nerves except for the olfactory and optic nerves belong to the
peripheral nervous system, having axons that are
myelinated by
Schwann cells (myelinating cells of the peripheral nervous system) rather than
oligodendrocytes (myelinating cells of the central nervous system). The olfactory and optic nerves are named as such, but are technically not nerves, and are continuations of the
central nervous system.
'Note:' technically the ''accessory nerve'' splits into the ''spinal accessory nerve'' and the ''cranial accessory nerve'', but the latter quickly combines with the ''vagus nerve''.
| '#' | 'Name' | 'Nuclei' | 'Function' |
| 0 | Cranial nerve zero (''CN0 is not traditionally recognized.'')[1] | olfactory trigone, medial olfactory gyrus, and lamina terminalis | Still controversial New research indicates CN0 may play a role in the detection of pheromones [2][3] |
| I | Olfactory nerve | Anterior olfactory nucleus | Transmits the sense of smell |
| II | Optic nerve | Lateral geniculate nucleus | Transmits visual information to the brain |
| III | Oculomotor nerve | Oculomotor nucleus, Edinger-Westphal nucleus | Innervates the superior rectus, medial rectus, inferior rectus, and inferior oblique, which collectively perform most eye movements |
| IV | Trochlear nerve | Trochlear nucleus | Innervates the superior oblique muscle, which depresses, pulls laterally, and intorts the eyeball |
| V | Trigeminal nerve | Principal sensory trigeminal nucleus, Spinal trigeminal nucleus, Mesencephalic trigeminal nucleus, Trigeminal motor nucleus | Receives sensation from the face and innervates the muscles of mastication |
| VI | Abducent nerve (or ''abducens nerve'') | Abducens nucleus | Innervates the lateral rectus, which abducts the eye |
| VII | Facial nerve | Facial nucleus, Solitary nucleus, Superior salivary nucleus | Provides motor innervation to the muscles of facial expression and stapedius, receives the special sense of taste from the anterior 2/3 of the tongue, and provides secretomotor innervation to the salivary glands (except parotid) and the lacrimal gland |
| VIII | Vestibulocochlear nerve (or ''auditory-vestibular nerve'' or ''statoacustic nerve'') | Vestibular nuclei, Cochlear nuclei | Senses sound, rotation and gravity (essential for balance & movement) |
| IX | Glossopharyngeal nerve | Nucleus ambiguus, Inferior salivary nucleus, Solitary nucleus | Receives taste from the posterior 1/3 of the tongue, provides secretomotor innervation to the parotid gland, and provides motor innervation to the stylopharyngeus |
| X | Vagus nerve | Nucleus ambiguus, Dorsal motor vagal nucleus, Solitary nucleus | Supplies branchiomotor innervation to most laryngeal and pharyngeal muscles; provides parasympathetic fibers to nearly all thoracic and abdominal viscera down to the splenic flexure; and receives the special sense of taste from the epiglottis |
| XI | Accessory nerve (or ''cranial accessory nerve'' or ''spinal accessory nerve'') | Nucleus ambiguus, Spinal accessory nucleus | Controls muscles of the neck and overlaps with functions of the vagus |
| XII | Hypoglossal nerve | Hypoglossal nucleus | Provides motor innervation to the intrinsic muscles of the tongue and other glossal muscles |
Cranial nerves in non-human vertebrates
Human cranial nerves are
evolutionarily
homologous to those found in many other
vertebrates.
The
reptiles including
birds, and
mammals). Cranial nerves XI and XII evolved in the common ancestor to
amniotes (non-amphibian tetrapods) thus totalling twelve pairs. These characters are
synapomorphies for their respective
clades. In some primitive cartilagenous fishes, such as the
dogfish (''Squalos acanthos''), there is a terminal nerve numbered
zero (as it exits the brain before the first cranial nerve).
Mnemonic devices
As the list is important to keep in mind during the examination of the nervous system, there are many
mnemonic devices in circulation to help remember the names and order of the cranial nerves.
'O'n 'O'ld 'O'lympus' 'T'owering 'T'ops 'A' 'F'riendly 'V'iking 'G'rew 'V'ines 'a'nd 'H'ops
★ '''OL'd 'OP'ie 'OC'casionally 'TR'ies 'TRIG'onometry 'A'nd 'F'eels 'VE'ry 'GLO'omy, 'VAGU'e, 'A'nd 'HYPO'active''
★ 'O'n 'O'ccasion 'O'ur 'T'rusty 'T'ruck 'A'cts 'F'unny. 'V'ery 'G'ood 'V'ehicle 'A'ny 'H'ow.
★ '''O'n 'O'ld 'O'lympus' 'T'owering 'T'op 'A' 'F'inely 'V'ested 'G'erman 'V'iewed 'A' 'H'awk''
★ '''O'n 'O'ld 'O'lympus' 'T'owering 'T'op 'A' 'F'inn 'A'nd 'G'erman 'V'iewed 'S'ome 'H'ops''
★ 'O'nly 'O'n 'O'ccasion, 'T'ouching 'T'he 'A'morous 'F'emale 'V'irgin 'G'oat 'V'acillates 'A' 'H'and
★ 'OL'ympic 'OP'ium 'OC'cupies 'TR'oubled 'TR'iathletes 'A'fter 'F'inishing 'VE'gas 'G'ambling 'VA'cations 'S'till 'H'igh
★
★ (Note that the Vestibulocochlear nerve is referred to by its former name, 'A'uditory, in this mnemonic.)
★ '''Ol'iver the 'opti'mistic 'oc'topus 'tro'ts 'tri'umphantly 'ab'out 'faci'ng 'audi'ences 'gloss'ily 'vag'uely 'spin'ning 'hippo's.''
★
★ (Note that the accessory nerve is referred to by its alternate name 'S'pinal accessory nerve, and the Vestibulocochlear nerve by its former name, 'A'uditory, in this mnemonic.)
★ '''O'range 'o'rangutans 'o'ften 'tr'y 't'o 'a'void 'f'eeding 'a'ngry 'g'orillas 'v'ery 'a'ncient 'h'otdogs.''
★
★ (Note that the Vestibulocochlear nerve is referred to by its former name, 'A'uditory, in these mnemonics.)
★ '''OL'd 'OPTIC'ians 'OCC'asionally 'T'oo 'TR'y 'A'nd 'F'eel 'AUD'rey 'GLOSSO'p's 'VAG'ina 'AcH!'''
★ '''O'n 'O'ld 'O'lympus' 'T'ufted 'T'op 'A' 'F'at 'A'rmed 'G'erman 'V'iewed 'A'n 'H'op''
★ '''O'h, 'O'h, 'O'h 'T'o 'T'ouch 'A'nd 'F'eel 'V'arious 'G'irls' 'V'aginas 'A'nd 'H'ymens''
★ '''O'h, 'O'h, 'O'h 'T'o 'T'ouch 'A'nd 'F'eel a ''V'ery 'G'ungy' 'V'agina 'A'nd 'H'ymen''
★ '''O'h, 'O'h, 'O'h 'T'o 'T'ouch 'A'nd 'F'eel 'A' 'G'irl's 'V'agina 'A'nd 'H'ymen''
★
★ (Note that the Vestibulocochlear nerve is referred to by its former name, 'A'uditory, in this mnemonic.)
★ '''O'h 'O'h 'O'h 'T'o 'T'ouch 'A'nd 'F'eel 'V'ery 'G'ood 'V'elvet, 'A'h 'H'eaven'''
★ '''O'h, 'O'h, 'O'h, 'T'o 'T'ouch 'A'nd 'F'eel 'V'ery 'G'ood 'V'elvet. 'S'uch 'H'eaven!''
★
★ (Note that the accessory nerve is referred to by its alternate name 'S'pinal accessory nerve in this mnemonic.)
★ '''O'h, 'O'h, 'O'h, 'T'o 'T'ouch 'A'nd 'F'eel 'A' 'G'irl's 'V'agina, 'S'o 'H'ot!''
★ '''O'h, 'O'h, 'O'h, 'T'o 'T'ouch 'A'nd 'F'eel 'V'ery 'G'ross 'V'agina, 'S'o 'A'wesomely 'H'airy!''
★ '''O'oh, 'O'oh, 'O'oh 'T'opless 'T'iffany 'A'nd 'F'at 'V'alerie 'G'ot 'V'aginitis 'A'nd 'H'epatitis''
★ '''O'h 'O'nce 'O'ne 'T'akes 'T'he 'A'natomy 'F'inal 'V'ery 'G'ood 'V'acations 'A're 'H'eavenly''
★ '''OOO' 'T'ruely 'T'here 'A're 'F'ive 'V'ery 'G'orgeous 'V'ixens 'A'waiting 'H'im''
★ '''O'oh, 'O'oh, 'O'oh 'T'o 'T'ouch 'A'nd 'F'eel 'V'eronica's 'G'aping 'V'agina 'A'nd 'H'ymen''
★ '''O'h, 'O'h, 'O'h 'T'o 'T'ouch 'A'nd 'F'eel 'V'irgin 'G'irls' 'V'aginas 'A'nd 'H'ymens''
★ 'O'h, 'O'h, 'O'h, 'T'o 'T'ouch 'A' 'F'emales 'V'agina, 'G'ives 'V'erne 'A' 'H'ardon
★ 'O'nly 'O'lder 'O'ctogenarians 'T'hat 'T'ake 'A' 'F'ree 'V'iagra 'G'et 'V'ery 'A'roused 'H'ere
★ 'O'h, 'O'h, 'O'nward 'T'hrough 'T'he 'A'iry 'F'acade 'V'iewing 'G'orgeous 'V'ixens 'A'cessorizing 'H'opelessly
★ You have '1' nose, '2' eyes, and '3,4,6' makes my eyes do tricks!
★ Another to help remember the types of information these nerves carry (sensory, motor, or both) is thus:
★ '''S'ome 'S'ay 'M'oney 'M'atters, 'B'ut 'M'y 'B'rother 'S'ays 'B'ig 'B'rains 'M'atter 'M'ore.''
★ '''S'ome 'S'ay 'M'arry 'M'oney, 'B'ut 'M'y 'B'rother 'S'ays 'B'ad 'B'usiness 'M'arry 'M'oney.''
★ '''S'ome 'S'ay 'M'arry 'M'oney, 'B'ut 'M'y 'B'rother 'S'ays 'B'ig 'B'rains 'M'atter 'M'ore.''
★ '''S'ome 'S'ay 'M'arry 'M'oney, 'B'ut 'M'y 'B'rother 'S'ays 'B'ig 'B'oobs 'M'atter 'M'ore.''
★ '''S'ome 'S'ay 'M'arry 'M'oney, 'B'ut 'M'y 'B'rother 'S'ays 'B'ig 'B'utts 'M'atter 'M'ore.''
★ '''S'mall 'S'hips 'M'ake 'M'oney, 'B'ut 'M'y 'B'rother 'S'ays 'B'ig 'B'oats 'M'ake 'M'ore.''
★ '' 'S'ome 'S'ay 'M'arilyn 'M'onroe, 'B'ut 'M'y 'B'rother 'S'ays 'B'ridgette 'B'ardot 'M'mmm 'M'mmmm.''
★ '' 'S'ome 'S'tudents 'M'ake 'M'ore 'B's 'M'ore 'B'oys 'S'ay 'B's 'B'ring 'M'ore 'M'aster.''
★ '' 'S'ome 'S'ay 'M'arry 'M'oney 'B'ut 'M'y 'B'rother 'S'ays 'B'e 'B'rave 'M'arry 'M'erry.''
See also
★
Cranial nerve nucleus
External links
★
Examination of the cranial nerves -
University of Toronto Medicine
★
★
CN Medical Notes on rahulgladwin.com
References
1. Fuller GN, Burger PC. "Nervus terminalis (cranial nerve zero) in the adult human." ''Clin Neuropathol'' 9, no. 6 (Nov-Dec 1990): 279-283.
2. Merideth, Michael. "Human Vomeronasal Organ Function." ''Oxford Journals: Chemical Senses'', 2001.
3. Fields, R. Douglas. "Sex and the Secret Nerve." ''Scientific American Mind'', February 2007.