SlideShare uma empresa Scribd logo
1 de 59
Glossopharyngeal, vagus & 
accessory nerve complexes 
Dr / Hytham Nafady
Introduction
Nuclei 
• The glossopharyngeal & vagus nerves arise from 3 
nucleus columns. 
Special visceral motor 
column of the medulla 
Nucleus ambiguus 
Preganglionic 
parasympathetic column 
Dorsal motor nucleus of 
vagus 
Visceral sensory column Solitary nucleus
3-nucleus 
ambiguus 
2-dorsal 
motor 
nucleus 
1-solitary 
nucleus 
Vagus nerve
3-nucleus 
ambiguus 
2-dorsal 
motor 
nucleus 
1-solitary 
nucleus 
Vagus nerve
Jugular foramen
Sphenoid 
spine 
Vaginal 
process 
Hypoglossal 
canal 
Stylomastoid 
foramen
Carotico-jugular 
spine 
Facial nerve 
canal 
Sigmoid 
sinus
Facial 
nerve 
canal 
Petro-occipital 
fissure 
Jugular 
spine
Petro-occipital fissure 
Cochlear 
aqueduct Hypotympanum 
Foramen 
lacerum 
Petro-occipital fissure
Cn10&11 
Interjugular 
process 
septum 
Cn9 
ICA 
IPS Cn9 
Sigmoid 
sinus
IPS
Cn9 
IPS IPS 
Sigmoid 
sinus
Vagus 
nerve 
Pharyngeal 
plexus 
Superior 
Laryngeal 
nerve 
Recurrent 
Laryngeal 
Nerve 
External 
Laryngeal 
nerve 
Internal 
Laryngeal 
nerve
A. Pharyngeal plexus 
B. superior laryngeal N. 
C. internal laryngeal N. 
D. external laryngeal N. 
E. recurrent laryngeal N.
Ultrasound imaging of Vagus N.
Vagus N. 
Recurrent 
laryngeal 
N.
Vagus N. 
CCA 
IJV
Plexiform neurofibroma of the vagus 
nerve in patient with NF1
Perineural tumor spread along 9, 10 & 
11 cranial nerves from left parotid 
acinic cell carcinoma
Glomus vagale
Ultrasound imaging of spinal 
accessory N.
Inferior tympanic canaliculus
Inferior tympanic canaliculus
Aberrant internal carotid artery with 
enlarged inferior tympanic canaliculus
Vascular loop compression 
VA 
Vagus N 
VA
Vascular loop compression of the 
glossopharyngeal N. 
• Glossopharyngeal neuralgia in a 56-year-old 
woman due to neurovascular contact 
between the left CN IX and the vertebral 
artery
GP hiatus 
GP N. 
GP N. 
GP N. 
PICA A 
VA
Atrophy of posterior crico-arytenoid 
muscle
Rt posterior 
cricoarytenoid 
Lt posterior 
cricoarytenoid
Atrophy of thyro-arytenoid muscle
Thyro-arytenoid 
Ligament
Trapezius muscle atrophy
Atrophy of trapezius muscle & 
hypertrophy of levator scapulae muscle 
after radical neck dissection

Mais conteúdo relacionado

Mais procurados (20)

Anatomy of pons
Anatomy of ponsAnatomy of pons
Anatomy of pons
 
Medial longitudinal bundle
Medial longitudinal bundle Medial longitudinal bundle
Medial longitudinal bundle
 
Anatomy of the pons
Anatomy of the ponsAnatomy of the pons
Anatomy of the pons
 
ICA anatomy
ICA anatomyICA anatomy
ICA anatomy
 
Cranial nerves anatomy & pathology
Cranial nerves anatomy & pathologyCranial nerves anatomy & pathology
Cranial nerves anatomy & pathology
 
The Vagus Nerve
The Vagus NerveThe Vagus Nerve
The Vagus Nerve
 
Anatomy of basal ganglia
Anatomy of basal gangliaAnatomy of basal ganglia
Anatomy of basal ganglia
 
Last 4 cranial nerves
Last 4 cranial nervesLast 4 cranial nerves
Last 4 cranial nerves
 
Basal ganglia
Basal gangliaBasal ganglia
Basal ganglia
 
Venous drainage system of brain - Dr Sameep Koshti (Consultant Neurosurgeon)
Venous drainage system of brain - Dr Sameep Koshti (Consultant Neurosurgeon)Venous drainage system of brain - Dr Sameep Koshti (Consultant Neurosurgeon)
Venous drainage system of brain - Dr Sameep Koshti (Consultant Neurosurgeon)
 
Accessory nerve xi
Accessory nerve xiAccessory nerve xi
Accessory nerve xi
 
Accessory nerve xi
Accessory nerve   xi Accessory nerve   xi
Accessory nerve xi
 
Anatomy of cerebellum
Anatomy of cerebellumAnatomy of cerebellum
Anatomy of cerebellum
 
4 thalamus
4 thalamus4 thalamus
4 thalamus
 
The cerebello pontine angle
The cerebello pontine angleThe cerebello pontine angle
The cerebello pontine angle
 
Facial nerve
Facial nerveFacial nerve
Facial nerve
 
Basal ganglia
Basal gangliaBasal ganglia
Basal ganglia
 
Thalamus-Anatomy,Physiology,Applied aspects
Thalamus-Anatomy,Physiology,Applied aspectsThalamus-Anatomy,Physiology,Applied aspects
Thalamus-Anatomy,Physiology,Applied aspects
 
Cranial nerves xi and xii
Cranial nerves xi and xiiCranial nerves xi and xii
Cranial nerves xi and xii
 
Vagus nerve
Vagus nerveVagus nerve
Vagus nerve
 

Semelhante a 9, 10 & 11 cranial nerves

Trigeminal nerve, Glossopharyngeal and Hypoglossal nerves
Trigeminal nerve, Glossopharyngeal and Hypoglossal nervesTrigeminal nerve, Glossopharyngeal and Hypoglossal nerves
Trigeminal nerve, Glossopharyngeal and Hypoglossal nervesManthru Naik Ramavath
 
Oculomotor nerve
Oculomotor nerveOculomotor nerve
Oculomotor nerveAmr Hassan
 
Cranial nerves - glossopharyngeal vagus accessory and hypoglossal
Cranial nerves - glossopharyngeal vagus accessory and hypoglossalCranial nerves - glossopharyngeal vagus accessory and hypoglossal
Cranial nerves - glossopharyngeal vagus accessory and hypoglossalChetan Ganteppanavar
 
NEUROANATOMY_Pam......................pdf
NEUROANATOMY_Pam......................pdfNEUROANATOMY_Pam......................pdf
NEUROANATOMY_Pam......................pdfnafsiyahxyz
 
bladder and its dysfunction
 bladder and its dysfunction bladder and its dysfunction
bladder and its dysfunctiondrnaveent
 
Nerve supply of larynx & laryngeal paralysis
Nerve supply of larynx & laryngeal paralysisNerve supply of larynx & laryngeal paralysis
Nerve supply of larynx & laryngeal paralysisHimanshu Mishra
 
vagusnerve1-181031072238.pptx
vagusnerve1-181031072238.pptxvagusnerve1-181031072238.pptx
vagusnerve1-181031072238.pptxKarishmaMishra13
 
VAGUS NERVE IN HEAD AND NECK.pptx
VAGUS NERVE IN HEAD AND NECK.pptxVAGUS NERVE IN HEAD AND NECK.pptx
VAGUS NERVE IN HEAD AND NECK.pptxKarishmaMishra13
 
Facial nerve and disorder
Facial nerve and disorderFacial nerve and disorder
Facial nerve and disorderGurchand Behal
 
VAGUS NERVE IN HEAD AND NECK.pptx
VAGUS NERVE IN HEAD AND NECK.pptxVAGUS NERVE IN HEAD AND NECK.pptx
VAGUS NERVE IN HEAD AND NECK.pptxKarishmaMishra13
 
Cranial nerve 9,10,11 - By Dr Piyush, MMCH.
Cranial nerve 9,10,11 - By Dr Piyush, MMCH. Cranial nerve 9,10,11 - By Dr Piyush, MMCH.
Cranial nerve 9,10,11 - By Dr Piyush, MMCH. AQUIBEJAZ
 
Disorder of lower cranial nerves
Disorder of lower cranial nervesDisorder of lower cranial nerves
Disorder of lower cranial nervesA T M Hasibul Hasan
 

Semelhante a 9, 10 & 11 cranial nerves (20)

Brainstem
BrainstemBrainstem
Brainstem
 
Trigeminal nerve, Glossopharyngeal and Hypoglossal nerves
Trigeminal nerve, Glossopharyngeal and Hypoglossal nervesTrigeminal nerve, Glossopharyngeal and Hypoglossal nerves
Trigeminal nerve, Glossopharyngeal and Hypoglossal nerves
 
Oculomotor nerve
Oculomotor nerveOculomotor nerve
Oculomotor nerve
 
Cranial nerves - glossopharyngeal vagus accessory and hypoglossal
Cranial nerves - glossopharyngeal vagus accessory and hypoglossalCranial nerves - glossopharyngeal vagus accessory and hypoglossal
Cranial nerves - glossopharyngeal vagus accessory and hypoglossal
 
Trigeminal nerve
Trigeminal nerveTrigeminal nerve
Trigeminal nerve
 
Cranial nerves
Cranial nervesCranial nerves
Cranial nerves
 
nerves.pdf
nerves.pdfnerves.pdf
nerves.pdf
 
NEUROANATOMY_Pam......................pdf
NEUROANATOMY_Pam......................pdfNEUROANATOMY_Pam......................pdf
NEUROANATOMY_Pam......................pdf
 
arachnoid cyst
arachnoid cystarachnoid cyst
arachnoid cyst
 
bladder and its dysfunction
 bladder and its dysfunction bladder and its dysfunction
bladder and its dysfunction
 
Nerve supply of larynx & laryngeal paralysis
Nerve supply of larynx & laryngeal paralysisNerve supply of larynx & laryngeal paralysis
Nerve supply of larynx & laryngeal paralysis
 
Cranial nerve-9-12 habib
Cranial nerve-9-12 habibCranial nerve-9-12 habib
Cranial nerve-9-12 habib
 
vagusnerve1-181031072238.pptx
vagusnerve1-181031072238.pptxvagusnerve1-181031072238.pptx
vagusnerve1-181031072238.pptx
 
VAGUS NERVE IN HEAD AND NECK.pptx
VAGUS NERVE IN HEAD AND NECK.pptxVAGUS NERVE IN HEAD AND NECK.pptx
VAGUS NERVE IN HEAD AND NECK.pptx
 
vocal cord paralysis
vocal cord paralysisvocal cord paralysis
vocal cord paralysis
 
HNS PART VI - SPINAL CORD
HNS PART VI - SPINAL CORD HNS PART VI - SPINAL CORD
HNS PART VI - SPINAL CORD
 
Facial nerve and disorder
Facial nerve and disorderFacial nerve and disorder
Facial nerve and disorder
 
VAGUS NERVE IN HEAD AND NECK.pptx
VAGUS NERVE IN HEAD AND NECK.pptxVAGUS NERVE IN HEAD AND NECK.pptx
VAGUS NERVE IN HEAD AND NECK.pptx
 
Cranial nerve 9,10,11 - By Dr Piyush, MMCH.
Cranial nerve 9,10,11 - By Dr Piyush, MMCH. Cranial nerve 9,10,11 - By Dr Piyush, MMCH.
Cranial nerve 9,10,11 - By Dr Piyush, MMCH.
 
Disorder of lower cranial nerves
Disorder of lower cranial nervesDisorder of lower cranial nerves
Disorder of lower cranial nerves
 

Mais de Hytham Nafady (19)

What am i looking at
What am i looking atWhat am i looking at
What am i looking at
 
Intussusception
IntussusceptionIntussusception
Intussusception
 
Pulmonary embolism
Pulmonary embolismPulmonary embolism
Pulmonary embolism
 
Mediastinal ln
Mediastinal lnMediastinal ln
Mediastinal ln
 
Ln of head & neck
Ln of head & neckLn of head & neck
Ln of head & neck
 
Oculomotor nerve
Oculomotor nerveOculomotor nerve
Oculomotor nerve
 
Abducent nerve
Abducent nerveAbducent nerve
Abducent nerve
 
Phakomatoses
PhakomatosesPhakomatoses
Phakomatoses
 
Club foot deformity
Club foot deformityClub foot deformity
Club foot deformity
 
Sprengel's shoulder
Sprengel's shoulderSprengel's shoulder
Sprengel's shoulder
 
Hemophilia
HemophiliaHemophilia
Hemophilia
 
Thalassemia
ThalassemiaThalassemia
Thalassemia
 
Wegner's granulomatosis
Wegner's granulomatosisWegner's granulomatosis
Wegner's granulomatosis
 
Scleroderma
SclerodermaScleroderma
Scleroderma
 
TB
TBTB
TB
 
Emphysema
EmphysemaEmphysema
Emphysema
 
Bronchiectasis
BronchiectasisBronchiectasis
Bronchiectasis
 
Trochlear nerve
Trochlear nerveTrochlear nerve
Trochlear nerve
 
CSF cisterns
CSF cisternsCSF cisterns
CSF cisterns
 

9, 10 & 11 cranial nerves