Intermediate nerve

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Intermediate nerve
Gray788.png
Plan of the facial and intermediate nerves and their communication with other nerves. (N. intermedius labeled at upper left.)
Details
Identifiers
Latin nervus intermedius
TA98 A14.2.01.115
TA2 6286
FMA 53410
Anatomical terms of neuroanatomy

The intermediate nerve, nervus intermedius, nerve of Wrisberg or Glossopalatine nerve [1] [2] [3] is the part of the facial nerve (cranial nerve VII) located between the motor component of the facial nerve and the vestibulocochlear nerve (cranial nerve VIII). It contains the sensory and parasympathetic fibers of the facial nerve. Upon reaching the facial canal, it joins with the motor root of the facial nerve at the geniculate ganglion. Alex Alfieri postulates that the intermediate nerve should be considered as a separate cranial nerve and not a part of the facial nerve. [4]

Contents

Parasympathetic fibers

The superior salivatory nucleus contains the cell bodies of parasympathetic axons within the intermediate nerve. These fibers reach the geniculate ganglion but do not synapse. Some of these preganglionic parasympathetic fibers persist within the greater petrosal nerve as they exit the geniculate ganglion and subsequently synapse with neurons in the pterygopalatine ganglion. These postganglionic neurons send axons that provide parasympathetic innervation to the lacrimal gland via a communicating branch from the zygomatic nerve to the lacrimal nerve of cranial nerve V.

The remaining preganglionic fibers continue as the mixed facial nerve proper as it extends through the facial canal. Before the nerve exits the skull via the stylomastoid foramen and after the nerve to the stapedius muscle has branched off, the facial nerve gives off the chorda tympani nerve. This nerve exits the skull through the Petrotympanic fissure and merges with the lingual nerve, after which it synapses with neurons in the submandibular ganglion. These postganglionic neurons provide parasympathetic innervation to the submandibular and sublingual glands.

Sensory fibers

The sensory component of the intermediate nerve carries input about sensation from the skin of the external auditory meatus, from the mucous membranes of the nasopharynx and nose, and taste from the anterior two-thirds of the tongue, floor of the mouth, and the soft palate. The sensory information from the mucous membranes of the nasopharynx and palate is carried along the greater petrosal nerve, while the chorda tympani nerve (and lingual nerve) carries taste input from the anterior two-thirds of the tongue, floor of mouth, and soft palate.

The geniculate ganglion contains the cell bodies of the sensory component of the nervus intermedius. Nervus intermedius neuralgia is a pain syndrome associated with the nervus intermedius.

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<span class="mw-page-title-main">Autonomic nervous system</span> Division of the nervous system supplying internal organs, smooth muscle and glands

The autonomic nervous system (ANS), formerly referred to as the vegetative nervous system, is a division of the nervous system that operates internal organs, smooth muscle and glands. The autonomic nervous system is a control system that acts largely unconsciously and regulates bodily functions, such as the heart rate, its force of contraction, digestion, respiratory rate, pupillary response, urination, and sexual arousal. This system is the primary mechanism in control of the fight-or-flight response.

<span class="mw-page-title-main">Parasympathetic nervous system</span> Division of the autonomic nervous system

The parasympathetic nervous system (PSNS) is one of the three divisions of the autonomic nervous system, the others being the sympathetic nervous system and the enteric nervous system. The enteric nervous system is sometimes considered part of the autonomic nervous system, and sometimes considered an independent system.

<span class="mw-page-title-main">Facial nerve</span> Cranial nerve VII, for the face and tasting

The facial nerve, also known as the seventh cranial nerve, cranial nerve VII, or simply CN VII, is a cranial nerve that emerges from the pons of the brainstem, controls the muscles of facial expression, and functions in the conveyance of taste sensations from the anterior two-thirds of the tongue. The nerve typically travels from the pons through the facial canal in the temporal bone and exits the skull at the stylomastoid foramen. It arises from the brainstem from an area posterior to the cranial nerve VI and anterior to cranial nerve VIII.

Articles related to anatomy include:

<span class="mw-page-title-main">Glossopharyngeal nerve</span> Cranial nerve IX, for the tongue and pharynx

The glossopharyngeal nerve, also known as the ninth cranial nerve, cranial nerve IX, or simply CN IX, is a cranial nerve that exits the brainstem from the sides of the upper medulla, just anterior to the vagus nerve. Being a mixed nerve (sensorimotor), it carries afferent sensory and efferent motor information. The motor division of the glossopharyngeal nerve is derived from the basal plate of the embryonic medulla oblongata, whereas the sensory division originates from the cranial neural crest.

<span class="mw-page-title-main">Lacrimal gland</span> Exocrine gland, one for each eye, that secrete tears

The lacrimal glands are paired exocrine glands, one for each eye, found in most terrestrial vertebrates and some marine mammals, that secrete the aqueous layer of the tear film. In humans, they are situated in the upper lateral region of each orbit, in the lacrimal fossa of the orbit formed by the frontal bone. Inflammation of the lacrimal glands is called dacryoadenitis. The lacrimal gland produces tears which are secreted by the lacrimal ducts, and flow over the ocular surface, and then into canals that connect to the lacrimal sac. From that sac, the tears drain through the lacrimal duct into the nose.

<span class="mw-page-title-main">Otic ganglion</span> Parasympathetic ganglion of the head and neck

The otic ganglion is a small parasympathetic ganglion located immediately below the foramen ovale in the infratemporal fossa and on the medial surface of the mandibular nerve. It is functionally associated with the glossopharyngeal nerve and innervates the parotid gland for salivation.

<span class="mw-page-title-main">Pterygopalatine ganglion</span> Parasympathetic ganglion in the pterygopalatine fossa

The pterygopalatine ganglion is a parasympathetic ganglion in the pterygopalatine fossa. It is one of four parasympathetic ganglia of the head and neck,.

<span class="mw-page-title-main">Chorda tympani</span> Nerve carrying taste sensations

Chorda tympani is a branch of the facial nerve that carries gustatory (taste) sensory innervation from the front of the tongue and parasympathetic (secretomotor) innervation to the submandibular and sublingual salivary glands.

<span class="mw-page-title-main">Ciliary ganglion</span> Bundle of nerves, parasympathetic ganglion

The ciliary ganglion is a bundle of nerves, parasympathetic ganglion located just behind the eye in the posterior orbit. It is 1–2 mm in diameter and in humans contains approximately 2,500 neurons. The ganglion contains postganglionic parasympathetic neurons. These neurons supply the pupillary sphincter muscle, which constricts the pupil, and the ciliary muscle which contracts to make the lens more convex. Both of these muscles are involuntary since they are controlled by the parasympathetic division of the autonomic nervous system.

<span class="mw-page-title-main">Greater petrosal nerve</span> Nerve in the skull

The greater petrosal nerve is a nerve of the head mainly containing pre-ganglionic parasympathetic fibres which ultimately synapse in the pterygopalatine ganglion. It branches from the facial nerve and is derived from the parasympathetic part of the nervus intermedius component of CN VII, with its cell bodies located in the superior salivary nucleus. In the connective tissue substance of the foramen lacerum, the greater petrosal nerve unites with the (sympathetic) deep petrosal nerve to form the nerve of the pterygoid canal which proceeds to the pterygopalatine ganglion.

<span class="mw-page-title-main">Geniculate ganglion</span> Collection of facial nerve neurons

The geniculate ganglion is a collection of pseudounipolar sensory neurons of the facial nerve located in the facial canal of the head. It receives fibers from the facial nerve. It sends fibers that supply the lacrimal glands, submandibular glands, sublingual glands, tongue, palate, pharynx, external auditory meatus, stapedius muscle, posterior belly of the digastric muscle, stylohyoid muscle, and muscles of facial expression.

<span class="mw-page-title-main">Submandibular ganglion</span>

The submandibular ganglion is part of the human autonomic nervous system. It is one of four parasympathetic ganglia of the head and neck..

<span class="mw-page-title-main">Parasympathetic ganglia</span> Autonomic ganglia of the parasympathetic nervous system

Parasympathetic ganglia are the autonomic ganglia of the parasympathetic nervous system. Most are small terminal ganglia or intramural ganglia, so named because they lie near or within (respectively) the organs they innervate. The exceptions are the four paired parasympathetic ganglia of the head and neck.

<span class="mw-page-title-main">Deep petrosal nerve</span>

The deep petrosal nerve is a post-ganglionic branch of the (sympathetic) internal carotid (nervous) plexus that enters the cranial cavity through the carotid canal, then passes perpendicular to the carotid canal in the cartilaginous substance which fills the foramen lacerum to unite with the (parasympathetic) greater petrosal nerve to form the nerve of pterygoid canal.

<span class="mw-page-title-main">Nerve of pterygoid canal</span>

The nerve of the pterygoid canal is formed by the union of the (parasympathetic) greater petrosal nerve and (sympathetic) deep petrosal nerve within the cartilaginous substance filling the foramen lacerum. From the foramen lacerum, the nerve of the pterygoid canal passes through the pterygoid canal to reach the pterygopalatine fossa, ending at the pterygopalatine ganglion.

<span class="mw-page-title-main">Salivatory nuclei</span>

The salivatory nuclei are two parasympathetic general visceral efferent cranial nerve nuclei - the superior salivatory nucleus and the inferior salivatory nucleus - that innervate the salivary glands. Both are located in the pontine tegmentum of the brainstem.

<span class="mw-page-title-main">Outline of the human nervous system</span> Overview of and topical guide to the human nervous system

The following diagram is provided as an overview of and topical guide to the human nervous system:

<span class="mw-page-title-main">Roots of the ciliary ganglion</span>

The ciliary ganglion is a parasympathetic ganglion located just behind the eye in the posterior orbit. Three types of axons enter the ciliary ganglion but only the preganglionic parasympathetic axons synapse there. The entering axons are arranged into three roots of the ciliary ganglion, which join enter the posterior surface of the ganglion.

References

  1. Chern, Kenneth C.; Wright, Kenneth Weston (2004-01-01). Review Questions in Ophthalmology: A Question and Answer Book. Lippincott Williams & Wilkins. ISBN   9780781752039.
  2. M.D, Parviz Janfaza (2011-06-15). Surgical Anatomy of the Head and Neck. Harvard University Press. ISBN   9780674417830.
  3. Hewer, E. E.; Sandes, G. M. (2013-10-22). An Introduction to the Study of the Nervous System. Elsevier. ISBN   9781483195193.
  4. Alfieri, Alex. (2012). Der Nervus Intermedius Ein eigenständiger Hirnnerv? (1. Aufl ed.). Saarbrücken: Südwestdeutscher Verlag für Hochschulschriften. ISBN   9783838110714. OCLC   864033849.