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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.
From here, the accessory nerve courses through the posterior triangle of the neck to enter the anterior border of the trapezius muscle at a point located approximately at the junction of the middle and lower thirds of the anterior border of this muscle. The spinal accessory nerve can often be found 1 cm above Erb's point. [4]
The spinal accessory nucleus lies within the cervical spinal cord (C1-C5) in the posterolateral aspect of the anterior horn. The nucleus ambiguus is classically said to provide the "cranial component" of the accessory nerve .
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 accessory nerve (CN XI) is particularly vulnerable to damage during lymph node biopsy. Damage results in an inability to shrug the shoulders or raise the arm above the head, particularly due to compromised trapezius muscle innervation.
The fibers from the accessory nerve nucleus travel upward to enter the cranium via the foramen magnum. The internal carotid artery to reach both the sternocleidomastoid muscles and the trapezius. After a signal reaches the accessory nerve nucleus in the anterior horn of the spinal cord, the signal is conveyed to motor endplates on the muscle ...
The spinal root of accessory nerve (or part) is firm in texture, and its fibers arise from the motor cells in the lateral part of the anterior column of the gray substance of the medulla spinalis as low as the fifth cervical nerve.
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]