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Anatomy of Trigeminal Nerve

  • Gyaninder Pal Singh
Chapter

Abstract

Trigeminal nerve is the fifth (V) cranial nerve and is also known as Trifacial nerve. It is the largest of the twelve cranial nerves and has a broad territory of distribution. It is a mixed nerve with both motor and sensory fibers. The nerve originates from the brainstem (pons) and supplies various structures of the head and face. It is a paired nerve, and each nerve supply ipsilateral half of the head and face. Each trigeminal nerve has three main branches and so the name trigeminal (from Latin word “trigeminus” meaning three twins). The sensory modalities of the facial region are more complex and specialized than any other part of the body. There are zones of dense innervation in the territory of trigeminal nerve, and therefore have more number of neurons which explains the larger size of the trigeminal nerve compared to other nerves.

References

  1. 1.
    Romanes GJ. The peripheral nervous system: trigeminal nerve. In: Romanes GJ, editor. Cunningham’s textbook of anatomy. 12th ed. Oxford, UK: Oxford University Press; 1981. p. 748–56.Google Scholar
  2. 2.
    Jannetta PJ. Gross (mesoscopic) description of the human trigeminal ganglion. J Neurosurg. 1967;26:109–11.CrossRefGoogle Scholar
  3. 3.
    Joo W, Yoshioka F, Funaki T, Mizokami K, Rhoton AL Jr. Microsurgical anatomy of the trigeminal nerve. Clin Anat. 2014;27:61–88.CrossRefGoogle Scholar
  4. 4.
    Soeira G, Abd el-Bary TH, Dujovny M, Slavin KV, Ausman JI. Microsurgical anatomy of the trigeminal nerve. Neurol Res. 1994;16:273–83.CrossRefGoogle Scholar
  5. 5.
    Kapila A, Chakeres DW, Blanco E. The Meckel cave: computed tomographic study. Part I: normal anatomy; Part II: pathology. Radiology. 1984;152:425–33.CrossRefGoogle Scholar
  6. 6.
    Liu GT. The Trigeminal nerve and its central connections. In: Miller NR, Newman NJ, Biousse V, Kerrison JB, editors. Walsh and Hoyt’s clinical neuro-ophthalmology. 6th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2005. p. 1233–68.Google Scholar
  7. 7.
    Smith RD. Axonal projections and connections of the principal sensory trigeminal nucleus in the monkey. J Comp Neurol. 1975;163:347–76.CrossRefGoogle Scholar
  8. 8.
    Ikeda M, Tanami T, Matsushita M. Ascending and descending internuclear connections of the trigeminal sensory nuclei in the cat. A study with the retrograde and anterograde horseradish peroxidase technique. Neuroscience. 1984;12:1243–60.CrossRefGoogle Scholar
  9. 9.
    Silverman JD, Kruger L. Projections of the rat trigeminal sensory nuclear complex demonstrated by multiple fluorescent dye retrograde transport. Brain Res. 1985;361:383–8.CrossRefGoogle Scholar
  10. 10.
    Steindler DA. Trigeminocerebellar, trigeminotectal, and trigeminothalamic projections: a double retrograde axonal tracing study in the mouse. J Comp Neurol. 1985;237:155–75.CrossRefGoogle Scholar
  11. 11.
    Rodella LF, Buffoli B, Labanca M, Rezzani R. A review of the mandibular and maxillary nerve supplies and their clinical relevance. Arch Oral Biol. 2012;57:323–34.CrossRefGoogle Scholar
  12. 12.
    Tomaszewska IM, Zwinczewska H, Gładysz T, Walocha JA. Anatomy and clinical significance of the maxillary nerve: a literature review. Folia Morphol. 2015;74:150–6.CrossRefGoogle Scholar
  13. 13.
    Lang E, Naraghi R, Tanrikulu L, Hastreiter P, Fahlbusch R, Neundorfer B, Troscher-Weber R. Neurovascular relationship at the trigeminal root entry zone in persistent idiopathic facial pain: findings from MRI 3-D visualization. J Neurol Neurosurg Psychiatry. 2005;76:1506–9.CrossRefGoogle Scholar
  14. 14.
    Bakshi R, Lerner A, Fritz JV, Sambuchi GD. Vacular compression in trigeminal neuralgia shown by magnetic resonance imaging and magnetic resonance angiography image registration. Arch Neurol. 2001;58:1290–1.CrossRefGoogle Scholar
  15. 15.
    Dzierżanowski J, Słoniewski P. Trigeminal neuralgia caused by aneurysm of the posterior cerebral artery: a case description and the analysis of anatomical variety of vascular complex in the rood entry zone of trigeminal nerve. Folia Morphol. 2014;73:224–8.CrossRefGoogle Scholar
  16. 16.
    Neto HS, Camilli JA, Marques MJ. Trigeminal neuralgia is caused by maxillary and mandibular nerve entrapment: greater incidence of right-sided facial symptoms is due to the foramen rotundum and foramen ovale being narrower on the right side of the cranium. Med Hypotheses. 2005;65:1179–82.CrossRefGoogle Scholar
  17. 17.
    Campbell WW Jr. The numb cheek syndrome: a sign of infraorbital neuropathy. Neurology. 1986;36:421–3.CrossRefGoogle Scholar
  18. 18.
    Bruyn RPM, Boogerd W. The numb chin. Clin Neurol Neurosurg. 1991;93:187–93.CrossRefGoogle Scholar
  19. 19.
    Burt RK, Sharfman WH, Karp BI, Wilson WH. Mental neuropathy (numb chin syndrome). A harbinger of tumor progression or relapse. Cancer. 1992;70:877–81.CrossRefGoogle Scholar
  20. 20.
    Cruccu G, Inghilleri M, Berardelli A, Pauletti G, Casali C, Coratti P, Frisardi G, Thompson PD, Manfredi M. Pathophysiology of hemimasticatory spasm. J Neurol Neurosurg Psychiatry. 1994;57:43–50.CrossRefGoogle Scholar
  21. 21.
    Sacco RL, Freddo L, Bello JA, Odel JG, Onesti ST, Mohr JP. Wallenberg’s lateral medullary syndrome: clinical-magnetic resonance imaging correlations. Arch Neurol. 1993;50:609–14.CrossRefGoogle Scholar
  22. 22.
    Kim JS. Pure lateral medullary infarction: clinical-radiological correlation of 130 acute, consecutive patients. Brain. 2003;126:1864–72.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Gyaninder Pal Singh
    • 1
  1. 1.Department of Neuroanaesthesiology and Critical CareAll India Institute of Medical Sciences (AIIMS)New DelhiIndia

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