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The Vagus Nerve – Cranial Nerve X

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Dr. P here with our friend

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and sometimes our enemy when

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we're not feeling so well,

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the vagus nerve.

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Historically, it's cited as the pneumogastric nerve.

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It's also known as the 10th cranial nerve,

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and it interfaces with the parasympathetic

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control of the heart, the lungs,

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the digestive tract, and the vagus nerves are paired,

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but they're normally referred to as

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the vagus nerve in the singular.

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It's the longest nerve of the autonomic nervous system

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in the entire human body.

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It leaves the medulla oblongata between the pyramid

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in front and the inferior cerebellar peduncle,

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or restiform body in the back.

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And there it is.

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We've got our glossopharyngeal nerve right here.

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And here, this one is right behind a branch of PICA.

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And then behind that is the vagus nerve.

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So the vagus nerve is sort of posterior and a little

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mesial as we get out laterally to the glossopharyngeal nerve.

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And then we can follow it peripherally.

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So we're going down now.

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And as we get into the jugular foramen,

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it's going to sit between the jugular vein and

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the carotid artery. Same thing on this side.

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The jugular vein doesn't have flow phenomenon here,

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but here's the jugular vein right there.

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There's the carotid artery.

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So the vagus nerve is going to be sitting

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right in this locus at this level.

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It then passes into the carotid sheath between the

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internal carotid artery and the internal jugular vein,

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down into the neck, the chest, and the abdomen,

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where it contributes to innervation of the viscera,

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reaching all the way, believe it or not, to the colon.

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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

Neuroradiology

MRI

Head and Neck

Carotid Space

Brain

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