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The muscles supplied by the vagus (included with this is the cranial root of the accessory nerve), such as levator veli palatini, are also necessary to swallow properly through integration by the nucleus of the solitary tract. The vagus also supplies the upper part of the esophagus, and other parts of the pharynx and larynx.
A major function: controls muscles for voice and resonance and the soft palate. Symptoms of damage: dysphagia (swallowing problems), velopharyngeal insufficiency. This nerve is involved (together with nerve IX) in the pharyngeal reflex or gag reflex. XI Accessory. Sometimes: cranial accessory, spinal accessory. Mainly motor Cranial and Spinal Roots
Cranial nerves are the nerves that emerge directly from the brain (including the brainstem), of which there are conventionally considered twelve pairs. Cranial nerves relay information between the brain and parts of the body, primarily to and from regions of the head and neck , including the special senses of vision , taste , smell , and hearing .
Taste cells synapse with primary sensory axons of three cranial nerves; the facial nerve, glossopharyngeal nerve, and the vagus nerve. These cranial nerves innervate the taste buds in the tongue, palate, epiglottis, and esophagus. The primary sensory neurons of these central axons are in the cranial nerve ganglia of each respective cranial nerve.
Progressive bulbar palsy, a form of motor neuron disease, is associated with combined lesions of the hypoglossal nucleus and nucleus ambiguus with wasting of the motor nerves of the pons and medulla. This may cause difficulty with tongue movements, speech, chewing and swallowing caused by dysfunction of several cranial nerve nuclei. [2]
A neurological examination is the assessment of sensory neuron and motor responses, especially reflexes, to determine whether the nervous system is impaired. This typically includes a physical examination and a review of the patient's medical history, [1] but not deeper investigation such as neuroimaging.
Swallowing, also called deglutition or inglutition [1] in scientific contexts, is the process in the body of a human that allows for a substance to pass from the mouth, to the pharynx, and into the esophagus, while shutting the epiglottis. Swallowing is an important part of eating and drinking.
Vocal cord paresis, also known as recurrent laryngeal nerve paralysis or vocal fold paralysis, is an injury to one or both recurrent laryngeal nerves (RLNs), which control all intrinsic muscles of the larynx except for the cricothyroid muscle. The RLN is important for speaking, breathing and swallowing. [1] [2]