Cranial Nerves
There are twelve cranial nerves
altogether. These are twelve pairs of nerve tissue that arise from
the brain itself, rather than the spinal cord. In order to innervate
their target organs, they must exit/enter the cranium through
openings in the skull (cranium). Hence, they are called cranial
nerves.
The nerves that arise from the spinal cord are called spinal
nerves.
What is the function of the cranial nerves?
They play a very important role indeed.
The first cranial nerve is the olfactory nerve. It is an entirely
sensory nerve. There are specialised sensory receptive parts of the
olfactory nerve which are located in the olfactory mucosa (a layer)
of the upper parts of your nose.
During breathing, air molecules attach to the olfactory mucosa and
stimulate the olfactory receptors. Olfactory bulb cells then transmit
electrical activity to other parts of the central nervous system via
the olfactory tract. The smell that you are trying to identify is
then interpreted by the brain.
That’s why when you have a cold, you lose your sense of smell.
The second cranial nerve is the optic nerve.
The optic nerve starts from the cells of your retina inside your
eye, where images that you see from the outside world are projected
upside down. The cells then transmit the signals to your brain via
the optic nerve.
The optic nerve and tract has quite a complicated pathway.
Anything that happens to this pathway (such as a tumour pressing the
optic chiasm where the nerve fibres cross) will result in a certain
part of an image (such as a vertical half of an image from one eye
or the other, or even both) deleted from your vision.
The brain will then interpret what you are seeing. The part of the
brain that does this is the occipital lobe, the back portion.
Does the 3rd cranial
nerve have something to do with movements of the eye?
Yes. Vision itself is transmitted
through the 2nd cranial nerve, but the eye also has to move up and
down and sideways. The 3rd cranial nerve is called the oculomotor
nerve.
This nerve is in charge of supplying the levator palpebrae
superioris, which lifts your upper eyelid. It also supplies the
superior rectus (moving your eye upward and inward, as in trying to
look towards the inner contours of your eyebrow), medial rectus (
moving your eye inward towards the tip of your nose), inferior
rectus (downward and inward) and inferior oblique (moving your eye
upward and outward) muscles of the eye.
The 3rd cranial nerve also has an autonomic component that
constricts your pupils.
A patient with a 3rd nerve palsy will then fail to raise his upper
eyelid (ptosis), fail in all the movements of the eye described
above and have a dilated pupil in the affected eye.
The 4th cranial nerve (trochlear nerve) innervates the superior
oblique muscle of the eye, which is responsible for turning the eye
outwards and downward.
The 6th cranial nerve (abducens nerve) is responsible for the
lateral rectus muscle, which turns the eye outward. Naturally, a
person with this palsy has a failure to look to his affected side.
Description of the 5th and 7th cranial
nerves? Are they large.
Yes. The 5th (trigeminal) nerve is
composed of three large branches – ophthalmic (V1), maxillary (V2)
and mandibular (V3) branches.
The ophthalmic branch is responsible for the sensation of the
cornea and the area of skin from your forehead to your eyelids. The
maxillary division gives sensation to the part of your face over the
maxilla, nose, teeth of your upper jaw and palate. The mandibular
branch takes care of your cheek, jaw, side of head and whether your
first 2/3 of your tongue feels any pain/hot/cold.
The mandibular branch is also responsible for the muscles of
chewing.
The 7th (facial nerve) is a very long nerve and partial to
injury. It supplies the muscles for facial expression – furrowing
your brow, closing your eye, smiling, puffing out your cheeks. It
also supplies the taste component for the first 2/3rds of your
tongue.
If any part of this nerve is affected, you won’t be able to
close your eye on the affected side, furrow your brow or smile.
Which is the nerve responsible for
hearing?
The 8th (vestibulocochlear) nerve.
True to its name, it has two main branches. The vestibular part is
responsible for the position and movement of the head. The cochlear
part is for hearing.
Next we come to the nerves arising from the brainstem.
The 9th (glossopharyngeal) nerve assists in swallowing. It also
supplies the sensation and taste for the last 1/3 (back) part of
your tongue.
The 10th (vagus) nerve is the largest nerve in the body. It
supplies your pharynx (in charge of constricting your throat), your
larynx (voice box), the involuntary musculature of your bronchi
inside your lungs, your heart, your intestinal tract, your liver and
pancreas.
The 11th (accessory) nerve supplies the muscles of your soft
palate, pharynx and larynx and the great neck muscles.
The 12th (hypoglossal) nerve supplies the muscles that move your
tongue.
|