9215/0 Abducent Norve

t the b th nonfol nerve relatecd wth the movement

eyebal.

luote us: t locotod at he upper level Pons. t

wmounded by e s ofpcPa none Pbres

rdna-neunal cou RQE

Pbes Passes owand atevalty S comes out rough otetios

Stugore Pondomeduallay Jont

'
Intra-canfal couse
t posset onband hoough tPsevna pontPs and enter Poto
n khe
0aveo nous sPnus thoough poutesfor pole and AOen

lateal uwall Cove rnoud gnur and comes out tiuodo6

antenov pole alont orcutomotor nevve, gce ee, opPe div
mtldte paut 8upenfor oRbPtalSne al nonyo.
Extra-CranPal couse
n he onbft ft passes ateralty and opplRs lotent oectuw.

Appled aspecs
Pnfuy ts the obducent ucle eols to severe headache s

bfsuat PompofrementE dotera 9t Jeads to 8qufot eye.

ontra occutas musscle

upenfov meckus
Rechus
rmeda echu d Cranfal, neve
ovatov pal pobnae Supeeibi?s
ngofe,pPaue
atenal ne ctus th Cronifal neve

dupesfo reetus 4th ania1. nere

LR 6S0y
aulbri202

Y1aPgerinal ne
Jhe th Coonfal neve
longe st onfal neyye
he
11 a mged neve
94 elotod t the onsat Pna had a reck qfom
upy Mos muades mastatf
Nuclens
-Moto nuc
leus >
el4nont hueles
-APociple ensoRy nucleus
pnat nucleus gemhal neve
enonb nueleus
- Mesencephale neYve

phal nuteus Tagemna nave. oro chal ced a

CC 6eg mentod teve.

CouRso ditfbutPon
*Intaa neial Coue
oom he vaxous nucle
fieRue unftecd
he pons at

Spasses latevally come sub t h e arteog Stngace

pons by khe loage sensoy uoote and malle moto oot

Irtaa C%antal 0ouRse:

The abore rwo Roots
possesovwad, a korally ocacheg
he igernna gonglPa and pcatect Po Mehel's cave
0T dunatcove tes fo appe Poat petrous tempola
bone)
.roro ho 1-Fgortal gongPa, tinoo tanchos aa

- Optfe drviston ensos

Noßtay dPPSPoo encouy
- MandPbulag
drvfsPon ensoy motoT
Optlealmfe Aove Aisfon
Intna aanfal (twn
om he lenlhal gonglfan, MR oplhalme nove divPafbn

PE
entes nfo (avevnouS Ahus rough tdesfbr pole ,

dRie Prto aanches. hey auo

yData
Lama
-Nasofaky.
and iese Come the Cave nou hw haough
antefon ole.

oaame

Foontal enters toeblAebabit tebdgh Aatenat paut

sapenPon 0vBtal sune.siol
lacaimal entens trnough ateral paat no 8upegPoa Obftal
3suce
AlasoeftAaa entens Palo ovbfE frrough middte paut
orpenfo o»ftat RsuRe.

rontal nerve
ckupra torochleour
Tt assonds apuauds, mes obft
out ttough
Supoor t a l ssune and Reaches ngront o4tular
muscle. Tt cofbs sensationsom scalp
r

fupra Osbrtal
Nedtol to supmattochlea, u pRmot?ta. prpsent
cavoRssensations' om medfapamb of salp,

laeolmal nenve
asses late vally supplPes o lonoenial gfond
ecehes the tommuni oalfbn om 4gomatfetone
empoa ne
 NasocilPaay Supesby brbPta ssuze
Comes
medfa tly thaoug9h
baanches

-Ae tu celPamy qongl

leng efttay neve
muscles.
Me eyobal 3 9upples eftony mus
ertiony cles
entes hsle
Posteios
ethmofd nerve :
-

satibns om sphenodal a sinus

Co asts
postexba elhmoRta aguses

Aterfoy end Do4odPtbuu nevve

Ante-fox ethmod
Hese anteyos pat nose.
. t uafes sensatonsrom
callecdteteynal nasa Caukes
ves banch
th a0ugh
haugh
songatrons m lateralwall 0050
Caaafesrom middle s
aso
egtemal nasal bone s
anteo atfimodol Afnuses

naa brochleas
caes ensatong rom antert'or paat ace
.

a5losla0o
Mollauy Nerve dvebn
bagnch
Tt Ps the a nd, tqemYna nerve
Anses om tPperoPnal ganglta
passesoruauda, Keen the oov Oveanous sPnus
CLqnlal cavfty theough
Cormes, out h e tovamencalled. FoRAMEN RoTUNDUg and
eaches PTERIGOPALATIJE FossA, pagseg thoough Caral Ca lled
PTERL0ID CANAL yoach e s
NFRAORBITAL cANAL wnroh
geeo 7Da mailtau nus
andcomos ou
thapugn NPRAORETAL FoRAMMEN a
I19FRAORB/T9L NERYE.
 has bRanches

tenngoal bRanch- n nddte coonPal ossa

Gangton Pe branch +* ?,
Tn Ptoo palotine ossa
at bsanch ()
Zygomatie0 tempokal - communeatea ufth Aecratornotor ibke
helps in smetibnf laosîrolgond.
TygomatPeo facPal Ohes Aensatdns nea to 4gorna.

ngsa-oxbital newwe gRres s branches namety

Pahpebzal baanch-3upplRs lower eyelfds.

Nasal branch

labol boanch.

fnaa- o«bftal eanal 9ves 9 branches

heve
Mnte-Po dupenfr Aveolasastey - Kupplies Inesors, conPnes f

upper feeh.
neve
.MRtolle Supeba Aveola teay- suppls pemolans oupper
teeh
nexve
31

Poste sPo Sperbs Alveolag ote8upplkes mous $ uPpey

.

teefh.

1
 lorvinol zand
rrteding oramen oturtu
(ormuniating bron
r h
Avaneh

nowe
7 9orr ahE

Yovhop olalne
VY fofso orbl%l newe
ongn Ertorno noolbanch
Ptongopolatine osta
înevir polpebro on
Yeoter ond lest
superion olos lou
polatin e enves yAnter
Poseion
aupenleolas Novllo dle
bronch upeor labol banch
aAuperfor
Alvepla
bra rch

MAILLA Ry DrisON 0F TRIGEMINAC NEFuE

31lo5hoa
ANDIBOLAR NERVE DIVISION:

ATs the 3 ad dMgion fgerinal nerve atsnq

om Tgerrmal Grang lfon.

riged whtch mean8 That ha

4 a neve
cles
oth motor gens0 unctPons
that supplRs mus

and eaafes senahon8.

mostotfon CRantal avty
Been ngeaoa to Cavernous nu and Comes eut

hhough
ou FOPAMEN OvALE, along with 2suuctues
andtPbalaa rele
Acessqay menngeal aaley
esser Pot osal neve
- Emss a y vefn.
 empoa
.they
. T i e y nTher eorh ngra- 0 t a l foasa, hese

Oteatbn dittbn.

AYERIOR DVON passes oAwaals and upe

musoos masbaton.

Dee eyoaal ne ve, supp TernpoaalB muele

Marsetes fe neve, supplRes Maisete ruicle.

Jateral Methofd nevve, uppl?e Lateval Ptenqoid

musele

Buccal nYe castes latesal

Kensatong fom wal
buccal avty.

PosTERIOR DIVI3tDN

baboanch mentngeal bsaneh supples mennges

2 nd baanch nen e to medl pleaPgoid, vupplRbs
meta ptenlgofd mutete.

Tentor vet patatn?

enso umpon

3d baanoh AuaPeub tempoka neve

ppliès otoot oerlernal ean, fwotfd qlande
and tempovomand?butas folnt

Entes nsPde the

4) The Tnenfon avetelas neve
Mandfbulaa Cana and mes out fhmough menka)
ens a Kons
mental reme and caates
oramen as
DUS
om the ea chm. urles lowe

teeth.
 5) 1gun) bramh

Furlhe pases fonoauds casifes engatoma rorn

ror
he arleo two 4hkcd o tonge

O1 loslo on1

Tsfgemin at neuralgfa

Todgemioa neunali a ConcdftYon m whch the

the
Peson gets pafh and othe senuatfons rom the
aaPa,
a, MuppRd
byvo»Yous boanches Trlgerinal nerve.

Fo denal
manipulations, loca) angsthesa t o be
ven to
desensitge the mookllany neve (tuperfos
aveolasneve) o
mandbulaa neve alveotaa neTve)
CPnkonPos
Tofhenminal nenve

VI. FACIAL NERVE

the t6 CkanPal neave, nelated t the mutcles

ts the
acfal expre ssfon, Jacmaon, aste
pexeepn and
9alfatfo. (ant 213 nd tongue
Nuele
1Mottn nueleus Nueleus ambrquous.
ense4 Aeles
uperio 2alkay eleus.
3. Jacrotoy nuus
4 Nuelevs hartus 3o/ftaug
NTRA- NEURAL OURSE

he aefal fbaos are, 'anfled and baotvnada,

A
then winds OveR AepUCENT NERVE 'NuctEo3 and
ovms. a tourdod pfec bo called fACIL COLLICULUS

fuAhev passes onda and eD mes out hrouqh he

ates foh ySace PoNDo-MEDDLLARY TUNCTION

INTRA CR ANIAL CO0ORRE ;

FAomPOND0 MEDDLLDRN JUNeT tON, omes oub

Koot nametyMoRger motoacot and ma ller 3enoy
Kot Clavus Tntermetfus).

ImRront Pons,hey possee tnough terna Pont and

ertes 9otot
foefat tanana thaough IMERNAL AcosTte MEFTUS
atong with8t6 Cvonfal neave and 1obyuhthfne votel.
along
(Iternal Acust Meatus-a Smal oramen Inthe apen
temporal bane)
8 Pa
een the acral cana and makes 8 paatk by a kens.

9)Passe forwaad8 lateral

9Pt passes backwosd tatexally
f) 9t poses VeRtfeatly downuwands

And Comes cub tiaoagh yOID MASTOIiD FOROMEN:

EXRA CRANTAt COURSE

Passks ouads ondentexs rto. PARUTID LAND

dided mo, s, bonchg
Yomposal branch
goma te baneh
.Buccalbranch
.Nan dfbulaa bRanch
Coyveal bzanch.
 Banches Focfo Heve
.In
Factal Gonal, a called
GENICUtATE GANL1A n
gongien P poesent

t part
Gteaten Potosal nérve conbs laenirna Pbaest t
the loekrnal g lond. (1 H paxg

. Ateve to
tapedfus -gives nenve upply to stageku stopreu
muscle (Eeen n Pnaer pautea
(nd pout)
8Coacda tympant CaxPes viensation tarte peeeptier
peMeptier
rom arteoa &le d ttongue
3nd pant)
CDmes Out hoough tylo rmasto?doramen and
ve branchos

A
cbtohyorc neve -supplies atyto hyod muse.
Poste for bell diga stPe supplles dRqasule musele.
belo t styto- hyo?d ne9ve, anotke
braneh
6 osterfor aukfeulas
nere-Supplts Ocefpftal muscle
They entey Partu Ramt gland3 maees elaton
th extena) exotfd atery otuo mandfbulas ven
and dPfded Poto S temfnal
branehes.
Teporal braneh
CucAAt ANTOMY Zgomake branch
Bae cal branch
Reu's Palay Monqfnal mandPhulaa
CeovReal branch.

juay ts tevmnal branch aefa neve

abRec
abtecks the musetes ac fal epnesPon deads o
paxalyss(ace s desRuted t unoßected
sPde)
 yyho

mpde amely

ralled

ofy hoorl n, for da

taste PoeponYom aeso

Hpea arusos
tapedfa mu sce hetps f mrwr d
evcesire bation skapes
ad
Panalyss $ kopect mu

, i
ie hoanlhg te Acun
Hpe occ405

gto malacla
Gooate
due eorfan
lorsfno tn
n w
and Jeads o
t ea)
o4l06 be
VESTBULO coCHLEAR NERVE:
t s the, 8 f5 Caanfal neve elsted wfth heaahg an
balanelng.
a k o called Auclloy nerve o 8tahuo A coustie Ney

Cstatao balante,
Alcouseheouing ).
NOcLE

) Dosal Cochlea Nueleus.n .

it) Venta Cochlea Nucleus

P*) Nestbulaa Nueleus

hey ake
Posent in loue leve fons and
Uppe leuel Medulta
Oblongaba

INTRA NEURAL CoURSE:

These
hese tbme get urfted and posowauds and
eomes hievugh Jateva poat PoNTo. ME DOLLAey
ToNCON ty&prut .

Vestbulaa Paut
2. Cochteak Paxt

IANRA CRANIAL coURE

Fusthen passesowads and pass frough eLT ERN A

PDNTIS and ente
Prtooeia Intea nal
AcoustPe Meatus aleng wth aca
th trafel. nenve and
Labynthe Vessel, smallev densoy Aoot and anq er
motor 90o6 When Pt erters Trto ntenal Acoushe Keatus
 qeta dPed hto Ve;fbatas reyve

chleauneve
Apros atus
Vostfbulas neve ues veshulas eide ard
Veeulaa
Cmfes npthos fnm
Appoua hs
irpasatus
(ochloas no stpits Cochtoas ard

eaxas udoimpuls9
ochloaAppuabus.

APPLIED ASPECTS akt

. VERTIG0

Vestfbulas nueleveshfbulaa Ppauatus /

Nestfbuloa neve e cd, leads t auo

balanefngand the condlftfon allad Ve-tco.
Vetgo.

9. NEUR0 SENSORDEFNESS;
tochlea" nuce?/ Ch tbchlens Fppaatus
tochlea "nesve k fectèd,leods to deulky
hevng ondntieCondtFen callod lewoesay
Deataes
 GLOSSo PHARNGEnL NERVE
.Glosso hayngea) e a q Ctort nerve
Aelarted twfth he unet fons dongue and phoayn
pras 7
. a mied neve tha has both Ken sony ard
moton bros.
Bensa ons
cannRes taste.
perceptbn , rom poteaoa /s acd
tongue ond aso
helpgul o deguPon tuwallouhg)
tabo tasles ensations o the mouh, tongue
NUCLE arynx
-

Motor nucleus Broncho motor nuctes

Tnpefon avatoy nueleus.
ureus hrards ottaufus t
iney ane Locartedn vaous levets ef Medulta Dblonga

NTRA NEURAL cOURSE

PPex level Medula &hlongota, all the

Glosso pharyngeal beane, urted andpo9ses owads
Joterally, bebugen Inderor ecbellas
and
Reduncle andDIRe
Co mes ut
dfreough The cbtnface Medttla
o blongoa A 0ots.

ITRA CRANIAL
CoUR&E
hom Tedutla bblongaa, he ibes orwaxdls and
pass
ass thaough Ygteona Magna, Cooss the tubercte called
Jugulau ubercle and omeg out anfal taty ouqh
Juga tasfovamen.
 tgh ugulon fonarm, t Faes al uh
Coming
hternal Tugutoe ve
to anh) nenve fvugu ne)

EXTRA cRANIA coURSE

hen Cormes ut tfnouh Juguha oromen, ses

ntenal Tugular Veh

fmenal Conoftd hfey.

o Abwnastld pnocess
qtyo phanyageab muscke.

hside botueen upeips

.One banch ente phayox
called Phasyngeal
ConstPeto and mddle Constictoy and
branch.
Another branch vseen oveT thetyoq lossua
passesotvands,
muscte the too mouth and upplies kongue.

BRANCHES
enters hstle tdle Cas and oms
. Tympanic branch -

mpanfe plers.

2. Conot branch ASupplPes Caobd kocly and avobd snu

phouyor. Enes Pnto
ewat
dupplfes toad phowynt
2. Phovyngea! bnandch Phaoyne ebweon supendo middle Concisrcto
called
Musautaa branch uplymuseles.gphaayn*
atylophaoyngeus.

and
poen latexat wull e mouth
S.Jonsflas banches ensaon rom
aned
rom
Caies

t athe fons?e.
 omosto
smsobbn
. ngual bsoneh Cons
t o n g u e ( b o t h . g e n e r a a n d aste
t

inu
perCeph om

clPnfoa Aniatomy
to Gtoo haungeaol, neuelod , (19:A
ngng omOo? Rdupd
9

toste pecepton rom podeno 3 d bonque.

Leacsto dißfal,
koatysts 8 shylophanyngeus musele

fo soallowng and the cond? tion, tolecd HsPHIGIn.

04 o6l2021

VAGUS NERVE *AD

dano)
the o th Canfal nere.
lhbi bn 9

calted ag Vagus nerYe because u ast Couase

AI220ou pyo
mporthebiebaes a vPceal dagons
and abdomen
NveLE
E Paanchfo oto,Nucleusrstn9
Nuefous
tractus so!?taus
dnocreom
8 pinanuees gemnal nerve.
Hoen
A orsa motonuelesg Vague ro3
fpg
heyanerosentbibfn varOuA levele Medutla 0longata
and d to
Cy aalmant

NRANEORAL coURSE 29i

Au the
and omes
brksQ4utedsond orooad lateva
Pagses
latena1ly
1y
out fnaDugh tatenad duteus
to oot
Meduka Dblonga
 INSRA CRANIAL CoURSE
Crstena
Oblbngato, he bo pois fimugh
From medutta
tukorele and Corra out rorfa
0gra ond, Cos8 jugulas
ThaoughTugulasovanen obng wfth.
Cavity
- InternalJugulaa von.

-9t6 anfol neyve (Glosso -pho yngcal neve),

Ith CaanPal nevve CAceessoRuy nerve).

ERA cRANAL CoueSE

ond
toses fn betue en nterna CaRo Ra Antey
andBetuween CormtdEody nd
Mena) Judütas.'Whand
Ven and between'b: Common CaaotPd Flfery
tena Jugulau
and Jugutas Ven, unde the covesing läsdtt shoah
tena 3
andentons' ito
posteior medasnurn
and each rtd
abdomfnat avb tRopugh Cesop hageal orenng dâpnagm
Thoaa ancd Abdomen.

BRANCHes:
In head and neek, t 9ues branchesPostosfo czanal ea
Menngeal branch Corrafes gencatfont gmoro meringe

2. Auofeulas branch. -
upples Loot eas

9. CadPae bronch Cupples heaut

nus.
upplies Canobdbly and Cauo
.Cootd banch

ea braneh

Bupeor laoyhqea
heTVe Tngorior Laryngeal. nerve
Crecuirent laynoeal nerve)
nerve hdohs ovey
Eorteyna especPally legt layngeal
Tntena
Lanunea onungeal an ch aorta
9 axends upwouds
neve herve
Supplfes muscles lannx . Helppulfor
Pho naton lspoech)
 APPUED APECTS eCunent lonyngeal nerrve"
Aeve, teadk t PaRauu?,
any uA t
Voqus
muscle.e
laayn one
aFdle and leads
lead

0ond?on
drgsPculty speech and h s called
c all

PYsPHON1A )sHmutafoo o vogus nemve by 3nulo

tR o t e t des
Tneroa ses desve
ve tecr Ld
Vo got omy Yea omova v09o newe
botk the Jaayngeamscle 03 paaalyned, P
clo ses the
onway and Deads t dPeu Pn
boathfng and thRs CondPtn ealed ASPHyXA.
& not Aukgfca ty tonrectecd, lendle to dealß
aso vaq
&mudatPnq
PRANCHES:
In
headand neck, t grees branches,
' ennqea branch -

caafes gengatfons rom posteafoa cganal cavit

menges
.
Auntaulaa baanch -Supplfes aoot
e05
3. Phaay ngea) branch t oms phaaungea plerut and supples
musctes phaunx Gt palate pt
Sttopharungeus muscle .
. CoadPa branch vSupplies heaut
5 0nyngea branch

pefor Jngesfon
Lonynqeal neye oyngeanee CRecurenb lonyngea)
neve SupplPes 8mus es
Ecternal Inteena) laryn exvept feothym
oynqea) neve musele
laynqea) kiqht Recuonen
névo Leeuren t
upplfes Cannfes laoyngeal nemve Casyngeal nee
Cfcothyo4 Sensaton passes nea to hooked oven anch o
muscle omPno Common cauobd aorba ascends up ovaacds
Pare
Corter muscle cter ge hes Supples uscles
Layno) subelavian outeyy
G SupplAs taugn phaaynxHelpalos
PhonaNon peech.
oploslo02

AcCESSORY NERVE:
Crana neve.
. s the th
Hence called os Access0y nerve
acestoRs
to Vaqus, nee,
i
has & Cvmponens
nerve
Counfal Aeeesteat paat oAceessory
. pPna) Aeresoay r fctersos nerve.

NOCLE nucte? botuoeen

neve hove
al pat Accesoay
spnal Beqments.
C5
Accersoy neve' hovng, the nuele smPlaun
ranfal pot
t that oVqus nerve.

. BranchPo motor nueteus

Nucleus taactu solftaafu

3 Donal motDY
nucteukuoVoou
4. Epfna nueleus rgerninal ne

SPINOL PART
ntosCranPal Couse O

Accestoy nerve k keen un spnal coqd.

Qpina paat
upuwo0ads, entes
mto ChanPal CavPty thaough
I t dsconds

Foramen magnams t ku ther passes orwads fhough

tubeele. Hene, ?t
ePstenna magna and rach n e a Sagulaa

Communfeated wh Cnanral poat e flcLenors nevve.

9e

CRANIAL PAR Pntra neura) ourse behns om nuele

Caanial Poat Accesoay ted and
bADS ted and passes
cockuooad s tatevally and comes but,fmough,Poste&labeva
Ttaonid) Couie
past Medulla Oblongata and kutie fasses orwaada and
Toot enke thaough c?stevna
stes t spPna cc0sso un' teo
tuber cle 9 then
magna each
hearr to
Jugula
Pth 1he 3pfnalobE accessa nerue
 The9oh ut thougn Juon
oaumen along wlh
un od ancd com es
uulo
96onPal neve Gtossohasyncealnevo
to
t6arfal netvo (Vagua' newe)
enat Juqu toa ven
Exda aanfal Cbuase
oon 4 dfPdes Prto,
Canral
pat o Acessoy neveunites uKh
pPnal aat Aceosoyne
Passes downcoads, backwaads
&muacles namely and supples
-

tenoe bedo mastofd,

-Tarenfus.
CLINICAL ANATOM

Compossfon pRna
Pat
Aceessom nerve leacs
&pose Conractfon leack tb
t5
museles cteinscledo
Teopoaiu) ard hs mastofd 4
condPon called
ealled IRY
AIRY 0ECK
TORTICouS . Ch and Pp
OECK
shoutder n Same the.
qlo6l2021
HYPOG LoSSAL N ERVE?

t anth Cana neve rolrfed with morernent

tongue
NDCLE:

Hypoglossal henve nueteus ocated Po ouer lerel

ied tatta Oblonga to "

INRA NEORAL CDORSE:

fbnes pais backwaads lteratty and Comes cut mugh

tatenal kulaus niedula obtdnqato.,

INTRA- cRANIOL COURSE

FPbres pass onwasds and Comes out
CAanfal tauy
thoough anteba condylon canal o ypoglossal canal.

EVIR cRANIAL CoURsE:

further pastesornonds and passes medilto thot

and 9s skuetuue and Cntesal to

tylofd poeess
ntna Juqulas ve and Common Couottol aateay
thot
thot
museles
moulh and uplies
andTeaches look
kongue. that

Gtenoglossus.
Hyoglossus.

h log tos
sus.

supefer longYtudina
CorngPtudPnal.
foongvese.
VeiSecx

muscdle tonque not Suyped b

Palotoqto&sus
Hypeglostol nen ve.
 APPUEP AS PECTS
ouytoto hypogtorsa neve hypoglonal nucleus teanlsto
pualysis m umu sele nque.
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