Glossopharyngeal nerve - wikipedia Glossopharyngeal nerve Glossopharyngeal nerve Plan of the upper portions of the glossopharyngeal, vagus, and accessory nerves. Course and distribution of the glossopharyngeal, vagus, and accessory nerves. ( Label for glossopharyngeal is at upper right. ) Details To tympanic nerve Innervates stylopharyngeus Identifiers Latin nervus glossopharyngeus MeSH A08. 800.800. 120.290 NeuroLex ID Glossopharyngeal nerve fiber bundle Dorlands / Elsevier n_05 / 12565844 TA A14. 2.01. 135 FMA 50870 Anatomical terms of neuroanatomy ( edit on Wikidata ) Cranial nerves CN 0 -- Terminal CN I -- Olfactory CN II -- Optic CN III -- Oculomotor CN IV -- Trochlear CN V -- Trigeminal CN VI -- Abducens CN VII -- Facial CN VIII -- Vestibulocochlear CN IX -- Glossopharyngeal CN X -- Vagus CN XI -- Accessory CN XII -- Hypoglossal Overview Table The glossopharyngeal nerve, known as the ninth cranial nerve ( CN IX ), is a mixed nerve that carries afferent sensory and efferent motor information. It exits the brainstem out from the sides of the upper medulla, just rostral ( closer to the nose ) to the vagus nerve. The motor division of the glossopharyngeal nerve is derived from the basal plate of the embryonic medulla oblongata, while the sensory division originates from the cranial neural crest. Contents 1 Structure 1.1 Branches 1.2 Overview of branchial motor component 1.3 Overview of visceral motor component 1.4 Overview of visceral sensory component 1.5 Overview of somatic sensory component 1.6 Overview of special sensory component 1.7 Brainstem connections 2 Functions 3 Clinical significance 3.1 Damage 3.2 Examination 4 Additional images 5 References 6 External links Structure From the anterior portion of the medulla oblongata, the glossopharyngeal nerve passes laterally across or below the flocculus, and leaves the skull through the central part of the jugular foramen. From the superior and inferior ganglia in jugular foramen, it has its own sheath of dura mater. The inferior ganglion on the inferior surface of petrous part of temporal is related with a triangular depression into which the aqueduct of cochlea opens. On the inferior side, the glossopharyngeal nerve is lateral and anterior to the vagus nerve and accessory nerve. In its passage through the foramen ( with X and XI ), the glossopharyngeal nerve passes between the internal jugular vein and internal carotid artery. It descends in front of the latter vessel and beneath the styloid process and the muscles connected with it, to the lower border of the stylopharyngeus. It then curves forward, forming an arch on the side of the neck and lying upon the stylopharyngeus and middle pharyngeal constrictor muscle. From there, it passes under cover of the hyoglossus muscle and is finally distributed to the palatine tonsil, the mucous membrane of the fauces and base of the tongue, and the serous glands of the mouth. Branches Tympanic Stylopharyngeal Tonsillar Nerve to carotid sinus Branches to the posterior third of tongue Lingual branches A communicating branch to the Vagus nerve Note : The glossopharyngeal nerve contributes in the formation of the pharyngeal plexus along with the vagus nerve. The glossopharyngeal nerve has five distinct general functions : Branchial motor ( special visceral efferent ) -- supplies the stylopharyngeus muscle and superior constrictor muscle. Visceral motor ( general visceral efferent ) -- provides parasympathetic innervation of the parotid gland via the otic ganglion Visceral sensory ( general visceral afferent ) -- carries visceral sensory information from the carotid sinus and carotid body. General sensory ( general somatic afferent ) -- provides general sensory information from inner surface of the tympanic membrane, upper pharynx ( GVA ), and the posterior one - third of the tongue. Visceral afferent ( special visceral afferent ) -- provides taste sensation from the posterior one - third of the tongue, including circumvallate papillae. The glossopharyngeal nerve as noted above is a mixed nerve consisting of both sensory and motor nerve fibers. The sensory fibers ' origin include the pharynx, middle ear, posterior one - third of the tongue ( including taste buds ) ; and the carotid body and sinus. These fibers terminate at the medulla oblongata. The motor fibers ' origin is the medulla oblongata, and they terminate at the parotid salivary gland, the glands of the posterior tongue, and the stylopharyngeus muscle ( which dilates the pharynx during swallowing ). Overview of branchial motor component The branchial motor component of CN IX provides voluntary control of the stylopharyngeus muscle, which elevates the pharynx during swallowing and speech. Origin and central course The branchial motor component originates from the nucleus ambiguus in the reticular formation of the medulla Rostral medulla. Fibers leaving the nucleus ambiguus travel anteriorly and laterally to exit the medulla, along with the other components of CN IX, between the olive and the inferior cerebellar peduncle. Intracranial course Upon emerging from the lateral aspect of the medulla the branchial motor component joins the other components of CN IX to exit the skull via the jugular foramen. The glossopharyngeal fibers travel just anterior to the cranial nerves X and XI, which also exit the skull via the jugular foramen. Extra-cranial course and final innervation Upon exiting the skull the branchial motor fibers descend deep to the temporal styloid process and wrap around the posterior border of the stylopharyngeus muscle before innervating it. Voluntary control of the stylopharyngeus muscle Signals for the voluntary movement of stylopharyngeus muscle originate in the pre-motor and motor cortex ( in association with other cortical areas ) and pass via the corticobulbar tract in the genu of the internal capsule to synapse bilaterally on the ambiguus nuclei in the medulla. Overview of visceral motor component Parasympathetic component of the glossopharyngeal nerve that innervates the ipsilateral parotid gland. Origin and central course The preganglionic nerve fibers originate in the inferior salivatory nucleus of the rostral medulla and travel anteriorly and laterally to exit the brainstem between the medullary olive and the inferior cerebellar peduncle with the other components of CN IX. Note : These neurons do not form a distinct nucleus visible on cross-section of the brainstem. The position indicated on the diagram is representative of the location of the cell bodies of these fibers. Intracranial course Upon emerging from the lateral aspect of the medulla, the visceral motor fibers join the other components of CN IX to enter the jugular foramen. Within the jugular foramen, there are two glossopharyngeal ganglia that contain nerve cell bodies that mediate general, visceral, and special sensation. The visceral motor fibers pass through both ganglia without synapsing and exit the inferior ganglion with CN IX general sensory fibers as the tympanic nerve. Before exiting the jugular foramen, the tympanic nerve enters the petrous portion of the temporal bone and ascends via the inferior tympanic canaliculus to the tympanic cavity. Within the tympanic cavity the tympanic nerve forms a plexus on the surface of the promontory of the middle ear to provide general sensation. The visceral motor fibers pass through this plexus and merge to become the lesser petrosal nerve. The lesser petrosal nerve re-enters and travels through the temporal bone to emerge in the middle cranial fossa just lateral to the greater petrosal nerve. It then proceeds anteriorly to exit the skull via the foramen ovale along with the mandibular nerve component of CN V ( V3 ). Extra-cranial course and final innervations Upon exiting the skull, the lesser petrosal nerve synapses in the otic ganglion, which is suspended from the mandibular nerve immediately below the foramen ovale. Postganglionic fibers from the otic ganglion travel with the auriculotemporal branch of CN V3 to enter the substance of the parotid gland. Hypothalamic Influence Fibers from the hypothalamus and olfactory system project via the dorsal longitudinal fasciculus to influence the output of the inferior salivatory nucleus. Examples include : 1 ) dry mouth in response to fear ( mediated by the hypothalamus ) ; 2 ) salivation in response to smelling food ( mediated by the olfactory system ) Overview of visceral sensory component This component of CN IX innervates the baroreceptors of the carotid sinus and chemoreceptors of the carotid body. Peripheral and intracranial course. Sensory fibers arise from the carotid sinus and carotid body at the common carotid artery bifurcation, ascend in the sinus nerve, and join the other components of CN IX at the inferior glossopharyngeal ganglion. The cell bodies of these neurons reside in the inferior glossopharyngeal ganglion. The central processes of these neurons enter the skull via the jugular foramen. Central course - visceral sensory component Once inside the skull, the visceral sensory fibers enter the lateral medulla between the olive and the inferior cerebellar peduncle and descend in the tractus solitarius to synapse in the caudal nucleus solitarius. From the nucleus solitarius, connections are made with several areas in the reticular formation and hypothalamus to mediate cardiovascular and respiratory reflex responses to changes in blood pressure, and serum concentrations of CO2 and O2. Overview of somatic sensory component This component of CN IX carries general sensory information ( pain, temperature, and touch ) from the skin of the external ear, internal surface of the tympanic membrane, the walls of the upper pharynx, and the posterior one - third of the tongue. Peripheral course Sensory fibers from the skin of the external ear initially travel with the auricular branch of CN X, while those from the middle ear travel in the tympanic nerve as discussed above ( CN IX visceral motor section ). General sensory information from the upper pharynx and posterior one - third of the tongue travel via the pharyngeal branches of CN IX. These peripheral processes have their cell body in either the superior or inferior glossopharyngeal ganglion. Central course The central processes of the general sensory neurons exit the glossopharyngeal ganglia and pass through the jugular foramen to enter the brainstem at the level of the medulla. Upon entering the medulla these fibers descend in the spinal trigeminal tract and synapse in the caudal spinal nucleus of the trigeminal. Clinical correlation. The general sensory fibers of CN IX mediate the afferent limb of the pharyngeal reflex in which touching the back of the pharynx stimulates the patient to gag ( i.e., the gag reflex ). The efferent signal to the musculature of the pharynx is carried by the branchial motor fibers of the vagus nerve. Overview of special sensory component The special sensory component of CN IX provides taste sensation from the posterior one - third of the tongue. Peripheral course Special sensory fibers from the posterior one - third of the tongue travel via the pharyngeal branches of CN IX to the inferior glossopharyngeal ganglion where their cell bodies reside. Central course - special sensory component The central processes of these neurons exit the inferior ganglion and pass through the jugular foramen to enter the brainstem at the level of the rostral medulla between the olive and inferior cerebellar peduncle. Upon entering the medulla, these fibers ascend in the tractus solitarius and synapse in the gustatory part of nucleus solitarius. Taste fibers from CN VII and X also ascend and synapse here. Ascending secondary neurons originating in nucleus solitarius project bilaterally to the ventral posteromedial ( VPM ) nuclei of the thalamus via the central tegmental tract. Tertiary neurons from the thalamus project via the posterior limb of the internal capsule to the inferior one - third of the primary sensory cortex ( the gustatory cortex of the parietal lobe ). Brainstem connections The glossopharyngeal nerve is mostly sensory. The glossopharyngeal nerve also aids in tasting, swallowing and salivary secretions. Its superior and inferior ( petrous ) ganglia contain the cell bodies of pain fibers. It also projects into many different structures in the brainstem : Solitary nucleus : Taste from the posterior one - third of the tongue and information from carotid baroreceptors and carotid body chemoreceptors Spinal nucleus of the trigeminal nerve : Somatic sensory fibers from the middle ear Lateral Nucleus of Ala Cinerea : Visceral pain Nucleus ambiguus : The lower motor neurons for the stylopharyngeus muscle Inferior salivatory nucleus : Parasympathetic input to the parotid and mucous glands. Functions There are a number of functions of the glossopharyngeal nerve : It receives general somatic sensory fibers ( ventral trigeminothalamic tract ) from the tonsils, the pharynx, the middle ear and the posterior 1 / 3 of the tongue. It receives special visceral sensory fibers ( taste ) from the posterior one - third of the tongue. It receives visceral sensory fibers from the carotid bodies, carotid sinus. It supplies parasympathetic fibers to the parotid gland via the otic ganglion. It supplies motor fibers to stylopharyngeus muscle, the only motor component of this cranial nerve. It contributes to the pharyngeal plexus. Clinical significance Damage Damage to the glossopharyngeal nerve can result in loss of taste sensation to the posterior one third of the tongue, and impaired swallowing. Examination The clinical tests used to determine if the glossopharyngeal nerve has been damaged include testing the gag reflex of the mouth, asking the patient to swallow or cough, and evaluating for speech impediments. The clinician may also test the posterior one - third of the tongue with bitter and sour substances to evaluate for impairment of taste. The integrity of the glossopharyngeal nerve may be evaluated by testing the patient 's general sensation and that of taste on the posterior third of the tongue. The gag reflex can also be used to evaluate the glossphyaryngeal nerve, but also tests the vagus nerve, as only the afferent fibres involved in the reflex are carried by the glossopharyngeal nerve. Additional images Inferior view of the human brain, with the cranial nerves labelled. Dura mater and its processes exposed by removing part of the right half of the skull, and the brain. Hind - and mid-brains ; postero - lateral view. Alveolar branches of superior maxillary nerve and sphenopalatine ganglion. Upper part of medulla spinalis and hind - and mid-brains ; posterior aspect, exposed in situ. Hypoglossal nerve, cervical plexus, and their branches. References Jump up ^ Atlas of Human Anatomy, 5th Ed, Netter Saladin, Anatomy and Physiology : The Unity of Form and Function, 6th edition External links Wikimedia Commons has media related to Nervus glossopharyngeus. hier - 698 at NeuroNames MedEd at Loyola GrossAnatomy / h_n / cn / cn1 / cn9. htm MedlinePlus Image 9350 cranialnerves at The Anatomy Lesson by Wesley Norman ( Georgetown University ) ( IX ) Notes on Glossopharyngeal Nerve The cranial nerves terminal Nuclei Septal nuclei Course no significant branches olfactory Nuclei Anterior olfactory nucleus Course olfactory bulb olfactory tract optic Nuclei Lateral geniculate nucleus Course optic chiasm optic tract oculomotor Nuclei Oculomotor nucleus Edinger - Westphal nucleus Branches superior parasympathetic root of ciliary ganglion / ciliary ganglion inferior trochlear Nucleus Branches no significant branches trigeminal Nuclei PSN Spinal trigeminal nucleus MN TMN Course trigeminal ganglion Branches ophthalmic maxillary mandibular abducens Nucleus Branches no significant branches facial near origin intermediate nerve geniculate inside facial canal greater petrosal pterygopalatine ganglion nerve to the stapedius chorda tympani lingual nerve submandibular ganglion at stylomastoid foramen posterior auricular suprahyoid digastric stylohyoid parotid plexus temporal zygomatic buccal mandibular cervical Nuclei Facial motor nucleus Solitary nucleus Superior salivary nucleus vestibulocochlear Nuclei Vestibular nuclei Cochlear nuclei cochlear nerve striae medullares lateral lemniscus vestibular Scarpa 's ganglion glossopharyngeal before jugular fossa ganglia superior inferior after jugular fossa tympanic tympanic plexus lesser petrosal otic ganglion stylopharyngeal branch pharyngeal branches tonsillar branches lingual branches carotid sinus Nuclei Nucleus ambiguus Inferior salivatory nucleus Solitary nucleus vagus before jugular fossa ganglia superior inferior after jugular fossa meningeal branch auricular branch neck pharyngeal branch pharyngeal plexus superior laryngeal external internal recurrent laryngeal ( inferior ) superior cervical cardiac thorax inferior cardiac pulmonary vagal trunks anterior posterior abdomen celiac renal hepatic anterior gastric posterior gastric Nuclei Nucleus ambiguus Dorsal nucleus of vagus nerve Solitary nucleus accessory Nuclei Nucleus ambiguus Spinal accessory nucleus cranial spinal hypoglossal Nucleus Branches lingual Retrieved from `` https://en.wikipedia.org/w/index.php?title=Glossopharyngeal_nerve&oldid=795155823 '' Categories : Glossopharyngeal nerve Cranial nerves Gustatory system Pharynx Hidden categories : Medicine infobox template using GraySubject or GrayPage Medicine infobox template using Dorlands parameter Talk Contents About Wikipedia Azərbaycanca Català Čeština Deutsch Eesti Español فارسی Français Galego Bahasa Indonesia Italiano עברית Latina Lietuvių Magyar Nederlands 日本 語 Norsk Polski Português Русский Српски / srpski Srpskohrvatski / српскохрватски Svenska తెలుగు Українська 中文 Edit links This page was last edited on 12 August 2017, at 11 : 40. 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Question: cranial nerve ix is also known as which of the following
Answer: glossopharyngeal nerve