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Serratus Posterior Superior
O: ligamentum nuchae, transverse processes of C7-T2 or T3 I: upper ribs 2-5
Serratus Posterior Inferior
O: Transverse processes of T11-L2 I: lower ribs 9-12
Splenius Capitis
O: lower ligamentum nuchae, transverse processes of C3-T3 I: mastoid and superior nuchal line of occiput
Splenius Cervicis
O: Transverse processes of T3-T6 I: posterior tubercles of transverse processes of C1-C4
Iliocostalis Lumborum
O: Common tendinous origin, sacrum, iliac crest I: lower border of angle of ribs (5)6-12
Iliocostalis thoracis
O: upper border of angle of ribs 6-12 I: lower border of angle of ribs 1-6 (sometimes transverse of C7)
Iliocostalis Cervicis
O: Angle of ribs 1-6 I: transverse of C4-C6
Longissimus Thoracis
O: Common tendinous origin, sacrum, iliac crest I: all transverse processes of all thoracic vertebrae, all ribs b/w angles and tubercles
Longissimus Cervicis
O: transverse processes of T1-T5(6) I: transverse processes of C2-C6
Longissimus Capitis
O: middle + lower cervical - transverse and articular, upper thoracic - transverse I: posterior mastoid process
Spinalis Thoracis
O: common tendinous origin, iliac crest, sacrum I: Spinous processes of T3(4) - T8(9)
Spinalis Cervicis
O: Spinous process of C6-T2 I: Spinous of C2 (maybe C3,C4)
Spinalis Capitis
O: spinous processes of upper thoracic and lower cervical I: b/w superior and inferior nuchal lines
Semispinalis Thoracis
O: Transverse processes of T6-T12 I: spinous of lower cervical and upper thoracic vertebrae
Semispinalis Cervicis
O: Transverse processes of T1-T6 I: Spinous processes of C2-C5(6)
Semispinalis Capitis
O: Transverse processes of T1-T6, Articular processes of C4-C7 I: b/w superior and inferior nuchal lines
Long rotators
O: Transverse process of vertebrae I: Skips one to insert on spinous process above
Short rotators
O: Transverse process I: Spinous process of vertebrae above
Levator costarum
O: transverse process I: rib below
Obliquus Capitis Superior
O: Transverse process of atlas I: Occipital bone
Obliquus capitis inferior
O: Spinous process of axis I: Transverse process of atlas
Rectus Capitis Posterior Major
O: Spinous process of axis I: occipital bone inferior to obliquus capitis superior
Rectus Capitis posterior minor
O: posterior tubercle of atlas I: Occipital bone (medial to rectus capitis posterior major)
I. Olfactory n.
superior nasal concha โ> cribriform plate โ> olfactory bulb, smell olfaction
II. Optical n.
vision, technically not a nerve, afferent pupillary light reflex
Pituitary tumors vs. Macular degradation
two conditions of the eye affecting vision, the first involving compression of the optic chiasm which results in tunnel vision and the second involving central retinal degradation โ> loss of central fov
III. Oculomotor n. 3.
muscles of eye barring superior oblique (IV) and lateral rectus (VI), autonomic motor fibers for constricting pupils, and close range focusing. Efferent pupillary light reflex
IV. Trochlear n.
Superior oblique, only CN origination on dorsum
V1 Trigeminal n. , Ophthalmic Division
Anterior 2/3rds of scalp, all sinuses besides maxillary (V2) โ> supraorbital n. Afferent corneal reflex from nasociliary n.
V2 Trigeminal n. , Maxillary Division
Afferent sneeze reflex โ> infraorbital n.
V3 Trigeminal n. , Mandibular Division
anterior 2/3rds of tongue, general sense of tongue, muscles of mastication (temporalis, masseter, medial and lateral pterygoid), Affferent and efferent of jaw jerk reflex
VI. Abducens n.
Lateral rectus of eye
VII. Facial n. 7. (pons)
voluntary muscles of facial expression, platysma muscle, taste from anterior 2/3rds of tongue via chorda tympani, controls tears, saliva, mucus leaves internal auditory meatus โ> facial canal โ> stylomastoid foramen Efferent of corneal reflex
Clinical relevance of facial nerve within facial canal
compression or damage can cause Bellโs palsy (face droop unilaterally)
VIII. Vestibulocochlear n.
two parts, exits through internal auditory meatus, cochlear for hearing, vestibule for balance
IX. Glossopharyngeal n. 9. (medulla)
Provides sensory innervation to pharynx, larynx, and middle ear; motor function to stylopharyngeus muscle for swallowing; afferent role in gag reflex; innervates parotid gland (largest salivary gland)
X. Vagus n. 10. (Medulla)
branches to lungs, heart, esophagus, stomach, liver, small intestine, proximal 2/3 of colon, superior and inferior ganglion, pain and reflexes. motor to pharynx, larynx, sensory to larynx. both of cough reflex, efferent for sneeze and gag reflex.
XI. Spinal Accessory n.
SCM, trapezius
XII. Hypoglossal n.
skeletal muscles of tongue
nerves off V3
buccal, lingual, inferior alveolar, auriculotemporal (sensory), mylohyoid n. (motor)
Cribriform plate
olfactory n., anterior and posterior ethmoidal aa.
Optic Canal
Optic n., ophthalmic a.
Superior Orbital Fissure
Superior ophthalmic v. , Lacrimal n., Frontal n. , Trochlear n., Abducens n. , Oculomotor n. , Nasociliary n.
Foramen rotundum
Maxillary n. (CN V2)
Foramen ovale
Mandibular n. (CN V3)
Carotid Canal
internal carotid a., internal carotid sympathetic plexus
Foramen spinosum
middle meningeal a., meningeal branch of mandibular n. (CN V3)
Hiatus of canal for lesser petrosal n.
Lesser petrosal n., superior tympanic a.
Hiatus of canal for greater petrosal n.
Greater petrosal n.
Internal auditory canal
Labyrinthine a. and v. , Vestibulocochlear n. , Facial n.
Jugular foramen
internal jugular v. , Glossopharyngeal n. , Vagus n. , Accessory n. , Inferior petrosal sinus , posterior meningeal a.
Foramen magnum
spinal v. , anterior spinal a. , posterior spinal a. , spinal cord, accessory n., vertebral a.
Condylar canal
Condylar emissary v.
Hypoglossal canal
Hypoglossal n. , venous plexus of hypoglossal canal
Mastoid foramen
Emissary v.
Stylomastoid foramen
facial n. , stylomastoid a.
Petrotympanic fissure
anterior tympanic a. , chorda tympani
Foramen lacerum
deep petrosal n. , greater petrosal n.
Lesser palatine foramina
lesser palatine n. and a.
Greater palatine foramen
greater palatine n. and a.
Incisive canal
nasopalatine n. , nasopalatine a.