Smaller Occipital
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Smaller Occipital
The lesser occipital nerve or small occipital nerve is a cutaneous spinal nerve. It arises from second cervical (spinal) nerve (along with the greater occipital nerve). It innervates the scalp in the lateral area of the head posterior to the ear. Structure The lesser occipital nerve is one of the four cutaneous branches of the cervical plexus. Origin It arises from the (lateral branch of the ventral ramus) of cervical spinal nerve C2; it may also receive fibres from cervical spinal nerve C3. It originates between the atlas, and axis. Course and relations It curves around the accessory nerve (CN XI) to come to course anterior to it. It then curves around and ascends along the posterior border of the sternocleidomastoid muscle; rarely, it may pierce the muscle. Near the cranium, it perforates the deep fascia. It is continues upwards along the scalp posterior to the auricle. Distribution The lesser occipital nerve distributes branches to the skin. It gives off an a ...
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Cervical Plexus
The cervical plexus is a plexus of the anterior rami of the first four cervical spinal nerves which arise from C1 to C4 cervical segment in the neck. They are located laterally to the transverse processes between prevertebral muscles from the medial side and vertebral (m. scalenus, m. levator scapulae, m. splenius cervicis) from lateral side. There is anastomosis with accessory nerve, hypoglossal nerve and sympathetic trunk. It is located in the neck, deep to the sternocleidomastoid muscle. Nerves formed from the cervical plexus innervate the back of the head, as well as some neck muscles. The branches of the cervical plexus emerge from the posterior triangle at the nerve point, a point which lies midway on the posterior border of the sternocleidomastoid. Branches The cervical plexus has two types of branches: cutaneous and muscular. *Cutaneous (4 branches): **Lesser occipital nerve - innervates the skin and the scalp posterosuperior to the auricle (C2) **Great auricular nerve - ...
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Sternocleidomastoid Muscle
The sternocleidomastoid muscle is one of the largest and most superficial cervical muscles. The primary actions of the muscle are rotation of the head to the opposite side and flexion of the neck. The sternocleidomastoid is innervated by the accessory nerve. Etymology and location It is given the name ''sternocleidomastoid'' because it originates at the manubrium of the sternum (''sterno-'') and the clavicle (''cleido-'') and has an insertion at the mastoid process of the temporal bone of the skull. Structure The sternocleidomastoid muscle originates from two locations: the manubrium of the sternum and the clavicle. It travels obliquely across the side of the neck and inserts at the mastoid process of the temporal bone of the skull by a thin aponeurosis. The sternocleidomastoid is thick and narrow at its centre, and broader and thinner at either end. The sternal head is a round fasciculus, tendinous in front, fleshy behind, arising from the upper part of the front of the manubriu ...
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Occipital Neuralgia
Occipital neuralgia (ON) is a painful condition affecting the posterior head in the distributions of the greater occipital nerve (GON), lesser occipital nerve (LON), third occipital nerve (TON), or a combination of the three. It is paroxysmal, lasting from seconds to minutes, and often consists of lancinating pain that directly results from the pathology of one of these nerves. It is paramount that physicians understand the differential diagnosis for this condition and specific diagnostic criteria. There are multiple treatment modalities, several of which have well-established efficacy in treating this condition. Text was copied from this source, which is available under Creative Commons Attribution 4.0 International License Signs and symptoms Patients presenting with a headache originating at the posterior skull base should be evaluated for ON. This condition typically presents as a paroxysmal, lancinating or stabbing pain lasting from seconds to minutes, and therefore a continuo ...
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Posterior Auricular Branch Of The Facial
The posterior auricular nerve is a nerve of the head. It is a branch of the facial nerve (CN VII). It communicates with branches from the vagus nerve, the great auricular nerve, and the lesser occipital nerve. Its auricular branch supplies the posterior auricular muscle, the intrinsic muscles of the auricle, and gives sensation to the auricle. Its occipital branch supplies the occipitalis muscle. Structure The posterior auricular nerve arises from the facial nerve (CN VII). It is the first branch outside of the skull. This origin is close to the stylomastoid foramen. It runs upward in front of the mastoid process. It is joined by a branch from the auricular branch of the vagus nerve (CN X). It communicates with the posterior branch of the great auricular nerve, as well as with the lesser occipital nerve. As it ascends between the external acoustic meatus and mastoid process it divides into auricular and occipital branches. * The ''auricular branch'' travels to the posteri ...
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Great Auricular Nerve
The great auricular nerve is a cutaneous nerve of the head. It originates from the cervical plexus, with branches of spinal nerves C2 and C3. It provides sensory nerve supply to the skin over the parotid gland and the mastoid process of the temporal bone, and surfaces of the outer ear. Pain resulting from parotitis is caused by an impingement on the great auricular nerve. Structure The great auricular nerve is the largest of the ascending branches of the cervical plexus. It arises from the second and third cervical nerves. It winds around the posterior border of the sternocleidomastoid muscle, and, after perforating the deep fascia, ascends upon that muscle beneath the platysma muscle to the parotid gland. Here, it divides into an anterior and a posterior branch. Branches * The anterior branch (ramus anterior; facial branch) is distributed to the skin of the face over the parotid gland. It communicates with the facial nerve inside the parotid gland. * The posterior branch ( ...
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Great Auricular
The great auricular nerve is a cutaneous nerve of the head. It originates from the cervical plexus, with branches of spinal nerves C2 and C3. It provides sensory nerve supply to the skin over the parotid gland and the mastoid process of the temporal bone, and surfaces of the outer ear. Pain resulting from parotitis is caused by an impingement on the great auricular nerve. Structure The great auricular nerve is the largest of the ascending branches of the cervical plexus. It arises from the second and third cervical nerves. It winds around the posterior border of the sternocleidomastoid muscle, and, after perforating the deep fascia, ascends upon that muscle beneath the platysma muscle to the parotid gland. Here, it divides into an anterior and a posterior branch. Branches * The anterior branch (ramus anterior; facial branch) is distributed to the skin of the face over the parotid gland. It communicates with the facial nerve inside the parotid gland. * The posterior branch ( ...
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Mastoid Branch
The mastoid part of the temporal bone is the posterior (back) part of the temporal bone, one of the bones of the skull. Its rough surface gives attachment to various muscles (via tendons) and it has openings for blood vessels. From its borders, the mastoid part articulates with two other bones. Etymology The word "mastoid" is derived from the Greek word for "breast", a reference to the shape of this bone. Surfaces Outer surface Its outer surface is rough and gives attachment to the occipitalis and posterior auricular muscles. It is perforated by numerous foramina (holes); for example, the mastoid foramen is situated near the posterior border and transmits a vein to the transverse sinus and a small branch of the occipital artery to the dura mater. The position and size of this foramen are very variable; it is not always present; sometimes it is situated in the occipital bone, or in the suture between the temporal and the occipital. Mastoid process The mastoid process is ...
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Auricle (anatomy)
The auricle or auricula is the visible part of the ear that is outside the head. It is also called the pinna (Latin for "wing" or "fin", plural pinnae), a term that is used more in zoology. Structure The diagram shows the shape and location of most of these components: * ''antihelix'' forms a 'Y' shape where the upper parts are: ** ''Superior crus'' (to the left of the ''fossa triangularis'' in the diagram) ** ''Inferior crus'' (to the right of the ''fossa triangularis'' in the diagram) * ''Antitragus'' is below the ''tragus'' * ''Aperture'' is the entrance to the ear canal * ''Auricular sulcus'' is the depression behind the ear next to the head * ''Concha'' is the hollow next to the ear canal * Conchal angle is the angle that the back of the ''concha'' makes with the side of the head * ''Crus'' of the helix is just above the ''tragus'' * ''Cymba conchae'' is the narrowest end of the ''concha'' * External auditory meatus is the ear canal * ''Fossa triangularis'' is the depres ...
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Deep Fascia
Deep fascia (or investing fascia) is a fascia, a layer of dense connective tissue that can surround individual muscles and groups of muscles to separate into fascial compartments. This fibrous connective tissue interpenetrates and surrounds the muscles, bones, nerves, and blood vessels of the body. It provides connection and communication in the form of aponeuroses, ligaments, tendons, retinacula, joint capsules, and septa. The deep fasciae envelop all bone (periosteum and endosteum); cartilage (perichondrium), and blood vessels (tunica externa) and become specialized in muscles (epimysium, perimysium, and endomysium) and nerves (epineurium, perineurium, and endoneurium). The high density of collagen fibers gives the deep fascia its strength and integrity. The amount of elastin fiber determines how much extensibility and resilience it will have. Examples Examples include: * Fascia lata * Deep fascia of leg * Brachial fascia * Buck's fascia Fascial dynamics Deep fascia is l ...
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Accessory Nerve
The accessory nerve, also known as the eleventh cranial nerve, cranial nerve XI, or simply CN XI, is a cranial nerve that supplies the sternocleidomastoid and trapezius muscles. It is classified as the eleventh of twelve pairs of cranial nerves because part of it was formerly believed to originate in the brain. The sternocleidomastoid muscle tilts and rotates the head, whereas the trapezius muscle, connecting to the scapula, acts to shrug the shoulder. Traditional descriptions of the accessory nerve divide it into a spinal part and a cranial part. The cranial component rapidly joins the vagus nerve, and there is ongoing debate about whether the cranial part should be considered part of the accessory nerve proper. Consequently, the term "accessory nerve" usually refers only to nerve supplying the sternocleidomastoid and trapezius muscles, also called the spinal accessory nerve. Strength testing of these muscles can be measured during a neurological examination to assess funct ...
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Cervical Spinal Nerve 2
The cervical spinal nerve 2 (C2) is a spinal nerve of the cervical segment.American Medical Association
Nervous System -- Groups of Nerves It is a part of the along with the C1 and C3 nerves sometimes forming part of Superior root of the ansa cervicalis. it also connects into the with the C3. It originates from the s ...
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Axis (anatomy)
In anatomy, the axis (from Latin ''axis'', "axle") or epistropheus is the second cervical vertebra (C2) of the spine, immediately inferior to the atlas, upon which the head rests. The axis' defining feature is its strong odontoid process (bony protrusion) known as the dens, which rises dorsally from the rest of the bone. Structure The body is deeper in front or in the back and is prolonged downward anteriorly to overlap the upper and front part of the third vertebra. It presents a median longitudinal ridge in front, separating two lateral depressions for the attachment of the longus colli muscles. Odontoid Process of Axis (Dens) The dens, also called the odontoid process or the peg, is the most pronounced projecting feature of the axis. The dens exhibits a slight constriction where it joins the main body of the vertebra. The condition where the dens is separated from the body of the axis is called ''os odontoideum'' and may cause nerve and circulation compression syndrome. ...
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