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Cranial nerves

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Gray's Fig. 686 - Upper part of medulla spinalis and hind- and mid-brains; posterior aspect, exposed in situ. (Illustrates several, though not all, of the cranial nerves.)
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Gray's Fig. 686 - Upper part of medulla spinalis and hind- and mid-brains; posterior aspect, exposed in situ. (Illustrates several, though not all, of the cranial nerves.)

Cranial nerves are nerves that emerge from the brainstem instead of the spinal cord.

Names of nerves

In human anatomy, there are 12 pairs of cranial nerves, traditionally abbreviated by the corresponding Roman numerals. They are numbered according to where their nucleii lie in the brain stem, i.e Cranial Nerve I (the Olfactory nerve) leaves the brainstem at a higher position then 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.

| I | II | III | IV | V | VI | VII | VIII | IX | X | XI | XII
# Name Nuclei
Olfactory nerve Anterior olfactory nucleus
Optic nerve Lateral geniculate nucleus
Oculomotor nerve Oculomotor nucleus, Edinger-Westphal nucleus
Trochlear nerve Trochlear nucleus
Trigeminal nerve Principal sensory trigeminal nucleus, Spinal trigeminal nucleus, Mesencephalic trigeminal nucleus, Trigeminal motor nucleus
Abducent nerve (or abducens nerve) Abducens nucleus
Facial nerve (VII) Facial nucleus, Solitary nucleus, Superior salivary nucleus
Vestibulocochlear nerve (or auditory nerve) Vestibular nuclei, Cochlear nuclei
Glossopharyngeal nerve Nucleus ambiguus, Inferior salivary nucleus, Solitary nucleus
Vagus nerve Nucleus ambiguus, Dorsal motor vagal nucleus, Solitary nucleus
Accessory nerve (or cranial accessory nerve or spinal accessory nerve) Nucleus ambiguus, Spinal accessory nucleus
Hypoglossal nerve Hypoglossal nucleus

Cranial nerves in non-human vertebrates

Human cranial nerves are evolutionarily homologous to those found in many other vertebrates. The first ten pairs of cranial nerves arose in the common ancestor of tetrapods (amphibians, 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 0 (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.

See mnemonic for more mnemonic devices to aid remembering the cranial nerves.

Thirteen cranial nerves?

Although twelve nerves are classically described in humans, there is a theory that finds favour with some authors, that humans really have thirteen cranial nerves (Andy Lelli , 1999). If the C1 spinal nerve were considered the thirteenth cranial nerve, C2 through C8 would be renamed as the first through seventh cervical nerves (though anatomists might change the term 'cervical' to 'nuchal' or some other term to avoid confusion between the two nomenclatures). This would make the numbering system consistent all the way through the spinal column - every nerve would exit below its corresponding vertebra, and the number of vertebrae would equal the number of spinal nerves.

Alternatively, C1 could be considered the spinal root of the hypoglossal nerve (CN XII). This would, again, make the numbering system consistent.

See also

External links

Major nerves (also see Peripheral nervous system)
Cranial nerves: I olfactory | II optic | III oculomotor | IV trochlear | V trigeminal | V1 ophthalmic (lacrimal, frontal, supratrochlear, supraorbital, nasociliary, ciliary ganglion) | V2 maxillary (sphenopalatine ganglion) | V3 mandibular (buccal - auriculotemporal - lingual - inferior alveolar - otic ganglion) | VI abducens | VII facial (chorda tympani, nervus intermedius) | VIII vestibulocochlear (cochlear, vestibular) | IX glossopharyngeal | X vagus (recurrent laryngeal, Alderman's nerve) | XI accessory | XII hypoglossal

Posterior spinal nerves: greater occipital

C1-C4 - Cervical plexus: lesser occipital | greater auricular | lesser auricular | phrenic | ansa cervicalis

C5-C8, T1 - Brachial plexus: supraclavicular branches (dorsal scapular, suprascapular, long thoracic) | lateral cord (musculocutaneous, lateral antibrachial cutaneous, lateral head of median nerve) | medial cord (ulnar, medial head of median nerve, medial antibrachial cutaneous, medial brachial cutaneous) | posterior cord (axillary, radial)

T2-T11: intercostal

T12, L1-L5 - Lumbar plexus: iliohypogastric | ilioinguinal | genitofemoral | lateral femoral cutaneous | femoral | obturator

S1-S4 - Sacral plexus: gluteal | posterior femoral cutaneous | tibial | sciatic | sural | common peroneal

S2-S5 - Pudendal plexus: perforating cutaneous | pudendal | visceral | muscular | anococcygeal

 


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