Head & Neck Autonomics - Med Neuro II
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Questions and Answers

Which term refers to a structure associated primarily with the nervous system?

  • Proce
  • Artery
  • Ganglion (correct)
  • Styloid
  • Which of the following is associated with the inferior alveolar nerve?

  • Artery (correct)
  • Styloid
  • Lin
  • N.
  • What anatomical term could refer to a thin projection or extension?

  • Styloid (correct)
  • Proce
  • Ganglion
  • Lin
  • Which term above is least associated with circulatory function?

    <p>Ganglion</p> Signup and view all the answers

    Which of the following options represents a structure potentially involved in dental anatomy?

    <p>Inferior Alveolar</p> Signup and view all the answers

    What type of fibers from the Ciliary ganglion join the Short ciliary nerves to control intrinsic eye muscles?

    <p>Postganglionic parasympathetic fibers</p> Signup and view all the answers

    Which muscle is controlled by the sphincter pupillae?

    <p>Sphincter pupillae</p> Signup and view all the answers

    Where is the Ciliary ganglion located relative to the optic nerve?

    <p>Behind the eye above the optic nerve</p> Signup and view all the answers

    Which division of the trigeminal nerve provides postganglionic sympathetic fibers to the eye?

    <p>Ophthalmic division (CN V1)</p> Signup and view all the answers

    Which muscle is responsible for accommodation of the lens?

    <p>Ciliary muscle</p> Signup and view all the answers

    What type of control is the dilator pupillae under?

    <p>Sympathetic control</p> Signup and view all the answers

    How do postganglionic sympathetic fibers reach the dilator pupillae?

    <p>Through the long ciliary nerves</p> Signup and view all the answers

    What primarily influences the shape of the lens during near vision?

    <p>Contraction of the ciliary muscle</p> Signup and view all the answers

    Which of the following correctly identifies a branch that does NOT provide post synaptic fibers to the submandibular gland?

    <p>Branches of Maxillary Division of Trigeminal</p> Signup and view all the answers

    Which ganglion is responsible for both general sensory and taste sensory for the facial nerve?

    <p>Facial’s Combined General Sensory and Taste Sensory Ganglion</p> Signup and view all the answers

    What type of fibers are primarily associated with the auriculotemporal nerve?

    <p>Post Synaptic Sympathetic Fibers</p> Signup and view all the answers

    Which division of the trigeminal nerve is NOT mentioned as having branches contributing to autonomic innervation of the submandibular gland?

    <p>Hypoglossal Division</p> Signup and view all the answers

    Which anatomical structure serves as a route for parasympathetic ganglia related to the trigeminal nerve?

    <p>Lesser Petrosal N.</p> Signup and view all the answers

    Which foramen is associated with the trigeminal nerve?

    <p>Foramen Ovale</p> Signup and view all the answers

    What is the primary connection of the trigeminal nerve to the middle ear?

    <p>Eustachian Tube</p> Signup and view all the answers

    Which ganglion is primarily related to the parasympathetic functions of the trigeminal nerve?

    <p>Otic Ganglion</p> Signup and view all the answers

    Which of the following structures is NOT directly associated with the trigeminal nerve pathway?

    <p>Middle Meningeal</p> Signup and view all the answers

    The trigeminal nerve predominantly manages sensory information from which of the following areas?

    <p>Face</p> Signup and view all the answers

    Which branch of the trigeminal nerve is primarily responsible for motor control of mastication?

    <p>Mandibular branch</p> Signup and view all the answers

    Which foramen allows passage of the mandibular branch to innervate the jaw muscles?

    <p>Foramen Ovale</p> Signup and view all the answers

    Which of the following is a direct branch of the trigeminal nerve?

    <p>Buccal Nerve</p> Signup and view all the answers

    Which anatomical structure is associated with the chorda tympani?

    <p>Temporal Branches</p> Signup and view all the answers

    The petrotympanic fissure is primarily associated with which anatomical feature?

    <p>Stylomastoid Foramen</p> Signup and view all the answers

    Which nerve is NOT associated with the hard palate?

    <p>Chorda Tympani</p> Signup and view all the answers

    Which structure could be categorized with the greater palatine nerve?

    <p>Lesser Palatine Nerves</p> Signup and view all the answers

    Which nerve originates from the stylomastoid foramen?

    <p>Facial Nerve</p> Signup and view all the answers

    The minor palatine nerves primarily serve which area?

    <p>Soft Palate</p> Signup and view all the answers

    What region does the zygomatic nerve primarily branch into?

    <p>Maxillary region</p> Signup and view all the answers

    Which structure is most closely related to the posterior belly of the digastric muscle?

    <p>Stylomastoid Foramen</p> Signup and view all the answers

    What is the primary function of the parasympathetic innervation in relation to the intrinsic eye muscles?

    <p>To facilitate vision through accommodation</p> Signup and view all the answers

    Which ganglion is associated with the autonomic innervation of the lacrimal gland?

    <p>Pterygopalatine Ganglion</p> Signup and view all the answers

    What distinguishes oculosympathetic paresis from oculomotor nerve palsy?

    <p>Oculosympathetic paresis causes ptosis but not diplopia.</p> Signup and view all the answers

    Which gland receives its parasympathetic innervation from the otic ganglion?

    <p>Parotid gland</p> Signup and view all the answers

    The autonomic innervation to the pharyngeal and laryngeal mucosa primarily involves which type of nerve fibers?

    <p>Parasympathetic postganglionic fibers</p> Signup and view all the answers

    What is the anatomical basis of Frey's syndrome?

    <p>Regeneration of parasympathetic fibers to the parotid gland</p> Signup and view all the answers

    Which cranial nerve primarily contributes to the passageways for parasympathetic fibers in the head?

    <p>Cranial Nerve V</p> Signup and view all the answers

    Which intrinsic eye muscle is primarily influenced by the parasympathetic nervous system?

    <p>Both A and C</p> Signup and view all the answers

    The autonomic innervation of the submandibular and sublingual glands is primarily provided through which ganglion?

    <p>Submandibular Ganglion</p> Signup and view all the answers

    What physiological effect results from the stimulation of parasympathetic fibers to the lacrimal gland?

    <p>Increased tear production</p> Signup and view all the answers

    Study Notes

    Head & Neck Autonomics

    • Lecture 5, Med Neuro II, January 23, 2025, by Liam Zachary, PhD
    • Focuses on autonomic innervation of head and neck structures
    • Key Ganglia: Trigeminal (sensory), Ciliary (PNS), Pterygopalatine (PNS), Otic (PNS), Submandibular (PNS)
    • Learning Objectives cover autonomic innervation areas: intrinsic eye muscles/eyelid, lacrimal gland, nasal/palatal mucosa, parotid gland/buccal mucosa, submandibular/sublingual glands, pharyngeal/laryngeal mucosa

    Learning Objectives

    • Describe autonomic innervation of intrinsic eye muscles and eyelid
    • Describe autonomic innervation of lacrimal gland and nasal/palatal mucosa
    • Compare/contrast the anatomical bases of oculosympathetic paresis (Horner's syndrome) and oculomotor nerve palsy
    • Describe autonomic innervation of parotid gland and buccal mucosa, describing the anatomical basis of Frey's syndrome
    • Describe autonomic innervation of submandibular and sublingual glands.
    • Describe autonomic innervation of pharyngeal and laryngeal mucosa

    Parasympathetic Ganglia of the Head: Overview

    • CN V provides pathways for postganglionic parasympathetic fibers via 4 ganglia: Ciliary (V1), Pterygopalatine (V2), Otic (V3), Submandibular (V3)
    • CN V carries postganglionic sympathetic fibers from cervical ganglia of the sympathetic trunk

    Trigeminal Nerve: Summary of Autonomics

    • Detailed diagram illustrating trigeminal nerve branches and connections to various structures, including eye muscles, nasal mucosa, parotid gland, and more

    Autonomics of the Eye & Eyelid

    • Covers the autonomic nervous system functions for the eye and eyelid in detail

    Autonomics of the Eye: Ciliary Ganglion

    • Ciliary ganglion location relative to optic nerve
    • Preganglionic parasympathetic fibers from oculomotor nerve (CNIII)
    • Postganglionic parasympathetic fibers connecting to the intrinsic eye muscles

    Autonomics of the Eye Intrinsic Muscles

    • Structures (iris, pupil, sclera, ciliary body, ciliary muscle, lens)
    • Muscles of the pupil: sphincter pupillae (parasympathetic) and dilator pupillae (sympathetic)
    • Ciliary body's role in accommodation

    Autonomics of the Eyelid: Superior Tarsal Muscle

    • Superior tarsal muscle innervation from the sympathetic nervous system
    • Postganglionic sympathetic fibers originate in the superior cervical ganglion and travel through the internal carotid plexus

    Autonomics of the Lacrimal Gland & Nasal/Palatal Mucosa

    • Description of autonomic innervation pathways for lacrimal gland and nasal/palatal mucosa using a diagrammatic representation

    Facial Nerve: Summary of Autonomics

    • Detailed overview of facial nerve branches and their autonomic connections in a diagram format

    Facial Nerve Branches: Greater Petrosal Nerve

    • Description of the Greater Petrosal Nerve's course, function, and connections with other cranial nerves.

    Autonomics of the Parotid Gland: Overview

    • Diagram illustrating the pathway of parasympathetic and sympathetic innervation to the parotid gland.

    Autonomics of the Parotid Gland: Lesser Petrosal Nerve

    • Detailed description of the Lesser Petrosal nerve's course and connections.

    Clinical Correlates: Frey's Syndrome

    • Symptoms describe how parasympathetic fibers may switch to a sympathetic response after injury to the auriculotemporal nerve.

    Autonomics of the Submandibular and Sublingual Glands

    • Diagram of the pathways involved in autonomic control of the submandibular and sublingual glands

    Autonomics of the Sublingual & Submandibular Glands: Submandibular Ganglion

    • Description of the submandibular ganglion and its components, focusing on the preganglionic parasympathetic fibers from the chorda tympani and the postganglionic sympathetics coming via the facial artery.

    Autonomics of the Sublingual and Submandibular Glands: Overview

    • Summary of paths for submandibular and sublingual glands

    Parasympathetic Ganglia of the Head: Summary

    • Diagrammatic illustration of parasympathetic ganglia pathways for each head structure

    Autonomics of the Pharyngeal & Laryngeal Mucosa

    • Description of autonomic innervation of the pharyngeal and laryngeal mucosa involving the vagus nerve.

    Ph.Autonomics of Pharyngeal/Laryngeal Mucosa: Parasympathetics

    • Vagus nerve branches involved (pharyngeal and laryngeal branches).

    Ph.Autonomics of Pharyngeal/Laryngeal Mucosa: Sympathetics

    • Details on the sympathetic trunk's branches that innervate the same head structures.

    Oculosympathetic Paresis & Oculomotor Nerve Palsy

    • Distinguishing characteristics between ptosis due to Horner's syndrome and oculomotor nerve palsy, focusing on pupil size (constricted vs. dilated)

    Oculosympathetic Paresis: Horner's Syndrome

    • Description of the symptoms and causes of Horner's syndrome (miosis, partial ptosis, anhidrosis, apparent enopthalmos)
    • Discusses the disruption of sympathetic pathways

    Oculosympathetic Paresis: Types

    • Categories of Horner's syndrome based on the location of the lesions (central, preganglionic, postganglionic).

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    Description

    Explore the autonomic innervation of the head and neck structures in this detailed quiz based on Lecture 5 of Medical Neuro II. Key topics include major ganglia and their roles in innervating various glands and mucosa. Test your knowledge on conditions like Horner's syndrome and Frey's syndrome as you deepen your understanding of this complex subject.

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