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POSTERIOR FOSSA
AND RELATED
CRANIAL NERVES
YousufTahir Ali
4th year MBBS
Dow University of Health Sciences
Posterior Crania Fossa
■ The posterior cranial fossa is part of the cranial cavity, located
between the foramen magnum and tentorium cerebelli. It
contains the brainstem and cerebellum.
■ This is the most inferior of the fossae. It houses the cerebellum,
medulla and pons.Anteriorly it extends to the apex of the
petrous temporal. Posteriorly it is enclosed by the occipital
bone. Laterally portions of the squamous temporal and
mastoid part of the temporal bone form its walls.
The posterior fossa
is unique in that it
receives 11/12 CNs
with the exclusion of
CN 1.
Cranial nerve exit via Skull Base
Parts of brain in the post fossa
Cranial nerves of the Brainstem
Cranial Nerve Nuclei
Arrangement of Nuclei
■ The cranial nerve nuclei are located such that the efferent
nuclei are located medially and are separated from the
sensory nuclei, by the sulcus limitans, that lie laterally as may
be seen in cross sectional views.
(SE)
(SVE)
(GVE)
(GVA and SVA)
(GSA)
(SSA)
GENERALTERMINOLOGIES
■ “Somatic” refers to all the body areas especially body under voluntary
control.
■ “Visceral” refers to all the internal organs in the main cavities of the body
e.g the intestines.
■ “Special” refers to anything that dosen’t fit in all to the above two
categories. E.g.
1. semi-autonomous head and neck muscles(branchial arch
derivatives).(EFFERENTS)
2. Sense of balance and hearing are special senses
As a general rule, we have from medial to lateral, the
arrangement of nuclei in the brain at all levels as;
1. General Somatic efferent (GSE)
2. Special visceral efferent (SpVE)
3. General visceral efferent (GVE)
4. Genreal visceral affarent (GVA)
5. Special visceral affarent (SpVA)
6. General sensory affarent (GSA)
7. Special somatic affarent (SpSA)
General Somatic efferent(GSE)
■ For muscles derived from somitomeres(cells derived from
paraxial mesoderm)
Special visceral efferent
(SpVE)/Nucleus ambiguous
■ CNs IX, X and XI.
■ Named as “nucleus ambiguous” due to its particular
ambiguous(not clear or decided) position.
■ Responsible for branchiomotor outflow(supplies muscles of the
branchial(pharyngeal) arches which are semi-autonomous)i.e.
semiautonomous head and neck muscles.
■ The cell bodies for the preganglionic parasympathetic vagal
neurons that innervate the heart reside in the nucleus ambiguous.
■ Also branchial efferent motor fibers of the vagus nerve (CN X)
terminating in the laryngeal and pharyngeal muscles, and
musculus uvulae arise from this nucleus.
General visceral efferent (GVE)
■ It comprises:
1. Dorsal nucleus of the vagus(CN-X)
2. Inf. Salivatory nucleus(CN-IX)
3. Sup. Salivatory nucleus(CN-VII)
4. Lacrimatory nucleus(CN-VII)
■ Dorsal nucleus of the vagus(CN-X) serves parasympathetic
vagal functions in the GIT, lungs, and
other thoracic and abdominal vagal innervations
TRACTUS SOLITARIUS[General
Visceral Affarrent(GVA) + Special
VisceralAffarent(SVA)
It receives sensory(affarent) fibers
from CN-VII,IX and X.
Nucleus ofTS(Some general features)
Genereal visceral affarent
(GVA)(medial component ofTractus
Solitarius)
■ CNs IX and X.
■ Sensory information from the ear (Auricular branch of the
vagus nerve(CN-X).
■ Chemoreceptors and mechanoreceptors of the general visceral
afferent pathway (GVA) in the carotid body via
glossopharyngeal nerve(CN-IX), and aortic bodies, and
the atrial pacemaker, via the vagus nerve(CN-X)
■ Chemically and mechanically sensitive neurons of the general
visceral afferent pathway (GVA) with endings located in the
heart, lungs, airways, gastrointestinal system, pharynx, and
liver via the glossopharyngeal(CN-IX) and vagus nerves(CN-X).
■ NOTE: Bodies serve chemoreception and sinus serves
baroreception, but the aortic body serves both chemo and
baroreception.
Special visceral affarent
(SpVA)(lateral component of
Tractus Solitarius)
■ Taste is a special sense.
■ CNs-VII, IX and X.
■ Taste information from the facial nerve(CN-VII) (anterior 2/3 of
the tongue), glossopharyngeal nerve(CN-IX) (posterior 1/3) and
vagus nerve(CN-X) (small area on the epiglottis).
General sensory affarent (GSA)
■ Comprises 2, receive
■ GSA of Trigeminal nerve comprises:
1. Mesencephalic nucleus: proprioception of the face
2. Principal/pontine nucleus: fine touch of face+conscious proprioception of the jaw (Conscious proprioception is
described as the ability to locate the different joints of our body consciously).
3. Spinal nucleus: pain and temp.
■ The spinal trigeminal nucleus is further subdivided into three parts, from rostral to caudal:
■ Pars Oralis (from the Pons to the Hypoglossal nucleus)
■ Pars Interpolaris (from the Hypoglossal nucleus to the obex)
■ Pars Caudalis (from the obex[the point in the human brain at which the fourth ventricle narrows to become the
central canal of the spinal cord) to C2]. Decussation of sensory fibers occours at obex.
■ The other GSA receives pain, touch and temp. from the entire body.
Obex
General sensory affarent (GSA)
■ Comprises 2, (i)Trigeminal and (ii)GSA from entire body
■ GSA ofTrigeminal nerve comprises:
1. Mesencephalic nucleus: proprioception of the face
2. Principal/pontine nucleus: fine touch of face+conscious proprioception of the jaw
(Conscious proprioception is described as the ability to locate the different joints
of our body consciously).
3. Spinal nucleus: pain and temp.
■ The spinal trigeminal nucleus is further subdivided into three parts, from rostral to
caudal:
■ Pars Oralis (from the Pons to the Hypoglossal nucleus)
■ Pars Interpolaris (from the Hypoglossal nucleus to the obex)
■ Pars Caudalis (from the obex[the point in the human brain at which the fourth
ventricle narrows to become the central canal of the spinal cord) to C2]. Decussation
of sensory fibers occours at obex.
■ The other GSA receives pain, touch and temp. from the entire body.
The sensory trigeminal nerve
nuclei are the largest of the
cranial nerve nuclei, and extend
through the whole of the
midbrain, pons and medulla, and
into the high cervical spinal cord.
Special somatic affarent (SpSA)
■ This comprises:
1. Vestibular nuclei(sup., lat., med. and inf.)
2. Cochlear nuclei(dorsal and ventral)
■ The vestibular nuclei lie lateral toTS and are concerned with
the sense of balance.
■ The dorsal and ventral cochlear nuclei are located dorsal and
ventral to the inf. Cerebellar peduncle and are concerned with
the sense of hearing.
As a general rule, we have from medial to lateral, the
arrangement of nuclei in the brain at all levels as;
1. General Somatic efferent (SE)
2. Somatic visceral efferent (SVE)
3. General visceral efferent (GVE)
4. Genreal visceral affarent (GVA)
5. Special visceral affarent (SVA)
6. General sensory affarent (GSA)
7. Special somatic affarent (SSA)
Lateral view of Brainstem
LATERAL VIEW OF BRAINSTEM AND NERVES
EXITING IT
Lat. diagramatic view showing exit of
CNs
10
9
11
11th cranial part
11th spinal part
12
3RD VENTRICLE
MIDBRAIN
PONS
MEDIULLA
INFERIOR
CEREBELLAR
PEDUNCLE
LATERAL VIEW OF BRAINSTEM
Anterior view of Brainstem
ANTERIOR VIEW OF BRAINSTEM
CRANIAL NERVE III
10
9
11
11th cranial part
11th spinal part
12
3RD VENTRICLE
MIDBRAIN
PONS
MEDIULLA
INFERIOR
CEREBELLAR
PEDUNCLE
LATERAL VIEW OF BRAINSTEM
LEVEL OF SUPERIOR
COLLICULUS(MIDBRAIN)
CRANIAL NERVE IV
10
9
11
11th cranial part
11th spinal part
12
3RD VENTRICLE
MIDBRAIN
PONS
MEDIULLA
INFERIOR
CEREBELLAR
PEDUNCLE
LATERAL VIEW OF BRAINSTEM
LEVEL OF INFERIOR COLLICULUS(MIDBRAIN)
CRANIAL NERVEV
1)SESNSORY NUCLEUS
i) mesencephalic
ii)main sensory
iii)spinal nucleus of trigeminal
2)MOTOR NUCLEUS
10
9
11
11th cranial part
11th spinal part
12
3RD VENTRICLE
MIDBRAIN
PONS
MEDIULLA
INFERIOR
CEREBELLAR
PEDUNCLE
LATERAL VIEW OF BRAINSTEM
LEVEL OFTRIGEMINAL NUCLEUS (PONS)
CRANIAL NERVESVI,VII AND
VIII
10
9
11
11th cranial part
11th spinal part
12
3RD VENTRICLE
MIDBRAIN
PONS
MEDIULLA
INFERIOR
CEREBELLAR
PEDUNCLE
LATERAL VIEW OF BRAINSTEM
CRANIAL NERVE IX
10
9
11
11th cranial part
11th spinal part
12
3RD VENTRICLE
MIDBRAIN
PONS
MEDIULLA
INFERIOR
CEREBELLAR
PEDUNCLE
LATERAL VIEW OF BRAINSTEM
CRANIAL NERVE X, XII
10
9
11
11th cranial part
11th spinal part
12
3RD VENTRICLE
MIDBRAIN
PONS
MEDIULLA
INFERIOR
CEREBELLAR
PEDUNCLE
LATERAL VIEW OF BRAINSTEM
CRANIAL NERVE XI
■ Two parts:
1. Cranial
2. Cervical
10
9
11
11th cranial part
11th spinal part
12
3RD VENTRICLE
MIDBRAIN
PONS
MEDIULLA
INFERIOR
CEREBELLAR
PEDUNCLE
LATERAL VIEW OF BRAINSTEM
SPINAL ROOT OF ACCESSORY NERVE
THANKS!
Posterior Cranial Fossa with Cranial Nerves Relation

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Posterior Cranial Fossa with Cranial Nerves Relation

  • 1. POSTERIOR FOSSA AND RELATED CRANIAL NERVES YousufTahir Ali 4th year MBBS Dow University of Health Sciences
  • 2. Posterior Crania Fossa ■ The posterior cranial fossa is part of the cranial cavity, located between the foramen magnum and tentorium cerebelli. It contains the brainstem and cerebellum. ■ This is the most inferior of the fossae. It houses the cerebellum, medulla and pons.Anteriorly it extends to the apex of the petrous temporal. Posteriorly it is enclosed by the occipital bone. Laterally portions of the squamous temporal and mastoid part of the temporal bone form its walls.
  • 3. The posterior fossa is unique in that it receives 11/12 CNs with the exclusion of CN 1.
  • 4. Cranial nerve exit via Skull Base
  • 5.
  • 6. Parts of brain in the post fossa
  • 7.
  • 8. Cranial nerves of the Brainstem
  • 9.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16. Arrangement of Nuclei ■ The cranial nerve nuclei are located such that the efferent nuclei are located medially and are separated from the sensory nuclei, by the sulcus limitans, that lie laterally as may be seen in cross sectional views.
  • 19. ■ “Somatic” refers to all the body areas especially body under voluntary control. ■ “Visceral” refers to all the internal organs in the main cavities of the body e.g the intestines. ■ “Special” refers to anything that dosen’t fit in all to the above two categories. E.g. 1. semi-autonomous head and neck muscles(branchial arch derivatives).(EFFERENTS) 2. Sense of balance and hearing are special senses
  • 20. As a general rule, we have from medial to lateral, the arrangement of nuclei in the brain at all levels as; 1. General Somatic efferent (GSE) 2. Special visceral efferent (SpVE) 3. General visceral efferent (GVE) 4. Genreal visceral affarent (GVA) 5. Special visceral affarent (SpVA) 6. General sensory affarent (GSA) 7. Special somatic affarent (SpSA)
  • 21. General Somatic efferent(GSE) ■ For muscles derived from somitomeres(cells derived from paraxial mesoderm)
  • 22.
  • 23. Special visceral efferent (SpVE)/Nucleus ambiguous ■ CNs IX, X and XI. ■ Named as “nucleus ambiguous” due to its particular ambiguous(not clear or decided) position. ■ Responsible for branchiomotor outflow(supplies muscles of the branchial(pharyngeal) arches which are semi-autonomous)i.e. semiautonomous head and neck muscles. ■ The cell bodies for the preganglionic parasympathetic vagal neurons that innervate the heart reside in the nucleus ambiguous. ■ Also branchial efferent motor fibers of the vagus nerve (CN X) terminating in the laryngeal and pharyngeal muscles, and musculus uvulae arise from this nucleus.
  • 24.
  • 25. General visceral efferent (GVE) ■ It comprises: 1. Dorsal nucleus of the vagus(CN-X) 2. Inf. Salivatory nucleus(CN-IX) 3. Sup. Salivatory nucleus(CN-VII) 4. Lacrimatory nucleus(CN-VII) ■ Dorsal nucleus of the vagus(CN-X) serves parasympathetic vagal functions in the GIT, lungs, and other thoracic and abdominal vagal innervations
  • 26. TRACTUS SOLITARIUS[General Visceral Affarrent(GVA) + Special VisceralAffarent(SVA) It receives sensory(affarent) fibers from CN-VII,IX and X.
  • 28.
  • 29. Genereal visceral affarent (GVA)(medial component ofTractus Solitarius) ■ CNs IX and X. ■ Sensory information from the ear (Auricular branch of the vagus nerve(CN-X). ■ Chemoreceptors and mechanoreceptors of the general visceral afferent pathway (GVA) in the carotid body via glossopharyngeal nerve(CN-IX), and aortic bodies, and the atrial pacemaker, via the vagus nerve(CN-X) ■ Chemically and mechanically sensitive neurons of the general visceral afferent pathway (GVA) with endings located in the heart, lungs, airways, gastrointestinal system, pharynx, and liver via the glossopharyngeal(CN-IX) and vagus nerves(CN-X). ■ NOTE: Bodies serve chemoreception and sinus serves baroreception, but the aortic body serves both chemo and baroreception.
  • 30. Special visceral affarent (SpVA)(lateral component of Tractus Solitarius) ■ Taste is a special sense. ■ CNs-VII, IX and X. ■ Taste information from the facial nerve(CN-VII) (anterior 2/3 of the tongue), glossopharyngeal nerve(CN-IX) (posterior 1/3) and vagus nerve(CN-X) (small area on the epiglottis).
  • 31. General sensory affarent (GSA) ■ Comprises 2, receive ■ GSA of Trigeminal nerve comprises: 1. Mesencephalic nucleus: proprioception of the face 2. Principal/pontine nucleus: fine touch of face+conscious proprioception of the jaw (Conscious proprioception is described as the ability to locate the different joints of our body consciously). 3. Spinal nucleus: pain and temp. ■ The spinal trigeminal nucleus is further subdivided into three parts, from rostral to caudal: ■ Pars Oralis (from the Pons to the Hypoglossal nucleus) ■ Pars Interpolaris (from the Hypoglossal nucleus to the obex) ■ Pars Caudalis (from the obex[the point in the human brain at which the fourth ventricle narrows to become the central canal of the spinal cord) to C2]. Decussation of sensory fibers occours at obex. ■ The other GSA receives pain, touch and temp. from the entire body.
  • 32. Obex
  • 33. General sensory affarent (GSA) ■ Comprises 2, (i)Trigeminal and (ii)GSA from entire body ■ GSA ofTrigeminal nerve comprises: 1. Mesencephalic nucleus: proprioception of the face 2. Principal/pontine nucleus: fine touch of face+conscious proprioception of the jaw (Conscious proprioception is described as the ability to locate the different joints of our body consciously). 3. Spinal nucleus: pain and temp. ■ The spinal trigeminal nucleus is further subdivided into three parts, from rostral to caudal: ■ Pars Oralis (from the Pons to the Hypoglossal nucleus) ■ Pars Interpolaris (from the Hypoglossal nucleus to the obex) ■ Pars Caudalis (from the obex[the point in the human brain at which the fourth ventricle narrows to become the central canal of the spinal cord) to C2]. Decussation of sensory fibers occours at obex. ■ The other GSA receives pain, touch and temp. from the entire body.
  • 34. The sensory trigeminal nerve nuclei are the largest of the cranial nerve nuclei, and extend through the whole of the midbrain, pons and medulla, and into the high cervical spinal cord.
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  • 37. Special somatic affarent (SpSA) ■ This comprises: 1. Vestibular nuclei(sup., lat., med. and inf.) 2. Cochlear nuclei(dorsal and ventral) ■ The vestibular nuclei lie lateral toTS and are concerned with the sense of balance. ■ The dorsal and ventral cochlear nuclei are located dorsal and ventral to the inf. Cerebellar peduncle and are concerned with the sense of hearing.
  • 38. As a general rule, we have from medial to lateral, the arrangement of nuclei in the brain at all levels as; 1. General Somatic efferent (SE) 2. Somatic visceral efferent (SVE) 3. General visceral efferent (GVE) 4. Genreal visceral affarent (GVA) 5. Special visceral affarent (SVA) 6. General sensory affarent (GSA) 7. Special somatic affarent (SSA)
  • 39. Lateral view of Brainstem
  • 40. LATERAL VIEW OF BRAINSTEM AND NERVES EXITING IT
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  • 42. Lat. diagramatic view showing exit of CNs
  • 43. 10 9 11 11th cranial part 11th spinal part 12 3RD VENTRICLE MIDBRAIN PONS MEDIULLA INFERIOR CEREBELLAR PEDUNCLE LATERAL VIEW OF BRAINSTEM
  • 44. Anterior view of Brainstem
  • 45. ANTERIOR VIEW OF BRAINSTEM
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  • 48. 10 9 11 11th cranial part 11th spinal part 12 3RD VENTRICLE MIDBRAIN PONS MEDIULLA INFERIOR CEREBELLAR PEDUNCLE LATERAL VIEW OF BRAINSTEM
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  • 55. 10 9 11 11th cranial part 11th spinal part 12 3RD VENTRICLE MIDBRAIN PONS MEDIULLA INFERIOR CEREBELLAR PEDUNCLE LATERAL VIEW OF BRAINSTEM
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  • 58. LEVEL OF INFERIOR COLLICULUS(MIDBRAIN)
  • 59. CRANIAL NERVEV 1)SESNSORY NUCLEUS i) mesencephalic ii)main sensory iii)spinal nucleus of trigeminal 2)MOTOR NUCLEUS
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  • 61. 10 9 11 11th cranial part 11th spinal part 12 3RD VENTRICLE MIDBRAIN PONS MEDIULLA INFERIOR CEREBELLAR PEDUNCLE LATERAL VIEW OF BRAINSTEM
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  • 66. 10 9 11 11th cranial part 11th spinal part 12 3RD VENTRICLE MIDBRAIN PONS MEDIULLA INFERIOR CEREBELLAR PEDUNCLE LATERAL VIEW OF BRAINSTEM
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  • 72. 10 9 11 11th cranial part 11th spinal part 12 3RD VENTRICLE MIDBRAIN PONS MEDIULLA INFERIOR CEREBELLAR PEDUNCLE LATERAL VIEW OF BRAINSTEM
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  • 77. 10 9 11 11th cranial part 11th spinal part 12 3RD VENTRICLE MIDBRAIN PONS MEDIULLA INFERIOR CEREBELLAR PEDUNCLE LATERAL VIEW OF BRAINSTEM
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  • 81. CRANIAL NERVE XI ■ Two parts: 1. Cranial 2. Cervical
  • 82. 10 9 11 11th cranial part 11th spinal part 12 3RD VENTRICLE MIDBRAIN PONS MEDIULLA INFERIOR CEREBELLAR PEDUNCLE LATERAL VIEW OF BRAINSTEM
  • 83.
  • 84. SPINAL ROOT OF ACCESSORY NERVE