Interactive Transcript
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Dr. P here talking to you about the motor and
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sensory portions of the facial nerve.
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I want to come back for a minute and talk to you about the
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motor facial nerve nucleus, which sits right here.
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And then we have the abducens nerve nucleus,
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which sits right under the facial colliculus bump.
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And we've already said that there's an intimate
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relationship between the two as the motor fibers,
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predominantly, are going to loop around the abducens nerve
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and then kind of come out the side,
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where they then hit the canalicular
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portion of the facial nerve.
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So now, let's look at that portion of the facial nerve.
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It's going to be higher than the cochlear nerve.
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So, you've got to go up to see it.
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And then as it comes out right here,
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we reach the labyrinthine portion of the facial nerve.
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Then it's going to make a little curve.
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Let's make that curve known as the genu,
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and you'll have a little condensation,
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the geniculate ganglion.
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Then it has a horizontal course before
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it dives vertically,
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heading towards the parotid gland and stylomastoid foramen.
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Now, when you're in the brainstem,
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you've already seen the main facial
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nerve nucleus in the pons,
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but there is also a sensory and parasympathetic
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component to the facial nerve,
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and this is known as the intermediate nerve,
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or nervus intermedius.
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So from the brain stem,
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both the motor and sensory parts,
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join together, and they traverse the posterior cranial fossa
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before entering the petrous temporal bone
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via the IAC or internal auditory meatus.
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And then, they exit the meatus,
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as we just discussed.
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So, the take-home point here is you have
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both sensory and motor components,
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although the motor component is most
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famous and dominates the two,
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the lesser component known as the nervus intermedius.
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And you've also learned that there is, right at the genu,
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a geniculate ganglion,
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which will be discussed at a later date.
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Let's move on, shall we?
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