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The accessory nerve, also known as the eleventh cranial nerve, cranial nerve XI, or simply CN XI, is a cranial nerve that supplies the sternocleidomastoid and trapezius muscles. It is classified as the eleventh of twelve pairs of cranial nerves because part of it was formerly believed to originate in the brain.
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 Located in the jugular foramen. Controls the sternocleidomastoid and trapezius muscles, and overlaps with functions of the vagus nerve (CN X). Symptoms of ...
The nucleus ambiguus is classically said to provide the "cranial component" of the accessory nerve. However, the very existence of this cranial component has been recently questioned and seen as contributing exclusively to the vagus nerve. The terminology continues to be used in describing both human anatomy, [1] and that of other animals. [2]
In the jugular foramen, it receives one or two filaments from the cranial part of the nerve, or else joins it for a short distance and then separates from it again. As it exits from the jugular foramen, it runs backward in front of the internal jugular vein in 66.6% of cases, and behind it in 33% of cases.
The cranial root of accessory nerve (or part) is the smaller of the two portions of the accessory nerve.It is generally considered as a part of the vagus nerve and not part of the accessory nerve proper because the cranial component rapidly joins the vagus nerve and serves the same function as other vagal nerve fibers. [1]
There are several options of treatment when iatrogenic (i.e., caused by the surgeon) spinal accessory nerve damage is noted during surgery. For example, during a functional neck dissection that injures the spinal accessory nerve, injury prompts the surgeon to cautiously preserve branches of C2, C3, and C4 spinal nerves that provide supplemental innervation to the trapezius muscle. [3]
A) Nerves and plexuses: Spinal accessory nerve (Cranial Nerve XI) Branches of cervical plexus; Roots and trunks of brachial plexus; Phrenic nerve (C3,4,5) B) Vessels: Subclavian artery (Third part) Transverse cervical artery; Suprascapular artery; Terminal part of external jugular vein; C) Lymph nodes: Occipital; Supraclavicular; D) Muscles:
glossopharyngeal nerve (IX), vagus nerve (X), accessory nerve (XI) temporal: posterior cranial fossa: stylomastoid foramen: 2: stylomastoid artery: facial nerve (VII) occipital: posterior cranial fossa: hypoglossal canal: 2-hypoglossal nerve (XII) occipital: posterior cranial fossa: foramen magnum: 1: anterior and posterior spinal arteries ...