Hypoglossal
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Hypoglossal
The hypoglossal nerve, also known as the twelfth cranial nerve, cranial nerve XII, or simply CN XII, is a cranial nerve that innervates all the extrinsic and intrinsic muscles of the tongue except for the palatoglossus, which is innervated by the vagus nerve. CN XII is a nerve with a solely motor function. The nerve arises from the hypoglossal nucleus in the medulla as a number of small rootlets, passes through the hypoglossal canal and down through the neck, and eventually passes up again over the tongue muscles it supplies into the tongue. The nerve is involved in controlling tongue movements required for speech and swallowing, including sticking out the tongue and moving it from side to side. Damage to the nerve or the neural pathways which control it can affect the ability of the tongue to move and its appearance, with the most common sources of damage being injury from trauma or surgery, and motor neuron disease. The first recorded description of the nerve is by Herophil ...
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Cranial Nerve
Cranial nerves are the nerves that emerge directly from the brain (including the brainstem), of which there are conventionally considered twelve pairs. Cranial nerves relay information between the brain and parts of the body, primarily to and from regions of the head and neck, including the special senses of vision, taste, smell, and hearing. The cranial nerves emerge from the central nervous system above the level of the first vertebra of the vertebral column. Each cranial nerve is paired and is present on both sides. There are conventionally twelve pairs of cranial nerves, which are described with Roman numerals I–XII. Some considered there to be thirteen pairs of cranial nerves, including cranial nerve zero. The numbering of the cranial nerves is based on the order in which they emerge from the brain and brainstem, from front to back. The terminal nerves (0), olfactory nerves (I) and optic nerves (II) emerge from the cerebrum, and the remaining ten pairs arise from t ...
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Hypoglossal Canal
The hypoglossal canal is a foramen in the occipital bone of the skull. It is hidden medially and superiorly to each occipital condyle. It transmits the hypoglossal nerve. Structure The hypoglossal canal lies in the epiphyseal junction between the basiocciput and the jugular process of the occipital bone. Variation Embryonic variants sometimes lead to the presence of more than two canals as the occipital bone is formed. Development The hypoglossal canal is formed during the embryological stage of development in mammals. Function The hypoglossal canal transmits the hypoglossal nerve from its point of entry near the medulla oblongata to its exit from the base of the skull near the jugular foramen A jugular foramen is one of the two (left and right) large foramina (openings) in the base of the skull, located behind the carotid canal. It is formed by the temporal bone and the occipital bone. It allows many structures to pass, including the i .... Clinical significance ...
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Hypoglossal Nucleus
The hypoglossal nucleus is a cranial nerve nucleus, found within the medulla oblongata, medulla. Being a motor nucleus, it is close to the midline. In the Medulla oblongata#Anatomy, open medulla, it is visible as what is known as the ''hypoglossal trigone'', a raised area (medial to the vagal trigone) protruding slightly into the fourth ventricle. The hypoglossal nucleus is located between the Dorsal nucleus of vagus nerve, dorsal motor nucleus of the vagus and the midline of the medulla. Axons from the hypoglossal nucleus pass anteriorly through the medulla forming the hypoglossal nerve which exits between the Medullary pyramids (brainstem), pyramid and Olivary body, olive in a groove called the Anterolateral sulcus of medulla, anterolateral sulcus. See also * Hypoglossal nerve Additional images File:Gray695.png, Transverse section of medulla oblongata below the middle of the olive. File:Gray697.png, Nuclei of origin of cranial motor nerves schematically represented; lateral v ...
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Thyrohyoid
The thyrohyoid muscle is a small skeletal muscle on the neck. It originates from the lamina of the thyroid cartilage, and inserts into the greater cornu of the hyoid bone. It is supplied by the hypoglossal nerve, and a branch of the ventral rami of the cervical plexus, spinal nerve C1, which travels with the hypoglossal nerve. The thyrohyoid muscle depresses the hyoid bone and elevates the larynx. By controlling the position and shape of the larynx, it aids in making sound. Structure The thyrohyoid muscle is a quadrilateral muscle in shape. It appears like an upward continuation of the sternothyroid muscle. It belongs to the infrahyoid muscles group. It lies in the carotid triangle. It arises from the oblique line on the lamina of the thyroid cartilage. It is inserted into the lower border of the greater cornu of the hyoid bone. Nerve supply The thyrohyoid muscle is supplied by the hypoglossal nerve (XII). It is the only infrahyoid muscle that is not supplied by the ansa cer ...
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Brainstem
The brainstem (or brain stem) is the posterior stalk-like part of the brain that connects the cerebrum with the spinal cord. In the human brain the brainstem is composed of the midbrain, the pons, and the medulla oblongata. The midbrain is continuous with the thalamus of the diencephalon through the tentorial notch, and sometimes the diencephalon is included in the brainstem. The brainstem is very small, making up around only 2.6 percent of the brain's total weight. It has the critical roles of regulating cardiac, and respiratory function, helping to control heart rate and breathing rate. It also provides the main motor and sensory nerve supply to the face and neck via the cranial nerves. Ten pairs of cranial nerves come from the brainstem. Other roles include the regulation of the central nervous system and the body's sleep cycle. It is also of prime importance in the conveyance of motor and sensory pathways from the rest of the brain to the body, and from the body back to t ...
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Genioglossus
The genioglossus is one of the paired extrinsic muscles of the tongue. The genioglossus is the major muscle responsible for protruding (or sticking out) the tongue. Structure Genioglossus is the fan-shaped extrinsic tongue muscle that forms the majority of the body of the tongue. It arises from the mental spine of the mandible and its insertions are the hyoid bone and the bottom of the tongue. The genioglossus is innervated by the hypoglossal nerve, as are all muscles of the tongue except for the palatoglossus. Blood is supplied to the sublingual branch of the lingual artery, a branch of the external carotid artery. The canine genioglossus muscle has been divided into horizontal and oblique compartments. Function The left and right genioglossus muscles protrude the tongue and deviate it towards the opposite side. When acting together, the muscles depress the center of the tongue at its back. Clinical significance Contraction of the genioglossus stabilizes and enlarges the porti ...
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Ansa Cervicalis
The ansa cervicalis (or ansa hypoglossi in older literature) is a loop of nerves that are part of the cervical plexus. It lies superficial to the internal jugular vein in the carotid triangle. Its name means "handle of the neck" in Latin. Branches from the ansa cervicalis innervate most of the infrahyoid muscles, including the sternothyroid muscle, sternohyoid muscle and the omohyoid muscle. Note that the thyrohyoid muscle, which is also an infrahyoid muscle and the geniohyoid muscle which is a suprahyoid muscle are innervated by cervical spinal nerve 1 via the hypoglossal nerve. Roots Two roots make up the ansa cervicalis, a superior root, and an inferior root. The superior root of the ansa cervicalis is formed from cervical spinal nerve 1 of the cervical plexus. These nerve fibers travel in the hypoglossal nerve before separating in the carotid triangle to form the superior root. The superior root goes around the occipital artery and then descends on the carotid sheath. I ...
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Internal Carotid Artery
The internal carotid artery (Latin: arteria carotis interna) is an artery in the neck which supplies the anterior circulation of the brain. In human anatomy, the internal and external carotids arise from the common carotid arteries, where these bifurcate at cervical vertebrae C3 or C4. The internal carotid artery supplies the brain, including the eyes, while the external carotid nourishes other portions of the head, such as the face, scalp, skull, and meninges. Classification Terminologia Anatomica in 1998 subdivided the artery into four parts: "cervical", "petrous", "cavernous", and "cerebral". However, in clinical settings, the classification system of the internal carotid artery usually follows the 1996 recommendations by Bouthillier, describing seven anatomical segments of the internal carotid artery, each with a corresponding alphanumeric identifier—C1 cervical, C2 petrous, C3 lacerum, C4 cavernous, C5 clinoid, C6 ophthalmic, and C7 communicating. The Bouthillier nomenclat ...
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Medulla Oblongata
The medulla oblongata or simply medulla is a long stem-like structure which makes up the lower part of the brainstem. It is anterior and partially inferior to the cerebellum. It is a cone-shaped neuronal mass responsible for autonomic (involuntary) functions, ranging from vomiting to sneezing. The medulla contains the cardiac, respiratory, vomiting and vasomotor centers, and therefore deals with the autonomic functions of breathing, heart rate and blood pressure as well as the sleep–wake cycle. During embryonic development, the medulla oblongata develops from the myelencephalon. The myelencephalon is a secondary vesicle which forms during the maturation of the rhombencephalon, also referred to as the hindbrain. The bulb is an archaic term for the medulla oblongata. In modern clinical usage, the word bulbar (as in bulbar palsy) is retained for terms that relate to the medulla oblongata, particularly in reference to medical conditions. The word bulbar can refer to the nerves ...
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Tongue
The tongue is a muscular organ (anatomy), organ in the mouth of a typical tetrapod. It manipulates food for mastication and swallowing as part of the digestive system, digestive process, and is the primary organ of taste. The tongue's upper surface (dorsum) is covered by taste buds housed in numerous lingual papillae. It is sensitive and kept moist by saliva and is richly supplied with nerves and blood vessels. The tongue also serves as a natural means of oral hygiene, cleaning the teeth. A major function of the tongue is the enabling of speech in humans and animal communication, vocalization in other animals. The human tongue is divided into two parts, an oral cavity, oral part at the front and a pharynx, pharyngeal part at the back. The left and right sides are also separated along most of its length by a vertical section of connective tissue, fibrous tissue (the lingual septum) that results in a groove, the median sulcus, on the tongue's surface. There are two groups of muscle ...
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Muscles Of The Tongue
The tongue is a muscular organ in the mouth of a typical tetrapod. It manipulates food for mastication and swallowing as part of the digestive process, and is the primary organ of taste. The tongue's upper surface (dorsum) is covered by taste buds housed in numerous lingual papillae. It is sensitive and kept moist by saliva and is richly supplied with nerves and blood vessels. The tongue also serves as a natural means of cleaning the teeth. A major function of the tongue is the enabling of speech in humans and vocalization in other animals. The human tongue is divided into two parts, an oral part at the front and a pharyngeal part at the back. The left and right sides are also separated along most of its length by a vertical section of fibrous tissue (the lingual septum) that results in a groove, the median sulcus, on the tongue's surface. There are two groups of muscles of the tongue. The four intrinsic muscles alter the shape of the tongue and are not attached to bone. The f ...
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Geniohyoid
The geniohyoid muscle is a narrow muscle situated superior to the medial border of the mylohyoid muscle. It is named for its passage from the chin ("genio-" is a standard prefix for "chin") to the hyoid bone. Structure It arises from the inferior mental spine, on the back of the mandibular symphysis, and runs backward and slightly downward, to be inserted into the anterior surface of the body of the hyoid bone. It lies in contact with its fellow of the opposite side. It thus belongs to the suprahyoid muscles. The muscle is supplied by branches of the lingual artery. Innervation The geniohyoid muscle is innervated by fibres from the first cervical spinal nerve travelling alongside the hypoglossal nerve. Although the first three cervical nerves give rise to the ansa cervicalis, the geniohyoid muscle is said to be innervated by the first cervical nerve, as some of its efferent fibers do not contribute to ansa cervicalis. Variations It may be blended with the one on opposite ...
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