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Cranium

From Surgopaedia

Layers of head

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  • Skin
  • Subcutaneous fat
  • Skull
    • Outer table
    • Diploe
    • Inner table
  • Dura mater
    • Fused to periosteum
  • Brain

Cranial nerves

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For anatomical path, see 'nerves' under 'Neck' section

No. Name Sensory/motor Origin/target Exit path Function Exam
I Olfactory Sensory Smell from nasal cavity Smell
II Optic Sensory Retinal ganglion cells Optic canal Vision from retina to brain VA, visual fields
III Oculomotor Mainly motor Anterior midbrain Superior orbital fissure EOM except LR and SO; pupillary constriction EOM
IV Trochlear Motor Dorsal midbrain Superior orbital fissure SO (depress, abduct and intort the eyeball) EOM
V Trigeminal Both Pons V1 - ophthalmic - SOF.


V2 - maxillary - foramen rotundum.


V3 (and lingual nerve) - mandibular - foramen ovale.

Sensation from face, mouth and nasal cavity, muscles of mastication Sensation
VI Abducents Motor Pons Superior orbital fissure LR - abducts EOM
VII Facial Both Pons Stylomastoid foramen Motor to facial expression, posterior digastric, stylohyoid, stapedius. Chorda tympani: taste from anterior 2/3 tongue and secretomotor innervation to lacrimal glands and submandibular/lingual glands. Expression
VIII Vestibulocochlear Sensory Internal acoustic canal Sensation of sound, rotation and gravity. Hearing
IX Glossopharyngeal Both Medulla Jugular foramen Taste from posterior 1/3 tongue, secretomotor to parotid, motor to stylopharyngeus. Afferent for gag reflex
X Vagus Both Posterolateral sulcus of medulla Jugular foramen Most laryngeal/pharyngeal muscles and sensation. PNS to nearly all thoracic and abdominal viscera. Efferent for gag reflex
XI Spinal accessory Motor Jugular foramen SCM and trapezius Movement
XII Hypoglossal Motor Medulla Hypoglossal canal Motor innervation to muscles of tongue. Stick tongue out