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The Greater Petrosal Nerve

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Dr. P here talking about the reater petrosal nerve,

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a branch of the facial nerve.

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It's an important nerve,

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but it's one that doesn't get a lot of attention.

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It arises at a locus where the geniculate ganglion

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provides a marker.

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So here's your geniculate ganglion right there.

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And here is the curve,

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the genu of the facial nerve right there.

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It's hard to see the curve,

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but I'll draw it so you can fantasize it,

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and I'm going to put a little color on it.

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And then coming forward in an oblique fashion

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is the greater petrosal nerve.

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Now, there's some high signal here

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because there's a petrosal plexus of slow flowing vessels

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right there, that contribute to that hyper,

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or apparent hyperintensity.

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The greater petrosal nerve provides parasympathetic

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innervation to several glands, including nasal glands,

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palatine glands, the lacrimal gland,

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and the pharyngeal gland.

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It also provides parasympathetic innervation to the

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sphenoid sinus, the frontal sinus, the maxillary sinus,

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the ethmoid sinus, and the nasal cavity.

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This is an important nerve.

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It also has taste fibers for the lesser palatine nerve

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and the palate, and also the greater palatine nerve.

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It contributes to the otic ganglion,

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and it arises again at the level

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of the geniculate ganglion,

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where it joins the lesser petrosal nerve

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to reach the otic ganglion.

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In the sagittal projection,

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if you want to find that nerve,

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you can just cross reference.

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Let's take our little cross reference marker right here.

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There is our geniculate area right there,

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and just in front of it,

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you're going to find the greater petrosal nerve.

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So right there is going to be the greater petrosal nerve,

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which again,

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is slightly hyperintense for reasons

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we already mentioned.

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Dr. P out.

Report

Description

Faculty

Stephen J Pomeranz, MD

Chief Medical Officer, ProScan Imaging. Founder, MRI Online

ProScan Imaging

Tags

Temporal bone

Salivary Glands

Paranasal sinuses

Neuroradiology

MRI

Head and Neck

Brain

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