kmentJadra •1 - ncl. motorius (originis) n. IIII. •2 - ncl. motorius (originis) n. IV. •3 - ncl. motorius (originis) n. VI. •4 - ncl. motorius (originis) n. XII. •5 - ncl. motorius (originis) n. VII. •6 - ncl. motorius (masticatorius) n. V. •7 - ncl. motorius (originis) n. •8 - ncl. parasympathicus n. III (ncl. E.W.) •9 - ncl. parasympathicus n. VII. •10 - ncl. parasympathicus n. IX. •11- ncl. parasympathicus n. X. •12 - ncl. solitarius •13 - ncl. spinalis n. V. •14 - ncl. principalis n. V. •15 - ncl. mesencephalicus n. V. •16 - ncll. cochleares et vestibulares kmenCrN •III. •IV. •V. •VI. •VII. •VIII. •IX., X., XI. •XII. cn-3 kmenCrNa •n.III. cn-4 kmenCrN •n.IV. cn-6 kmenCrN •n.VI. caverSinus3 nIIIa Z:\Klusáková Ilona\Prednaska\HlavNerv\III.+IV.png •Innervation by n. III: • •mm. recti orbitales except •m. rectus lat. •m. levator palpebrae sup. •m. obliquus inf. •m. dilator (symp.) et sphincter pupillae •(parasymp.) •Innervation by n. IV: • •m. obliquus sup. •Innervation by n. VI: • •m. rectus lat. •Fissura orb. sup. opravit úroveň vzniku nervu •Innervation by n. VI. •m. rectus lat. •Innervation by n. IV. •m. obliquus sup. nIIIab nIIIac nIIIae kmenCrNa cn-7 •n. VII. Z:\Klusáková Ilona\Prednaska\HlavNerv\n.VII.png •Fissura petrotympanica nVII •Innervation by n. VII: • •Mimic muscles • •gl. lacrimalis •gl. submandibularis •gl. sublingualis •small salivatory gl. in mucosa of •soft and hard palatum • •Taste buds in anterior 2/3 of tongue •and in mucosa of soft and hard palate http://webmedia.unmc.edu/medicine/todd/dissection/idg14infratemp/p0042otic.jpg cn-5 kmenCrNa •n.V. •n. V/1 - n. ophthalmicus obr nV1 •Fissura orb. sup. •Innervation by V/1: • •Skin of upper eyelids and frontal region •Conjunctiva and cornea of eye •Mucosa of celullae ethmoidales n. ophthalmicus nVophthalMaxilla nIIIab nV2 •n. V/2 - n. maxillaris n. maxillaris •Somatosensory innervation by n. V/2: • •Skin of lower eyelids, nasal wings, cheek, •gingiva and teeth of maxilla • •ggl. pterygopalatinum •Innervation by pterygopalatine ggl.: • •gl. lacrimalis •m. orbitalis •mucosa of nasal cavity •mucosa of soft and hard palate • •rr. orbitales •m. orbitalis ggl. Pterygopalatinum m. orbitalis Mulleri lat. hladká svalovina v očnici (resp. periorbitě) zejm. v oblasti fissura orbitalis inferior. Jeho funkcí je tlačit obsah orbity ventrálním směrem. Inervován sympatickým nervovým systémem. Při snížení jeho funkce dochází k enoftalmu (Hornerova triáda); při zvýšení tonusu (Gravesova-Basedowova choroba) je bulbus vytlačován dopředu (exoftalmus) nVophthalMaxilla nV3 •n. V/3 - n. mandibularis n. Mandibularis průběh: n. tympanicus – n. petrosus minor – ggl. oticum se označuje jako Jacobsonova anastomosa nVmandib2 nVmandib •Somatosensory innervation by n. V/3: • •Skin of mandibula •Gingiva and teeth of mandibula OticChordaOprava2 •Ggl. oticum et submandibulare •ggl. oticum Gl. parotis serózní inervace parasympatikem sympatocká vlákna pro cévy Gl submandibularis seromucinózní Gl sublingualis mu-ci-nó-zní pa-ro-tis = se-ró-zní sub-man-di-bu-la-ris = se-ro-mu-ci-nó-zní sub-lin-gua-lis = mu-ci-nó-zní cn-9 kmenCrNa •n. IX. •n. IX. •Mucose covering pharynx and posterior •1/3 of tongue, taste from posterior 1/3 of tongue (rr. pharyngei, rr. linguales) • •tuba auditiva •ggl. pterygopalat. •foramen jugulare •n.petrosus major •m. stylopharyngeus •n.petrosus minor •n. X. •sinus caroticus •glomus caroticum •rr. pharyngei •rr. linguales •ggl. sup. et inf. •rr. tonsilllares •Innervation by n. IX: • •Somatosensory •Pharyngeal mucosa •Tonsilla palatina, tuba auditiva •Mucosa of posterior 1/3 of tongue • •Sensory (taste) •Taste buds of posterior •1/3 of tongue • •Viscerosenzory •Glomus caroticum •Sinus caroticus • •Motor •m. stylopharyngeus • •Parasympathetic •gl. parotis http://accessmedicine.mhmedical.com/data/books/mort/mort_c017f006.gif •Innervation by n. IX: • •Somatosensory •Pharyngeal mucosa •Tonsilla palatina, tuba auditiva •Mucosa of posterior 1/3 of tongue • •Sensory (taste) •Taste buds of posterior •1/3 of tongue • •Viscerosenzory •Glomus caroticum •Sinus caroticus • •Motor •m. stylopharyngeus • •Parasympathetic •gl. parotis cn-10 kmenCrNa •n. X. n Xb •n. X. •Somatosenzory afferentation •from pinna and meatus ac. ext. •Taste afferentation •from epiglottis •To internal organs •Pharyngeal muscles •except m. stylopharyngeus •Muscles of soft palate except •m. tensor veli palatini •Laryngeal muscles •except m. cricothyroideus •m. cricothyroideus •Vagus nerve branches •r. meningeus •rr auriculares •rr. pharyngei •rr. laryngei sup. •rr. cardiaci cervicales sup. •n. laryngeus reccurensn. lar. inf. •rr. cardiaci cervicales inf. •rr. cardiaci thoracici •rr. bronchiales •rr. tracheales, •rr. oesophagei, plexus oesophageus, •plexus pulmonalis •truncus vagalis ant., post. -----rr. gastrici ant. post., •rr. coeliaci •rr. hepatici •rr. renales •Innervation by n. X: • •Somatosensory •Pinna and meatus acusticus ext. •Meninges, mucosa of larynx • •Sensory (taste) •Taste buds of epiglottis • •Viscerosenzory •Glomus caroticum •Sinus caroticus • •Branchiomotor •Pharyngeal muscles except m. stylopharyngeus •Muscles of soft palate except m. tensor veli palatini •Laryngeal muscles •m. cricothyroideus – n. laryngeus sup., r. externus •Rest laryngeal muscles – n. laryngeus reccurens (source r. internus n. XI.) • • •Visceromotor •Internal organs Xb • •ncl. ambiguus •ncl. spinalis n. V. •n. XI •n.IX. •ncl. solitarius •ncl. parasymp. n. X. •r. meningeus •r. auricularis •rr. pharyngei • •n. laryngeus sup. •(r. ext. et int.) • •r. cardiacus thor. inf. •r. cardiacus cerv. sup. •r. cardiacus cerv. inf. •m. cricothyroideus •n. laryngeus rec. sin. •n. laryngeus rec. dx. •a. subclavia. dx. nXIb http://image.slidesharecdn.com/vocalcordparalysis2-130919124712-phpapp02/95/vocal-cord-paralysis-7- 638.jpg?cb=1379594900 •Vagus Nerve Stimulator (VNS) F:\Obrázky\Anatomie\SupCardPlex_jpg.png •DEEP CARDIAC •PLEXUS https://classconnection.s3.amazonaws.com/774/flashcards/2059774/png/8-14176B008A9771A99BF.png nXb nXc kmenCrNa •n. XI. cn-11 n XIb •n. XI. nXIa •C1 •C6 cn-12 •n. XII. n XII •Intrinsic tongue muscles and •m. genioglossus, hyoglossus et •styloglossus •Infrahyoid muscles •Spinal •motoneurons XII http://www.exodontia.info/sitebuilder/images/Hypoglossal_Nerve_Palsy_4-600x461.jpg •Lesion of the hypoglossal nerve – tongue turns to side of lesioned nerve