Most people know that their brain is connected to the rest of their body through the brainstem, spinal cord, and various nerves. But, have you ever wondered how your brain is connected to the various structures on and around your head? After all, most of your sensory organs are located in your head, so your brain needs to be able to communicate with these structures in order to allow you to perceive the world around you. The way this is accomplished is through the twelve cranial nerves.
The twelve cranial nerves are pairs of nerves that connect your brain to different parts of your head, neck, and trunk. Each pair of these cranial nerves is responsible for a specific function or structure, and they are categorized as being either sensory or motor in function. They are also named in numerical order starting from the front of the head and working towards the back. Here is more information about each of the twelve cranial nerves:
Your olfactory nerve is responsible for transmitting sensory information about scent to the brain. Once a scent is absorbed by the olfactory epithelium, receptors generate nerve impulses that travel through the olfactory bulb up into the olfactory tract that leads to the brain. The olfactory nerve is one of only two nerves that is not connected to the brainstem and is instead connected to the frontal lobe of the brain. Since the olfactory nerve is also connected to the amygdala (part of the brain associated with processing emotions) and hippocampus (part of the brain associated with memory), this is why scents can trigger memories.
Your optic nerve is responsible for transmitting sensory information about sight. Once light enters the eye it hits receptors in the retina known as rods and cones. Rods are generally used for black and white or night vision, while cones are used for color vision. Visual nerve impulses then travel from the retina along the optic nerve to the optic chiasm. The optic chiasm is where both of the optic nerves from each eye meet and from two separate optic tracts that then travel to the visual cortex. The optic chiasm is located in the forebrain, while the visual cortex is located in the back of the brain. The optic nerve is the second of the two nerves that is not connected to the brainstem.
The oculomotor nerve is located within the eye sockets and travels to the front part of the midbrain. It is responsible for the motor function of four out of the six muscles around the eyes used for movement and focusing, as well as for controlling the size of the pupil when exposed to light.
The trochlear nerve is also located within the eye sockets, however it travels to the back part of the midbrain. This nerve is responsible for controlling the superior oblique muscles. The superior oblique muscle is necessary for eye movements such as internal rotation, looking down, and looking away from the nose.
The trigeminal nerve is the largest cranial nerve and has sensory and motor functions. As the prefix of its name suggests, there are three divisions that make up the trigeminal nerve. The first is the ophthalmic division, which is responsible for sending sensory information from the forehead, scalp, and upper eyelids to the brain. The second is the maxillary division, which is responsible for communicating sensory information from the cheeks, upper lip, and nasal cavity to the brain. The final division is the mandibular division, which is responsible for communicating sensory information from the ears, lower lip, and chin, as well as for controlling muscle movement in the jaw and ear. From these three divisions, the trigeminal nerve travels into the midbrain and medulla regions of the brainstem.
The abducens nerve is located in the eye socket and is responsible for controlling the lateral rectus muscle. This muscle allows for outward eye movement used to look to the side. From the eye socket, the abducens nerve travels to the pons region of the brainstem.
The facial nerve is another large cranial nerve that is made up of several smaller nerve fibers found within the face. It is responsible for transmitting sensory information from the tongue and outer parts of the ears. The facial nerve is also responsible for moving the muscles used for facial expressions and some jaw movement, as well as supplying the salivary and tear-producing glands. From the face, the facial nerve travels to the pons area of the brainstem where it splits into motor and sensory roots.
The vestibulocochlear nerve is responsible for sensory functions such as hearing and balance. It is composed of the cochlear portion and the vestibular portion, however both portions originate in a separate location before meeting. The cochlear portion detects sound vibrations, then generates nerve impulses that are transmitted to the cochlear nerve. The cochlear portion travels to the inferior cerebellar peduncle. The vestibular portion monitors linear and rotational movements of the head and transmits them to the vestibular nerve in order to adjust balance and equilibrium. The vestibular nerve travels to the pons and medulla.
The glossopharyngeal nerve is located within the neck and throat region. It is responsible for motor functions such as stimulating voluntary muscle movement needed to swallow, as well as providing a sense of taste for the back of the tongue and sending sensory information to the sinuses, back of the throat, parts of the inner ear, and the back of the tongue. The glossopharyngeal nerve travels to the medulla oblongata region of the brainstem.
The vagus nerve has the longest pathway, extending from the medulla all the way into the abdomen. It also has a variety of sensory and motor functions. Sensory functions of the vagus nerve include: communicating sensory information from the ear canal and parts of the throat, providing a sense of taste near the root of the tongue, and sending sensory information from the organs in your chest and trunk to the brain. Motor functions of the vagus nerve include: allowing motor muscle control in the throat and stimulating the muscles responsible for organ functions, such as peristalsis.
The accessory nerve is responsible for controlling the muscles in the neck in order to rotate, flex, and extend the neck and shoulders. The accessory nerve is composed of a spinal and cranial portion. The spinal portion travels from the neck muscles to the upper part of the spinal cord. The cranial portion originates from the medulla oblongata and follows the vagus nerve.
Last but not least, the hypoglossal nerve is a motor nerve found in the tongue. It is responsible for moving the majority of muscles that make up the tongue. From the tongue, it travels up into the jaw and then to the medulla oblongata.
Dr. Kashouty, a diplomate of the American Board of Psychiatry and Neurology (ABPN), practices general neurology with fellowship trained specialization in clinical neurophysiology. Dr. Kashouty finds the form and function of the nerves and muscles the most interesting part of neurology, which is what led him to specialize in neurophysiology with more emphasis on neuromuscular conditions. He treats all neurological diseases, but his main focus is to treat and manage headaches, movement disorders and neuromuscular diseases.