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Last 4 Cranial Nerves (Anatomy of the Neck)

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LAST 4 CRANIAL NERVES (Page 92) Dr. Sherif Fahmy
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Page 1: Last 4 Cranial Nerves (Anatomy of the Neck)

LAST 4 CRANIAL NERVES(Page 92)

Dr. Sherif Fahmy

Page 2: Last 4 Cranial Nerves (Anatomy of the Neck)

Deep Origin (Nuclei) of Last 4 cranial nerves

9th C.N.

10th C.N. 11th C.N. 12th C.N.

Motor -Nucleus Ambiguus Hypo-glossal nucleus

Sensory Spinal nucleus of trigeminal nerve

No No

Taste Nucleus solitarius No No

Para-sympathetic

Inf. Salivary (9th) & dorsal nucleus

(10th)

No No

-Upper 5 cervical segments

Dr. Sherif Fahmy

Page 3: Last 4 Cranial Nerves (Anatomy of the Neck)

Medulla oblongata

Pons

Midbrain

Inferior view of the Brain

Dr. Sherif Fahmy

Page 4: Last 4 Cranial Nerves (Anatomy of the Neck)

9th & 10th CN

11th CN 12th CN

Medulla oblongata

Dr. Sherif Fahmy

Page 5: Last 4 Cranial Nerves (Anatomy of the Neck)

Parotid gland

Carotid sheathLower 4 cranial ns

Styloid process

Dr. Sherif Fahmy

Page 6: Last 4 Cranial Nerves (Anatomy of the Neck)

Stylopharyngeus m.

Glossopharyngeal nerve

Dr. Sherif Fahmy

Page 7: Last 4 Cranial Nerves (Anatomy of the Neck)

Glossopharyngeal n.

Hyoglossus m.

Dr. Sherif Fahmy

Page 8: Last 4 Cranial Nerves (Anatomy of the Neck)

Superior belly of omohyoid m.

Posterior belly of digastric m.

Sterno-mastoid m.

Spinal accessory n.

Vagus nerve

Hypoglossal n.

Descendens hypoglossi

Nerve to thyrohyoid m.

Internal jugular vein

Ansa cervicalis

Dr. Sherif Fahmy

Page 9: Last 4 Cranial Nerves (Anatomy of the Neck)

Spinal accessory n.

Dr. Sherif Fahmy

Page 10: Last 4 Cranial Nerves (Anatomy of the Neck)

Glosso-pharyngeal nerve (9th C.N.)(Page 92)

Dr. Sherif Fahmy

Page 11: Last 4 Cranial Nerves (Anatomy of the Neck)

Medulla

Glosso-pharyngeal n.

Jugular foramen

Superior ganglion

Inferior ganglion

Int. jugular vein

Int. carotid art.

Carotid sinus

Ext. carotid art.

Middle constrictor m.

Hyoglossus m.

Post 1/3 of tongue

Palatine tonsil

Soft palate

Course

Carotid

sheath

Styloid processStylopharyngeus m.

Dr. Sherif Fahmy

Page 12: Last 4 Cranial Nerves (Anatomy of the Neck)

Glosso-pharyngeal n.

Jugular foramen

Inferior ganglion

Carotid sinus

5- sensory to post. 1/3 of tongue

6- to palatine tonsil

7- to soft palate

Branches

1-Tympanic br.

Lesser superficial petrosal n.

Stylo-phayngeus m.

2-N.to stylo-pharyngeus m.

3- Carotid n.

4- Pharyngeal br. To pharyngeal plexus

Dr. Sherif Fahmy

Page 13: Last 4 Cranial Nerves (Anatomy of the Neck)

Vagus Nerve (10th CN)

(Page 94)

Dr. Sherif Fahmy

Page 14: Last 4 Cranial Nerves (Anatomy of the Neck)

Medulla

Vagus

Sup. ganglion

Inf. ganglionCarotid sheath

Styloid pr.

Post. Belly of digastric m.

subclavian art. Int. carotid

art.

Int. jugular vein

Course

Dr. Sherif Fahmy

Page 15: Last 4 Cranial Nerves (Anatomy of the Neck)

Branches1- Meningeal br. 2- Auricular br.

3- Pharyngeal br.

4- Superior laryngeal br.

Internal laryngeal br.

External laryngeal br.

5- Superior cardiac

6-Inferior cardiac

7- Recurrent laryngeal n. Dr. Sherif Fahmy

Page 16: Last 4 Cranial Nerves (Anatomy of the Neck)

Dr. Sherif Fahmy

Page 17: Last 4 Cranial Nerves (Anatomy of the Neck)

Accessory Nerve (11th CN)(Page 96)

Dr. Sherif Fahmy

Page 18: Last 4 Cranial Nerves (Anatomy of the Neck)

Posterior belly of digastric m.

Sterno-mastoid m.

Spinal accessory n.

Internal jugular vein

Dr. Sherif Fahmy

Page 19: Last 4 Cranial Nerves (Anatomy of the Neck)

Spinal accessory n.

Dr. Sherif Fahmy

Page 20: Last 4 Cranial Nerves (Anatomy of the Neck)

Cranial root

Spinal root

Vagus nerve

Accessory nerve

Carotid sheathStyloid process

Posterior belly of digastric m.

Sterno-mastoid m.

Trapezius m.

Spinal accessory n.

Course & Branches

Jugular foramen

Dr. Sherif Fahmy

Page 21: Last 4 Cranial Nerves (Anatomy of the Neck)

Spinal accessory n.

Sternomastoid m.

Trapezius m.

Dr. Sherif Fahmy

Page 22: Last 4 Cranial Nerves (Anatomy of the Neck)

Hypoglossal Nerve(12th CN)(Page 98)

Dr. Sherif Fahmy

Page 23: Last 4 Cranial Nerves (Anatomy of the Neck)

Superior belly of omohyoid m.

Posterior belly of digastric m.

Sterno-mastoid m.

Hypoglossal n.

Descendens hypoglossi

Nerve to thyrohyoid m.

Internal jugular vein

Ansa cervicalis

Dr. Sherif Fahmy

Page 24: Last 4 Cranial Nerves (Anatomy of the Neck)

Hypoglossal n.

Br. From C1 Nerve

Hypoglossal canal

Carotid sheath

Styloid process

Posterior belly of digastric m

Int. jugular vein

Descendens cervicalis Ansa cervicalis

Descendens hypoglossi

N. To thyro-hyoid m.

N. To genio-hyoid m.

To all muscles of tongue except palato-glossus

Course & Branches

ICA

Medulla

Dr. Sherif Fahmy


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