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Department of Neurobiology and Developmental Sciences: Human Structure Module
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  9. Nerves of the Head and Neck

Nerves of the Head and Neck

NerveSourceBranchesMotorSensoryNotes
abducenspons: abducens nucleusno named branchesGSE: lateral rectus m.nonealso known as: CN VI, 6th cranial nerve; passes through the superior orbital fissure
accessorycranial root: medulla - nucleus ambiguus; spinal root: spinal nucleus of the upper cervical spinal cordno named branchesGSE: sternocleidomastoid and trapezius mm.nonealso known as: CN XI, 11th cranial nerve; spinal root enters cranial cavity by passing through the foramen magnum; exits skull by passing through the jugular foramen; accessory n. is motor only; the subtrapezial plexus of nerves receives proprioceptive fibers: for the sternocleidomastoid m. from the ventral primary rami of spinal nn. C2 and C3 - for trapezius via ventral primary rami of C3 and C4
alveolar, anterior superiorinfraorbital n.dental plexusnonemaxillary canine and incisor teeth and gingiva; maxillary sinusanterior superior alveolar n. is enclosed in bone its entire length
alveolar, inferiormandibular division of the trigeminal n.(V3)n. to mylohyoid; inferior dental plexus; mental nervemylohyoid muscle and anterior belly of the digastric m. via n. to mylohyoidteeth of the mandible; skin of the chininferior alveolar n. passes through the mandibular canal; the mental n. is its terminal branch which emerges through the mental foramen
alveolar, middle superiorinfraorbital n.dental plexusnonemaxillary premolar teeth and gingiva; maxillary sinusmiddle superior alveolar n. is enclosed in bone its entire length
alveolar, posterior superiormaxillary n.dental plexusnonemaxillary molar teeth and gingiva; maxillary sinusposterior superior alveolar n. enters bone by passing through the small foramina on the posterior surface of the maxilla
ansa cervicalissuperior root (C1 and C2) and inferior root (C2 and C3) of the ansa cervicalisto infrahyoid musclesomohyoid m., sternohyoid m., sternothyroid m., thyrohyoid m., geniohyoid m. nonesuperior and inferior roots of the ansa cervicalis are also known as the anterior and posterior roots
anterior deep temporal n.mandibular division of the trigeminal n. (V3)no named branchestemporalis m.no cutaneous branchesa branch of the motor root of CN V; temporalis m. developed from the mesenchyme of the first pharyngeal arch
anterior ethmoidal n.nasociliary n.internal & external nasal brs.none mucous membrane lining the anterior ethmoid air cells and upper anterior
part of the nasal cavity; skin of the lower half of the nose
anterior ethmoidal n. passes from the orbit into the anterior ethmoidal foramen, passes through the cribriform plate, passes anteriorly on cribriform plate, then exits the cranial cavity through the ethmoid fissure into the nasal cavity
anterior superior alveolar n.infraorbital n.dental plexusnonemaxillary canine and incisor teeth and gingiva; maxillary sinusanterior superior alveolar n. is enclosed in bone its entire length
auriculotemporal n.mandibular division of the trigeminal n. (V3)parotid brs., articular brs., anterior auricular brs.secretomotor to the parotid gland by carrying postganglionic parasympathetic fibers from the otic ganglion; [preganglionic parasympathetic fibers originate in the lesser petrosal br. of the glossopharyngeal n. (IX)]skin of anterior ear and the skin anterosuperior to the ear; part of the external auditory meatus; temporomandibular jointtwo roots of the auriculotemporal n. encircle the middle meningeal a.
brachial plexusventral primary rami of C5-8 and T1dorsal scapular, long thoracic, n. to subclavius, suprascapular, lateral and medial pectoral, medial brachial and antebrachial cutaneous, upper, middle and lower subscapular, musculocutaneous, ulnar, median, axillary, radialmuscles of the upper limb, excluding trapeziusskin of the upper limbplexus is a latin word meaning "braid"; axons from spinal cord levels C5-T1 are mixed (braided) in the brachial plexus and repackaged into terminal branches so that each branch contains axons from several spinal cord segmental levels
buccal branch of the trigeminal n.mandibular division of the trigeminal n. (V3)no named branchesno motor branchesskin of the cheek, mucosa lining the cheeknot a motor nerve; easily confused with the buccal branch of the facial n.
buccal branches of the facial n.facial n. (VII)no sensory brancheszygomaticus major & minor, buccinator, orbicularis oris, levator anguli oris, levator labii superioris & alaque nasi, risorius, procerus, nasalisno sensory branchesnot a sensory nerve; easily confused with the buccal branch of the trigeminal n.
C1 ventral primary ramusC1 spinal n.contributes to the superior root of the ansa cervicalis; brs. to: rectus capitis anterior and lateralis mm., longus capitis m.rectus capitis anterior and lateralis, longus capitis, omohyoid, sternohyoid, sternothyroid, thyrohyoid, geniohyoidnoneC1 contributes to the cervical plexus
C2 ventral primary ramusC2 spinal n.contributes to: superior and inferior roots of the ansa cervicalis, lesser occipital n., great auricular n., transverse cervical n.; brs. to: longus capitis & colli, sternocleidomastoidomohyoid, sternohyoid, sternothyroid, thyrohyoid, longus capitis and longus colliskin behind the ear and on the neck below the mandible; proprioception from the sternocleidomastoid m.C2 contributes to the cervical plexus
C3 ventral primary ramusC3 spinal n.contributes to: inferior root of the ansa cervicalis, great auricular n., transverse cervical n., supraclavicular nn., phrenic n.; brs. to: longus capitis & colli, scalenus medius, levator scapulae, trapeziusomohyoid, sternohyoid, sternothyroid, longus capitis & colli, scalenus medius, levator scapulae, respiratory diaphragmskin of the anterolateral neck; proprioception from the sternocleidomastoid m. and the trapezius mC3 contributes to the cervical plexus
C4 ventral primary ramusC4 spinal n.contributes to: supraclavicular nn., phrenic n.; brs. to: longus colli, scalenus medius, levator scapulae, trapeziuslongus colli, scalenus medius, levator scapulae, respiratory diaphragmskin of the root of the neck and the upper shoulder; proprioception from the trapezius m.C4 contributes to the cervical plexus
C5 ventral primary ramusC5 spinal n. contributes to: phrenic n., long thoracic n.respiratory diaphragm, scalene mm., muscles of the shoulder and upper armskin of the ventral arm and ventral forearm joins the ventral primary ramus of C6 to form the superior trunk of the brachial plexus
C6 ventral primary ramusC6 spinal n. contributes to: long thoracic n.scalene mm., muscles of the lower shoulder and armskin of the lateral side of the upper limbjoins the ventral primary ramus of C5 to form the superior trunk of the brachial plexus
C7 ventral primary ramusC7 spinal n. contributes to: long thoracic n.muscles of the lower shoulder, arm forearmskin of the posterior side of the upper limbcontinues as the middle trunk of the brachial plexus
C8 ventral primary ramus C8 spinal n.no named branchesmuscles of the forearm and handskin of the medial side of the upper limbjoins the ventral primary ramus of T1 to form the inferior trunk of the brachial plexus
cardiac, sympatheticcervical sympathetic trunkno named branchesheart (sympathetic: increases rate and force of contraction, parasympathetic: decreases rate and force of contraction); bronchial tree & lungs via pulmonary plexusheart, bronchial tree and lungscervical sympathetic trunk usually gives 3 cervical cardiac brs. l (superior, middle and inferior) to the cardiac plexus
cardiac, vagalvagus n. (X)no named branchesheart (parasympathetic: decreases rate and force of contraction; sympathetic: increases rate and force of contraction); bronchial tree and lungs via pulmonary plexusheart, bronchial tree and lungsvagus n. has 2 cervical cardiac brs. (superior and inferior) and 1 or more thoracic cardiac brs.
carotid body, n. to glossopharyngeal n. (IX) no named branchesnonesensory receptors in the carotid body and carotid sinuschemoreception (blood pH) in carotid body; blood pressure receptors in carotid sinus; both located near the bifurcation of the common carotid a.; the vagus n. (X) may share a role in this innervation
carotid plexus, externalsuperior cervical ganglion of the sympathetic trunk, via the external carotid n.distributes along the brs. of the external carotid arteryvascular smooth muscle, arrector pili muscles, sweat glands of face & upper necknonepostganglionic sympathetic nerve fibers use arteries as roadways to enter the head and neck
carotid plexus, internalsuperior cervical ganglion of the sympathetic trunk, via the internal carotid n.most distribute along the brs. of the internal carotid artery, although the deep petrosal n. is an exception because it runs a short course independent of an arteryvascular smooth muscle of the brain, orbit, forehead, upper nasal cavity; arrector pili muscles of forehead and anterior scalp; sweat glands of the forehead; dilator pupillae m.nonepostganglionic sympathetic nerve fibers use arteries as roadways to enter the head and neck
carotid, externalsuperior cervical sympathetic ganglioncontributes to the external carotid plexusvascular smooth muscle of the internal carotid system of vessels; sweat glands, arrector pili mm. of the skin of the foreheadnonethere may be two or more external carotid nn. that join the external carotid plexus from the superior cervical ganglion
carotid, internalsuperior cervical sympathetic ganglioncontributes to the internal carotid plexusvascular smooth muscle of the external carotid system of vessels; sweat glands, arrector pili mm. of the skin of the face and scalpnoneinternal carotid n. appears to be the upward continuation of the sypathetic trunk
cervical plexusventral primary rami of spinal nerves C1-C4 brs. to: longus colli & capitis, sternocleidomastoid m., trapezius m., levator scapulae m., scalenus medius m., rectus capitis anterior and lateralis mm.; superior & inferior root of the ansa cervicalis, n. to the thyrohyoid m., n. to the geniohyoid m., lesser occipital n., great auricular n., transverse cervical n., supraclavicular nn.(medial, intermediate and lateral), contributions to the phrenic n. from C3 and C4longus colli & capitis mm., rectus capitis anterior & lateralis mm., infrahyoid mm., thyrohyoid m., geniohyoid m., respiratory diaphragmskin of the anterolateral neck; skin of the ear and skin behind the earclose association of the supraclavicular nn. to the phrenic n. results in pain from the respiratory diaphragm referred to the shoulder
cervicofacial divisionfacial (VII)buccal br., marginal mandibular br., cervical br.muscles of facial expression of the lower part of the face; platysma m.nonecervicofacial division usually forms a loop by communication with the temporofacial division of the facial n.
chorda tympanifacial (VII)no named branchessecretomotor to the submandibular and sublingual glands (it carries preganglionic parasympathetic axons to the submandibular ganglion)taste to the anterior 2/3 of the tonguechorda tympani joins the lingual nerve in the infratemporal fossa and continues with it to the tongue
ciliary ganglionpreganglionic parasympathetic axons arrive via the inferior division of the oculomotor n. (III) postganglionic parasympathetic axons which distribute via short ciliary nn.sphincter pupillae m., ciliary m. of the eyenonea parasympathetic ganglion; ciliary ganglion is located on the lateral side of the optic n. near the apex of the orbit; sensory and sympathetic axons pass through the ciliary ganglion without synapse - the sensory root is carried via the nasociliary n.and the sympathetic root arrives in the orbit via the internal carotid a.
ciliary, longnasociliaryno named branchesnoneeyeball (GSA)these nerves bypass the ciliary ganglion
ciliary, shortciliary ganglion: sensory root - from the nasociliary n.(a branch of V1); sympathetic root - from the internal carotid plexus; parasympathetic root - from the inferior division of the oculomotor n. (III)multiple short ciliary nn. which leave the ciliary ganglion anteriorlysphincter pupillae & ciliary mm. (parasympathetic), dilator pupillae (sympathetic)eyeball (GSA)short ciliary nn. are mixed nerves which contain sensory and two types of autonomic nerve fibers; postganglionic parasympathetic neurons whose axons are located in these nerves have their cell bodies located in the ciliary ganglion
cochlear n.vestibulocochlear n.no named branchesnonehearing (SSA)exits the posterior cranial fossa by passing into the internal acoustic meatus
cranial nn.nuclei located in the brain, branistem and upper cervical spinal cord12 pairs: olfactory, optic, oculomotor, trochlear, trigeminal, abducens, facial, vestibulocochlear, glossopharyngeal, vagus, accessory, hypoglossaleye muscles, muscles of mastication, middle ear, face, tongue, pharynx, larynx, most suprahyoid muscles, sternocleidomastoid m., trapezius m., smooth muscle of the gut, cardiac muscle, bronchial smooth muscle, salivary, lacrimal and mucous glands in the head and neck; glands of digestive systemsmell, vision, taste, hearing, balance, general sensation form the skin of the face, sense from viscera of the head, neck, thorax and abdomen (proximal to the splenic flexure)details about each cranial nerve may be found elsewhere in this chart
deep petrosal n.internal carotid plexusno named branchesvascular smooth muscle of the mucous membranes of the lower nasal cavity, maxillary sinus and palatenonedeep petrosal n. joins the greater petrosal n. to form the n. of the pterygoid canal; the deep petrosal n. contains postganglionic sympathetic axons (synapse occurred in the superior cervical sympathetic ganglion)
digastric m., posterior belly, n. tofacial n. (VII)no named branchesposterior belly of the digastric m.nonethe anterior belly of the digastric m. is formed by mesenchyme from the first pharyngeal arch and is supplied by the n. to the mylohyoid m. (V3)
dorsal scapular n.brachial plexus (br. of C5 ventral primary ramus)no named branchesrhomboideus major and minor mm.; levator scapulae m.nonedorsal scapular n. passes through the scalenus medius m.
esophageal plexusright and left vagus (X) nn.; thoracic visceral brs. of the sympathetic trunkanterior and posterior vagal trunkspreganglionic parasympathetic axons from the vagus n. supply smooth muscle and glands of the thoracic esophagus and abdominal gut and its derivatives proximal to the left colic flexure; postganglionic sympathetic axons from the thoracic visceral brs. supply vascular smooth muscle in the esophageal vesselsvagus: GVA from the esophagus and abdominal gut proximal to the left colic flexure; thoracic visceral brs. carry pain from the esophagusduring development of the gut, the stomach and esophagus rotate 90° to the right with the result that the left and right vagus nerves mix in the esophageal plexus and emerge as anterior and posterior vagal trunks
ethmoidal, anteriornasociliary n.internal & external nasal brs.none mucous membrane lining the anterior ethmoid air cells and upper anterior part of the nasal cavity; skin of the lower half of the noseanterior ethmoidal n. passes from the orbit into the anterior ethmoidal foramen, passes through the cribriform plate, passes anteriorly on cribriform plate, then exits the cranial cavity through the ethmoid fissure into the nasal cavity
ethmoidal, posteriornasociliary n.no named branchesnone mucous membrane lining the posterior ethmoid air cells and sphenoid sinusposterior ethmoidal n. exits the orbit by passing through the posterior ethmoid foramen
external carotid n.superior cervical sympathetic ganglioncontributes to the external carotid plexusvascular smooth muscle of the internal carotid system of vessels; sweat glands, arrector pili mm. of the skin of the foreheadnonethere may be two or more external carotid nn. that join the external carotid plexus from the superior cervical ganglion
external carotid plexussuperior cervical ganglion of the sympathetic trunk, via the external carotid n.distributes along the brs. of the external carotid arteryvascular smooth muscle, arrector pili muscles, sweat glands of face & upper necknonepostganglionic sympathetic nerve fibers use arteries as roadways to enter the head and neck
facial n.pons and medulla: nucleus solitarius of medulla via nervus intermedius (SVA sensory root) from geniculate ganglion; superior salivatory nucleus (GVE preganglionic parasympathetic) of pons via nervus intermedius; facial motor nucleus of pons via motor rootgreater petrosal n. (preganglionic parasympathetic to pterygopalatine ganglion, postganglionic parasympathetic travels with brs. of maxillary division of V), chorda tympani (SVA taste from anterior 2/3 of the tongue; preganglionic parasympathetic to the submandibular ganglion, postganglionic parasympathetic to the submandibular and sublingual glands), n. to stapedius, posterior auricular n., intraparotid plexus with temporal, zygomatic, buccal, marginal mandibular & cervical brs.stapedius m., stylohyoid m., posterior belly of digastric m., muscles of facial expression; secretomotor to lacrimal, submandibular, sublingual, and mucous glands of the nasal and oral cavitiestaste (SVA) from the anterior 2/3 of the tongue; part of the skin of the external auditory meatusalso known as: CN VII, 7th cranial nerve; exits the posterior cranial fossa by passing into the internal acoustic meatus, goes through the facial canal; motor to muscles of facial expression exits the skull at the stylomastoid foramen
frontalophthalmic division of the trigeminal n. (V1)supraorbital n., supratrochlear n.noneskin of the forehead and the medial part of the upper eyelid; mucous membrane of the frontal sinusthe most superior linear structure within the orbit
ganglia, sympathetic chain preganglionic sympathetic fibers arrive via white rami communicantes of ventral primary rami of spinal nerves T1-L2postganglionic sympathetic fibers depart via gray rami communicantes to all spinal nn.; internal & external carotid nn.; cervical cardiac brs.; thoracic direct visceral brs.; greater, lesser & least thoracic splanchnic nn.; lumbar splanchnic nn.; sacral splanchnic nn.dilator pupillae, vascular smooth muscle, arrector pili muscles, sweat glands, suprarenal medulla, heart, lungs and gut pain from visceralocated lateral to the vertebral bodies in the neck, thorax & abdominopelvic cavity; the ganglia plus their interconnecting fibers are also known as the sympathetic trunk; preganglionic cell bodies are located in the intermediolateral gray matter of spinal cord levels T1-L2
ganglion, ciliarypreganglionic parasympathetic axons arrive via the inferior division of the oculomotor n. (III) postganglionic parasympathetic axons which distribute via short ciliary nn.sphincter pupillae m., ciliary m. of the eyenonea parasympathetic ganglion; ciliary ganglion is located on the lateral side of the optic n. near the apex of the orbit; sensory and sympathetic axons pass through the ciliary ganglion without synapse - the sensory root is carried via the nasociliary n.and the sympathetic root arrives in the orbit via the internal carotid a.
ganglion, geniculate facial n. (VII) (chorda tympani branch) nervus intermedius (SVA sensory root of facial n.)nonetaste (SVA) from the anterior 2/3 of the tonguea sensory ganglion equivalent in histological structure and function to a dorsal root ganglion; some taste from the palate travels through the greater petrosal n. to the geniculate ganglion; located in the facial canal within the petrous portion of the temporal bone
ganglion, oticpreganglionic parasympathetic via the lesser petrosal, from the tympanic n. of the glossopharyngeal n. (IX)postganglionic parasympathetic axons distribute with the parotid brs. of the auriculotemporal n. (from V3)secretomotor to the parotid glandnonea parasympathetic ganglion; the otic ganglion hangs off of the mandibular division of the trigeminal n. (V3) inferomedial to the foramen ovale
ganglion, pterygopalatinepreganglionic parasympathetic axons arrive via the n. of the pterygoid canal from greater petrosal n. of the facial n (VII); postganglionic sympathetic axons arrive via the n. of the pterygoid canal from the deep petrosal n.postganglionic parasympathetic axons distribute via the greater & lesser palatine nn., nasopalatine n., sphenopalatine n. and zygomatic n.secretomotor to: mucous glands of the palate, nasal cavity, lacrimal glandnonea parasympathetic ganglion; the pterygopalatine ganglion hangs off of the maxillary division of the trigeminal n. (V2) within the pterygopalatine fossa; preganglionic axons of the greater petrosal n. synapse here; postganglionic sympathetic axons of the deep petrosal n. pass through the pterygopalatine ganglion without synapsing (they synapse in the superior cervical sympathetic ganglion)
ganglion, semilunar ophthalmic (V1) , maxillary (V2) and mandibular (V3) divisions of the trigeminal n.sensory fibers depart via the trigeminal n. (V)noneskin of the face, mucous membranes of the nasal and oral cavities, mucous membrane of the anterior 2/3rds of the tongue (GSA only)a sensory ganglion equivalent in histological structure and function to a dorsal root ganglion; also known as. trigeminal or Gasserian ganglion
ganglion, spiralfibers of the cochlear hair cellscochlear n. portion of the vestibulocochlear n. (VIII)nonehearing (SSA)a sensory ganglion of the cochlear part of CN VIII
ganglion, stellateneurons in the intermediolateral cell column of spinal cord level T1gray rami communicans to spinal nerves C8 and T1 (postganglionic sympathetic); thoracic visceral br.vascular smooth muscle, arrector pili muscle, sweat glands of the C8 & T1 cutaneous distribution on chest & upper limb (C8 and T1 dermatomes); vascular smooth muscle of the lungspain from lungsa sympathetic ganglion; stellate ganglion is formed by the fusion of the inferior cervical sympathetic ganglion and the T1 ganglion of the sympathetic trunk
ganglion, submandibularpreganglionic parasympathetic axons from the chorda tympani (accompanying the lingual n. from the mandibular division of the trigeminal n.)postganglionic parasympathetic axons distribute either directly, or with branches of the lingual n. to the submandibular and sublingual glandssecretomotor to the submandibular and sublingual glands and the small glands of the lingual mucosanonea parasympathetic ganglion; submandibular ganglion is suspended from the lingual n. near the deep part of the submandibular gland
geniculate ganglion facial n. (VII) (chorda tympani branch) nervus intermedius (SVA sensory root of facial n.)nonetaste (SVA) from the anterior 2/3 of the tonguea sensory ganglion equivalent in histological structure and function to a dorsal root ganglion; some taste from the palate travels through the greater petrosal n. to the geniculate ganglion; located in the facial canal within the petrous portion of the temporal bone
geniohyoid m., n. toC1 fibers from the superior root of the ansa cervicalisno named branchesgeniohyoid m.nonenerve to the geniohyoid m. travels with the hypoglossal nerve for a short distance in the superior neck
glossopharyngeal n.medulla: spinal trigeminal nucleus from the superior ganglion (GVA); nucleus solitarius from the inferior ganglion (SVA); nucleus ambiguus (SVE); inferior salivatory nucleus (GVE - preganglionic parasympathetic)tympanic nerve to the tympanic plexus and lesser petrosal n., carotid sinus n., stylopharyngeus brs., pharyngeal brs.SVE: stylopharyngeus; GVE: secretomotor to the parotid gland (preganglionic parasympathetic via the tympanic n. to the lesser petrosal n. to the otic ganglion; postganglionic parasympathetic via the auriculotemporal n.)GVA: carotid body, carotid sinus, pharynx, middle ear; GSA: skin of the external ear; SVA: taste from the posterior 1/3 of the tonguealso known as: CN IX, 9th cranial nerve; the glossopharyngeal n. exits the posterior cranial fossa by passing through the jugular foramen;it may penetrate the stylopharyngeus m.
gray ramus communicanscell bodies located in the sympathetic chain ganglianonecarries postganglionic sympathetic axons to the spinal nerve; spinal nerve will carry those axons peripherally to the skin, blood vessels, etc.none gray rami communicantes connect the sympathetic chain to spinal nerves at all vertebral levels
great auricular n.cervical plexus (contributions from the ventral primary rami of spinal nerves C2&C3)mastoid n., auricular n.noneskin of the ear and skin below the earthe great auricular n. crosses the superficial surface of the sternocleidomastoid m.
greater occipital n.dorsal primary ramus of spinal nerve C2 (medial br.)no named branchesposterior neck musclesskin of the posterior surface of the scalpmuscles innervated by this nerve develop from epimeres in the embryo
greater palatine n.maxillary division of the trigeminal n. (V2)posterior inferior lateral nasal brs.nonemucous membrane of the inferior part of the lateral nasal wall; mucosa of the hard palategreater palatine n. passes through the greater palatine canal and foramen
greater petrosal n.facial (VII)no named branchessecretomotor (preganglionic parasympathetic) to: lacrimal gland, mucous glands of the lower nasal cavity, maxillary sinus and palatenonegreater petrosal n. joins the deep petrosal n. to form the n. of the pterygoid canal; the greater petrosal n. contains: preganglionic parasympathetic axons bound for the pterygopalatine ganglion where they will synapse; it passes through the hiatus of canal of greater petrosal n. in the petrous part of the temporal bone
hypoglossal n.medulla: hypoglossal nucleusno named branches; branches of the ventral primary ramus of spinal nerve C1 are carried by this nerve and are not considered to be branches of the hypoglossal nerveintrinsic and extrinsic muscles of the tongue (except the palatoglossus m.)nonealso known as: CN XII, 12th cranial nerve; the hypoglossal n. exits the posterior cranial fossa by passing through the hypoglossal canal; the superior root of the ansa cervicalis travels with the hypoglossal n. for a short distance
inferior alveolar n.mandibular division of the trigeminal n.(V3)n. to mylohyoid; inferior dental plexus; mental nervemylohyoid muscle and anterior belly of the digastric m. via n. to mylohyoidteeth of the mandible; skin of the chininferior alveolar n. passes through the mandibular canal; the mental n. is its terminal branch which emerges through the mental foramen
inferior laryngeal n.recurrent laryngeal br. of the vagus n. (X)no named branchesall intrinsic muscles of the larynx except the cricothyroid; those muscles are: thyroarytenoid, oblique and transverse arytenoid, posterior and lateral cricoarytenoid, aryepiglottic, thyroepiglottic, vocalis; secretomotor to the mucous membrane of the larynx below the vocal fold mucous membrane of the larynx below the vocal foldinferior laryngeal n. is the continuation of the recurrent laryngeal n., the name change occurs at the cricothyroid articulation
inferior oblique, nerve toinferior branch of the oculomotor n.parasympathetic root to the ciliary ganglionpreganglionic parasympathetic supply to the ciliary ganglion for innervation of the sphincter pupillae m. and ciliary m.; inferior oblique m.noneparasympathetic root carries GVE (preganglionic parasympathetic axons) to the ciliary ganglion - short ciliary nn. carry the postganglionic parasympathetic axons from the ciliary ganglion to the eyeball
infraorbital n.maxillary division of the trigeminal n.(V2)middle alveolar n., anterior superior alveolar n.none mucous membrane of the maxillary sinus; upper premolar, canine and incisor teeth; maxillary gingiva; skin of the lateral nose, lower eyelid, upper lip and zygomatic regioninfraorbital n.passes through the infraorbital groove, canal and foramen
infratrochlear n.nasociliary br. of the ophthalmic division of the trigeminal n. (V1)no named branchesnoneskin and conjunctiva of the medial upper and lower eyelids; skin of the lateral surface of the noseinfratrochlear n. passes inferior to the trochlea (pulley) of the superior oblique m.
intermediate supraclavicular n.cervical plexus (C3&C4)no named branchesnoneskin of the root of the neck and upper chest, near the mid-claviclepain from respiratory diaphragm is referred to the shoulder
internal carotid n.superior cervical sympathetic ganglioncontributes to the internal carotid plexusvascular smooth muscle of the external carotid system of vessels; sweat glands, arrector pili mm. of the skin of the face and scalpnoneinternal carotid n. appears to be the upward continuation of the sypathetic trunk
internal carotid plexussuperior cervical ganglion of the sympathetic trunk, via the internal carotid n.most distribute along the brs. of the internal carotid artery, although the deep petrosal n. is an exception because it runs a short course independent of an arteryvascular smooth muscle of the brain, orbit, forehead, upper nasal cavity; arrector pili muscles of forehead and anterior scalp; sweat glands of the forehead; dilator pupillae m.nonepostganglionic sympathetic nerve fibers use arteries as roadways to enter the head and neck
lacrimal n.ophthalmic division of the trigeminal n. (V1)no named branchescarries secretomotor axons to the lacrimal gland skin of the lateral portion of the upper eye lid and its associated conjunctivalacrimal n. carries the postganglionic parasympathetic axons from the zygomaticotemporal br. of the maxillary n. that originate in the pterygopalatine ganglion
laryngeal, inferiorrecurrent laryngeal br. of the vagus n. (X)no named branchesall intrinsic muscles of the larynx except the cricothyroid; those muscles are: thyroarytenoid, oblique and transverse arytenoid, posterior and lateral cricoarytenoid, aryepiglottic, thyroepiglottic, vocalis; secretomotor to the mucous membrane of the larynx below the vocal fold mucous membrane of the larynx below the vocal foldinferior laryngeal n. is the continuation of the recurrent laryngeal n., the name change occurs at the cricothyroid articulation
laryngeal, recurrentvagus n. (X)esophageal brs., tracheal brs., cardiac brs., pharyngeal brs., inferior laryngeal n.upper esophagus, lower pharynx, laryngeal mm. (except cricothyroid); smooth muscle of the trachea; secretomotor to mucosal glands in the upper esophagus, lower pharynx, larynx below the vocal fold, trachea; cardiac muscle of the heart (slows heart rate, decreases force of contraction)upper esophagus, lower pharynx, larynx below the vocal folds, GVA from heartright recurrent laryngeal n. loops posteriorly around the right subclavian a.; left recurrent laryngeal n. loops posteriorly around the aortic arch and ligamentum arteriosum; the inferior laryngeal br. supplies all intrinsic muscles of the larynx EXCEPT the cricothyroid m.
laryngeal, superiorvagus n. (X)internal br., external br.cricothyroid m., inferior pharyngeal constrictor m.; secretomotor to mucosal glands of the larynx above the vocal folds mucous membrane of the larynx above the vocal foldsexternal br. supplies the cricothyroid m.; all other intrinsic muscles of the larynx are supplied by the recurrent laryngeal n.
lateral supraclavicular n.cervical plexus (C3&C4)no named branchesnoneskin of the root of the neck and upper shoulder pain from respiratory diaphragm is referred to the shoulder
lesser occipital n.ventral primary ramus of spinal nerve C2no named branchesnoneskin behind the earlesser occipital n. arises from the cervical plexus
lesser palatine n.maxillary division of the trigeminal n. (V2)no named branchesnonemucous membrane of the soft palate and posterior hard palatelesser palatine n. passes through the greater palatine canal and lesser palatine foramen
lesser petrosal n.tympanic nerve, from the glossopharyngeal n. (IX)otic ganglionsecretomotor (preganglionic parasympathetic) for the parotid glandnonelesser petrosal n. synapses in the otic ganglion and postganglionic axons distribute to the parotid gland by joining the auriculotemporal n.
lingual n.mandibular division of the trigeminal n. (V3)no named branchesnonegeneral sense from the anterior 2/3 of the tongue and floor of the mouthlingual n. is joined by the chorda tympani (taste and preganglionic parasympathetic) from the facial n. in the infratemporal fossa; the submandibular ganglion hangs from the lingual nerve in the paralingual space
long ciliary n.nasociliaryno named branchesnoneeyeball (GSA)these nerves bypass the ciliary ganglion
mandibular division of the trigeminal n.trigeminal ganglion; motor root arises from the ponsmeningeal br., medial pterygoid and lateral pterygoid nn., masseteric n., anterior and posterior deep temporal nn., buccal n., auriculotemporal n., lingual n., inferior alveolar n.SVE: mylohyoid m., anterior belly of the digastric m.; tensor tympani m., tensor veli palatini m.; muscles of mastication (temporalis, masseter, medial pterygoid and lateral pterygoid)GSA: skin of the lower lip and jaw extending superiorly above level of the ear; mucous membrane of the tongue and floor of the mouth; lower teeth and gingiva of the mandibular alveolar archalso known as: V3; passes through the foramen ovale to exit the middle cranial fossa; the otic ganglion is associated with the medial side of V3 below the foramen ovale; the auriculotemporal n. carries postganglionic parasympathetic axons to the parotid gland; the submandibular ganglion is associated with the lingual n. near the submandibular gland; postganglionic parasympathetics from the submandibular ganglion supply the submandibular gland and the sublingual gland
mandibular, marginalfacial n. (cervicofacial division)no named branchesorbicularis oris m., depressor anguli oris m., depressor labii inferioris m., mentalis m.nonebranches of the facial nerve innervate muscles derived from the mesenchyme of the second pharygeal arch
masseteric n.mandibular division of the trigeminal n.no named branchesmasseter m.nonemasseteric n. passes over the mandibular notch to reach the deep surface of the masseter m.
maxillary division of the trigeminal n.trigeminal ganglionmeningeal br., posterior superior alveolar n., pharyngeal, posterior superior medial and lateral nasal brs., nasopalatine n., greater and lesser palatine nn., zygomatic n., infraorbital n.noneGSA: skin of the upper lip, cheek, lower eyelid; mucous membrane of the palate; teeth and gingiva of the maxillary alveolar arch; the mucous membrane lining most of the nasal cavity; the mucous membrane lining the maxillary sinusalso known as: V2; maxillary division of the trigeminal n. passes through the foramen rotundum to enter the pterygopalatine fossa; the pterygopalatine ganglion is associated with it in the pterygopalatine fossa; postganglionic parasympathetic fibers distribute with branches of the maxillary division to mucous glands of the nasal cavity and palate; the zygomatic n. & its brs. carry postganglionic parasympathetic axons to the orbit to reach the lacrimal n. and lacrimal gland
medial supraclavicular n.cervical plexus (C3&C4)no named branchesnoneskin of the root of the neck and upper chest, anteriorly pain from respiratory diaphragm is referred to the shoulder
mental n.inferior alveolar n.no named branchesnoneskin of the chin the lower lipmental n. passes through the mental foramen
middle superior alveolarinfraorbital n.dental plexusnonemaxillary premolar teeth and gingiva; maxillary sinusmiddle superior alveolar n. is enclosed in bone its entire length
mylohyoid, n. toinferior alveolar n., a branch of the mandibular division of the trigeminal n. (V3)no named branchesmylohyoid m., anterior belly of the digastric m.nonen. to mylohyoid arises near the lingula of the mandible; course within the mylohyoid groove of the mandible
nasociliary n.ophthalmic division of the trigeminal n. (V1)communicating br. to the ciliary ganglion, long ciliary n., anterior and posterior ethmoidal nn., infratrochlear n.noneeyeball, skin of the nose and medial sides of the eyelids; conjunctiva of the medial sides of the eyelids; mucous membranes of the upper nasal cavity, ethmoid and sphenoid sinusesthe distribution of this nerve is indicated by its name - nasociliary
nasopalatine n.maxillary division of the trigeminal n. (V2)no named branchesnone mucous membrane of the nasal septum; mucous membrane of the anterior portion of the palatenasopalatine n. innervates the mucosa overlying the primary palate (development); it passes through two openings in bone: sphenopalatine foramen and incisive canal
nervus intermediuspons & medulla: nucleus solitarius of medulla (SVA sensory root) from geniculate ganglion; superior salivatory nucleus (GVE preganglionic parasympathetic) of ponsjoins with the motor root to form the facial n. (VII); its fibers are contained in the greater petrosal n. and the chorda tympanisecretomotor to the lacrimal gland and mucous glands of the lower nasal cavity; secretomotor to the mucosa of the maxillary sinus and palate (synapse occurs at the pterygopalatine ganglion); secretomotor to submandibular and sublingual glands (synapse occurs at the submandibular ganglion)taste from the anterior 2/3 of the tonguenervus intermedius occupies an intermediate position between the motor root of VII and cranial n. VIII when they enter the internal acoustic meatus
occipital, greaterdorsal primary ramus of spinal nerve C2 (medial br.)no named branchesposterior neck musclesskin of the posterior surface of the scalpmuscles innervated by this nerve develop from epimeres in the embryo
occipital, lesserventral primary ramus of spinal nerve C2no named branchesnoneskin behind the earlesser occipital n. arises from the cervical plexus
occipitalis tertiusdorsal primary ramus of spinal nerve C3 (medial br.)no named branchesposterior neck musclesskin of the posterior surface of the neck muscles innervated by this nerve develop from epimeres in the embryo
oculomotor n.oculomotor nuclei of the midbrain (extraocular muscles); accessory oculomotor nucleus (nucleus of Edinger-Westphal - preganglionic parasympathetic)superior br., inferior br.GSE: superior br.: levator palpebrae superioris m., superior rectus m.; inferior br: medial rectus m., inferior rectus m., inferior oblique m.; GVE: ciliary m. & sphincter pupillae m. (preganglionic parasympathetic axons go to the ciliary ganglion via the parasympathetic root, postganglionic parasympathetic go from the ciliary ganglion to the eyeball via short ciliary nn.)nonealso known as: CN III; oculomotor n. passes through the superior orbital fissure to exit the middle cranial fossa
of the pterygoid canalformed by the union of the greater petrosal n. (preganglionic parasympathetic) and the deep petrosal n.(postganglionic sympathetic)ends in the pterygopalatine ganglion (parasympathetic)secretomotor (parasympathetic) to: lacrimal gland and mucous glands of nasal cavity and maxillary sinus; sympathetic innervation to vascular smooth muscle in the same regionnonecontains: preganglionic axons of the greater petrosal n. bound for pterygopalatine ganglion where they will synapse; postganglionic sympathetic axons of the deep petrosal n. which will pass through the pterygopalatine ganglion without synapsing
olfactory n.the filaments of the bipolar olfactory epithelial cells constitute the olfactory n.second order olfactory nerve cell bodies located in the olfactory bulbnonesmell (SVA)also known as: CN I, 1st cranial n.; multiple olfactory filaments pass through the cribriform plate to exit the anterior cranial fossa and synapse in the olfactory bulb; the olfactory tract carries the signal from the bulb to olfactory cortex of the forebrain
ophthalmic division of the trigeminal n.trigeminal ganglionmeningeal br., lacrimal n., frontal n., nasociliary n.none(GSA) skin of the forehead, upper eyelid and nose; mucous membrane of the upper nasal cavity, frontal sinus, ethmoid air cells and sphenoid sinusesalso known as: V1; the ophthalmic division of the trigeminal n. passes through the superior orbital fissure to exit the middle cranial fossa; the lacrimal n. receives postganglionic parasympathetic axons to the lacrimal gland from the zygomaticotemporal br. of the zygomatic n.
optic n.ganglion layer of the retina to the forebrainnonenonevision (SSA)also known as: CN II, 2nd cranial nerve; the course of the optic nerve is: through the optic canal to the optic chiasma, then the optic tract to the lateral geniculate body and optic radiation
otic ganglionpreganglionic parasympathetic via the lesser petrosal, from the tympanic n. of the glossopharyngeal n. (IX)postganglionic parasympathetic axons distribute with the parotid brs. of the auriculotemporal n. (from V3)secretomotor to the parotid glandnonea parasympathetic ganglion; the otic ganglion hangs off of the mandibular division of the trigeminal n. (V3) inferomedial to the foramen ovale
palatine, greatermaxillary division of the trigeminal n. (V2)posterior inferior lateral nasal brs.nonemucous membrane of the inferior part of the lateral nasal wall; mucosa of the hard palategreater palatine n. passes through the greater palatine canal and foramen
palatine, lessermaxillary division of the trigeminal n. (V2)no named branchesnonemucous membrane of the soft palate and posterior hard palatelesser palatine n. passes through the greater palatine canal and lesser palatine foramen
petrosal, deepinternal carotid plexusno named branchesvascular smooth muscle of the mucous membranes of the lower nasal cavity, maxillary sinus and palatenonedeep petrosal n. joins the greater petrosal n. to form the n. of the pterygoid canal; the deep petrosal n. contains postganglionic sympathetic axons (synapse occurred in the superior cervical sympathetic ganglion)
petrosal, greaterfacial (VII)no named branchessecretomotor (preganglionic parasympathetic) to: lacrimal gland, mucous glands of the lower nasal cavity, maxillary sinus and palatenonegreater petrosal n. joins the deep petrosal n. to form the n. of the pterygoid canal; the greater petrosal n. contains: preganglionic parasympathetic axons bound for the pterygopalatine ganglion where they will synapse; it passes through the hiatus of canal of greater petrosal n. in the petrous part of the temporal bone
petrosal, lessertympanic nerve, from the glossopharyngeal n. (IX)otic ganglionsecretomotor (preganglionic parasympathetic) for the parotid glandnonelesser petrosal n. synapses in the otic ganglion and postganglionic axons distribute to the parotid gland by joining the auriculotemporal n.
pharyngeal plexusmotor contributed by the vagus n. (X); sensory contributed by the glossopharyngeal n. (IX), vasomotor contributed by the superior cervical sympathetic ganglionno named branchesvagus: all muscles of the pharynx except stylopharyngeus; sympathetic: smooth muscle in the pharyngeal vasculatureglossopharyngeal: mucous membrane lining the pharynxthe muscles of the pharyngeal wall are skeletal m. derived from the mesenchyme of the 4th pharyngeal arch
phrenic n.ventral primary rami of spinal nerves C3-C5 (cervical plexus)no named branchesskeletal muscle of the respiratory diaphragmdiaphragmatic pleura; some fibers contributed to the pericardium and to the adjacent mediastinal and costal pleuraephrenic n. crosses the anterior surface of the anterior scalene m.
plexus, brachialventral primary rami of C5-8 and T1dorsal scapular, long thoracic, n. to subclavius, suprascapular, lateral and medial pectoral, medial brachial and antebrachial cutaneous, upper, middle and lower subscapular, musculocutaneous, ulnar, median, axillary, radialmuscles of the upper limb, excluding trapeziusskin of the upper limbplexus is a latin word meaning "braid"; axons from spinal cord levels C5-T1 are mixed (braided) in the brachial plexus and repackaged into terminal branches so that each branch contains axons from several spinal cord segmental levels
plexus, cervicalventral primary rami of spinal nerves C1-C4 brs. to: longus colli & capitis, sternocleidomastoid m., trapezius m., levator scapulae m., scalenus medius m., rectus capitis anterior and lateralis mm.; superior & inferior root of the ansa cervicalis, n. to the thyrohyoid m., n. to the geniohyoid m., lesser occipital n., great auricular n., transverse cervical n., supraclavicular nn. (medial, intermediate and lateral), contributions to the phrenic n. from C3 and C4longus colli & capitis mm., rectus capitis anterior & lateralis mm., infrahyoid mm., thyrohyoid m., geniohyoid m., respiratory diaphragmskin of the anterolateral neck; skin of the ear and skin behind the earclose association of the supraclavicular nn. to the phrenic n. results in pain from the respiratory diaphragm referred to the shoulder
plexus, esophagealright and left vagus (X) nn.; thoracic visceral brs. of the sympathetic trunkanterior and posterior vagal trunkspreganglionic parasympathetic axons from the vagus n. supply smooth muscle and glands of the thoracic esophagus and abdominal gut and its derivatives proximal to the left colic flexure; postganglionic sympathetic axons from the thoracic visceral brs. supply vascular smooth muscle in the esophageal vesselsvagus: GVA from the esophagus and abdominal gut proximal to the left colic flexure; thoracic visceral brs. carry pain from the esophagusduring development of the gut, the stomach and esophagus rotate 90° to the right with the result that the left and right vagus nerves mix in the esophageal plexus and emerge as anterior and posterior vagal trunks
plexus, external carotid superior cervical ganglion of the sympathetic trunk, via the external carotid n.distributes along the brs. of the external carotid arteryvascular smooth muscle, arrector pili muscles, sweat glands of face & upper necknonepostganglionic sympathetic nerve fibers use arteries as roadways to enter the head and neck
plexus, internal carotidsuperior cervical ganglion of the sympathetic trunk, via the internal carotid n.most distribute along the brs. of the internal carotid artery, although the deep petrosal n. is an exception because it runs a short course independent of an arteryvascular smooth muscle of the brain, orbit, forehead, upper nasal cavity; arrector pili muscles of forehead and anterior scalp; sweat glands of the forehead; dilator pupillae m.nonepostganglionic sympathetic nerve fibers use arteries as roadways to enter the head and neck
plexus, pharyngealmotor contributed by the vagus n. (X); sensory contributed by the glossopharyngeal n. (IX), vasomotor contributed by the superior cervical sympathetic ganglionno named branchesvagus: all muscles of the pharynx except stylopharyngeus; sympathetic: smooth muscle in the pharyngeal vasculatureglossopharyngeal: mucous membrane lining the pharynxthe muscles of the pharyngeal wall are skeletal m. derived from the mesenchyme of the 4th pharyngeal arch
posterior deep temporal n.mandibular division of the trigeminal n. (V3)no named branchestemporalis m.no cutaneous branchesa branch of the motor root of CN V; temporalis m. developed from the mesenchyme of the first pharyngeal arch
posterior ethmoidal n.nasociliary n.no named branchesnone mucous membrane lining the posterior ethmoid air cells and sphenoid sinusposterior ethmoidal n. exits the orbit by passing through the posterior ethmoid foramen
posterior superior alveolar n.maxillary n.dental plexusnonemaxillary molar teeth and gingiva; maxillary sinusposterior superior alveolar n. enters bone by passing through the small foramina on the posterior surface of the maxilla
pterygopalatine ganglionpreganglionic parasympathetic axons arrive via the n. of the pterygoid canal from greater petrosal n. of the facial n (VII); postganglionic sympathetic axons arrive via the n. of the pterygoid canal from the deep petrosal n.postganglionic parasympathetic axons distribute via the greater & lesser palatine nn., nasopalatine n., sphenopalatine n. and zygomatic n.secretomotor to: mucous glands of the palate, nasal cavity, lacrimal glandnonea parasympathetic ganglion; the pterygopalatine ganglion hangs off of the maxillary division of the trigeminal n. (V2) within the pterygopalatine fossa; preganglionic axons of the greater petrosal n. synapse here; postganglionic sympathetic axons of the deep petrosal n. pass through the pterygopalatine ganglion without
synapsing (they synapse in the superior cervical sympathetic ganglion)
ramus communicans, graycell bodies located in the sympathetic chain ganglianonecarries postganglionic sympathetic axons to the spinal nerve; spinal nerve will carry those axons peripherally to the skin, blood vessels, etc.none gray rami communicantes connect the sympathetic chain to spinal nerves at all vertebral levels
ramus communicans, whitecell bodies located in the lateral horn gray matter of spinal cord levels T1-L2; noneaxons contained within white rami communicantes will synapse on postganglionic cell bodies that will ultimately innervate the skin, viscera, glands, blood vessels, etc.pain from viscera is carried back to the spinal cord through the white ramus communicanswhite rami communicantes connect the sympathetic chain to spinal nerves at vertebral levels T1-L2; carries preganglionic sympathetic axons
recurrent laryngeal n.vagus n. (X)esophageal brs., tracheal brs., cardiac brs., pharyngeal brs., inferior laryngeal n.upper esophagus, lower pharynx, laryngeal mm. (except cricothyroid); smooth muscle of the trachea; secretomotor to mucosal glands in the upper esophagus, lower pharynx, larynx below the vocal fold, trachea; cardiac muscle of the heart (slows heart rate, decreases force of contraction)upper esophagus, lower pharynx, larynx below the vocal folds, GVA from heartright recurrent laryngeal n. loops posteriorly around the right subclavian a.; left recurrent laryngeal n. loops posteriorly around the aortic arch and ligamentum arteriosum; the inferior laryngeal br. supplies all intrinsic muscles of the larynx EXCEPT the cricothyroid m.
semilunar ganglionophthalmic (V1) , maxillary (V2) and mandibular (V3) divisions of the trigeminal n.sensory fibers depart via the trigeminal n. (V)noneskin of the face, mucous membranes of the nasal and oral cavities, mucous membrane of the anterior 2/3rds of the tongue (GSA only)a sensory ganglion equivalent in histological structure and function to a dorsal root ganglion; also known as. trigeminal or Gasserian ganglion
short ciliary n.ciliary ganglion: sensory root - from the nasociliary n.(a branch of V1); sympathetic root - from the internal carotid plexus; parasympathetic root - from the inferior division of the oculomotor n. (III)multiple short ciliary nn. which leave the ciliary ganglion anteriorlysphincter pupillae & ciliary mm. (parasympathetic), dilator pupillae (sympathetic)eyeball (GSA)short ciliary nn. are mixed nerves which contain sensory and 2 types of autonomic nerve fibers; postganglionic parasympathetic neurons whose axons are located in these nerves have their cell bodies located in the ciliary ganglion
spiral ganglionfibers of the cochlear hair cellscochlear n. portion of the vestibulocochlear n. (VIII)nonehearing (SSA)a sensory ganglion of the cochlear part of CN VIII
stellate ganglionneurons in the intermediolateral cell column of spinal cord level T1gray rami communicans to spinal nerves C8 and T1 (postganglionic sympathetic); thoracic visceral br.vascular smooth muscle, arrector pili muscle, sweat glands of the C8 & T1 cutaneous distribution on chest & upper limb (C8 and T1 dermatomes); vascular smooth muscle of the lungspain from lungsstellate ganglion is formed by the fusion of the inferior cervical sympathetic ganglion and the T1 ganglion of the sympathetic trunk
submandibular ganglionpreganglionic parasympathetic axons from the chorda tympani (accompanying the lingual n. from the mandibular division of the trigeminal n.)postganglionic parasympathetic axons distribute either directly, or with branches of the lingual n. to the submandibular and sublingual glandssecretomotor to the submandibular and sublingual glands and the small glands of the lingual mucosanonea terminal parasympathetic ganglion; submandibular ganglion is suspended from the lingual n. near the deep part of the submandibular gland
suboccipital n.dorsal primary ramus of spinal nerve C1no named branchesmuscles of the suboccipital triangle: rectus capitis posterior major m., rectus capitis posterior minor m., obliquus capitis superior m., obliquus capitis inferior m.no cutaneous branchesspinal nerve C1 has NO cutaneous distribution
superior laryngeal n.vagus n. (X)internal br., external br.cricothyroid m., inferior pharyngeal constrictor m.; secretomotor to mucosal glands of the larynx above the vocal folds mucous membrane of the larynx above the vocal foldsexternal br. supplies the cricothyroid m.; all other intrinsic muscles of the larynx are supplied by the recurrent laryngeal n.
supraclavicular, intermediatecervical plexus (C3&C4)no named branchesnoneskin of the root of the neck and upper chest, near the mid-claviclepain from respiratory diaphragm is referred to the shoulder
supraclavicular, lateralcervical plexus (C3&C4)no named branchesnoneskin of the root of the neck and upper shoulder pain from respiratory diaphragm is referred to the shoulder
supraclavicular, medialcervical plexus (C3&C4)no named branchesnoneskin of the root of the neck and upper chest, anteriorly pain from respiratory diaphragm is referred to the shoulder
supraorbital n.frontal n, from the ophthalmic division of the trigeminal n. (V1) medial and lateral brs.noneskin of the forehead; mucous membrane of the frontal sinussupraorbital nerve passes through the supraorbital foramen (notch)
supratrochlear n.frontal n, from the ophthalmic division of the trigeminal n. (V1)no named branchesnoneskin of the medial forehead and the medial part of the upper eyelid; associated conjunctivasupratrochlear n. passes superior to the trochlea (pulley) of the superior oblique m.
sympathetic chain ganglia, cervicalpreganglionic sympathetic fibers arrive via white rami communicantes of ventral primary rami of spinal nerves T1-T5postganglionic sympathetic depart via gray rami communicans to cervical spinal nn.; internal and external carotid nn.; cervical cardiac brs.dilator pupillae m.; vascular smooth muscle; arrector pili muscles and sweat glands of head and neck; heart and lungspain from visceralocated parallel to the vertebral bodies in the neck; there are no white rami communicantes at cervical levels
temporal, anterior deepmandibular division of the trigeminal n. (V3)no named branchestemporalis m.no cutaneous branchesa branch of the motor root of CN V; temporalis m. developed from the mesenchyme of the first pharyngeal arch
temporal, posterior deepmandibular division of the trigeminal n. (V3)no named branchestemporalis m.no cutaneous branchesa branch of the motor root of CN V; temporalis m. developed from the mesenchyme of the first pharyngeal arch
temporofacial division of the facial n.facial n.temporal, zygomatic and buccal brs.muscles of facial expression of the upper part of the face; frontalis m., anterior and superior auricularis mm.nonetemporofacial division of the facial n. usually forms a loop by communication anteriorly with the cervicofacial division
to carotid body glossopharyngeal n. (IX) no named branchesnonesensory receptors in the carotid body and carotid sinuschemoreception (blood pH) in carotid body; blood pressure receptors in carotid sinus; both located near the bifurcation of the common carotid a.; the vagus n. (X) may share a role in this innervation
to digastric m., posterior bellyfacial n. (VII)no named branchesposterior belly of the digastric m.nonethe anterior belly of the digastric m. is formed by mesenchyme from the first pharyngeal arch and is supplied by the n. to the mylohyoid m. (V3)
to geniohyoid m.C1 fibers from the superior root of the ansa cervicalisno named branchesgeniohyoid m.nonenerve to the geniohyoid m. travels with the hypoglossal nerve for a short distance in the superior neck
transverse cervical n.cervical plexus (C2 and C3)no named branchesnoneskin of the anterior surface of the neck transverse cervical n. penetrates the platysma m. but does not innervate it
trigeminal n. motor root arises from the trigeminal motor nucleus in the pons (SVE); sensory part arises from the trigeminal ganglion (GSA) and projects into the pons to the primary sensory nucleus of V or more inferiorly to the nucleus of the spinal root of V (medulla and upper spinal cord)ophthalmic, maxillary and mandibular divisionsSVE: anterior belly of the digastric m., mylohyoid m., tensor veli palatini m., tensor tympani m.; muscles of mastication: temporalis m., masseter m., lateral pterygoid m., medial pterygoid m.skin of the face; mucous membranes of the nasal and oral cavities; general sensation (GSA) to the anterior 2/3 of the tonguealso known as: CN V, 5th cranial nerve; some brs. carry pre- or postganglionic parasympathetic fibers; the trigeminal n. divides into three divisions at the trigeminal ganglion; SVE supplies muscles of 1st pharyngeal arch origin
trochlear n.trochlear nucleus of the midbrainno named branchessuperior oblique m. of the eye (GSE)nonealso known as: CN IV, 4th cranial nerve; the trochlear n. passes through the superior orbital fissure to exit the middle cranial fossa; it is the smallest cranial nerve and the only cranial nerve to arise from dorsum of brainstem
tympanic n.glossopharyngeal n.tympanic plexus, which gives rise to the lesser petrosal n.secretomotor (preganglionic parasympathetic axons which will synapse in the otic ganglion) to the parotid glandmucous membrane lining the middle ear cavitytympanic n. passes from the inferior ganglion of CN IX through the tympanic canaliculus to reach the middle ear
vagus n.medulla: dorsal motor nucleus (GVE preganglionic parasympathetic); inferior ganglion (GVA); nucleus ambiguus (SVE); superior ganglion (GSA); inferior ganglion(SVA)auricular br., pharyngeal br., superior laryngeal, superior and inferior cervical cardiac brs., recurrent laryngeal n., thoracic cardiac brs., brs. to the pulmonary plexus, brs. to the esophageal plexus, anterior and posterior vagal trunksSVE: intrinsic muscles of the larynx, pharynx (except stylopharyngeus), and palate (except tensor veli palatini); GVE: smooth muscle of the respiratory tree & gut (proximal to the left colic flexure), heart; secretomotor: mucous glands of the larynx, respiratory tree, pharynx and gut; secretomotor to digestive glandsGSA: skin of the external auditory meatus; GVA: viscera of head, neck, thorax & abdomen proximal to the left colic flexure; SVA: taste from the epiglottisalso known as: CN X, 10th cranial nerve; the vagus n. passes through the jugular foramen to exit the posterior cranial fossa; vagus means "wanderer" in reference to its extensive distribution to the body cavities
vestibular n.pons and medullano named branchesnonebalance/proprioception (SSA)vestibular n. is part of the vestibulocochlear n.
vestibulocochlear n.pons & medulla: vestibular nuclei from the vestibular ganglion of the semicircular ducts; cochlear nuclei in the inferior cerebellar peduncledivides within the temporal bone into vestibular and cochlear partsnonevestibular: balance/proprioception (SSA); cochlear: hearing (SSA)also known as: CN VIII, 8th cranial nerve; auditory nerve; passes into the internal auditory meatus
white ramus communicanscell bodies located in the lateral horn gray matter of spinal cord levels T1-L2; noneaxons contained within white rami communicantes will synapse on postganglionic cell bodies that will ultimately innervate the skin, viscera, glands, blood vessels, etc.pain from viscera is carried back to the spinal cord through the white ramus communicanswhite rami communicantes connect the sympathetic chain to spinal nerves at vertebral levels T1-L2; carries preganglionic sympathetic axons
zygomatic n.maxillary division of the trigeminal n. (V2)zygomaticofacial & zygomaticotemporalcarries secretomotor fibersskin of the face lateral and superior to the orbitzygomatic n. carries postganglionic parasympathetic fibers from the pterygopalatine ganglion to the lacrimal gland (via the communicating br. of the zygomaticotemporal n. which joins the lacrimal n.)
zygomaticofacial n.zygomatic from the maxillary division of the trigeminal n. (V2)no named branchesnoneskin of face lateral to the orbitzygomaticofacial n. passes through the zygomaticofacial foramen
zygomaticotemporal n.zygomatic from the maxillary division of the trigeminal n. (V2)communicating br.carries secretomotor fibersskin of face superolateral to the orbitzygomaticotemporal n. carries postganglionic parasympathetic fibers from the pterygopalatine ganglion to the lacrimal gland (via the communicating br. which joins the lacrimal n.)
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