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Summary The Vagus Nerve (CN X)

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This is a summary of the anatomy and functions associated with the Vagus Nerve (CN X)

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  • November 16, 2015
  • 4
  • 2015/2016
  • Summary
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The Vagus Nerve (CN X)


 Is a diverse nerve that offers many different modalities of innervation
 Due to its widespread function, pathology of the vagus nerve can manifest
 The vagus nerve is associated with structures derived from the forth
pharyngeal arch
 Its actions include:

Sensory – acts to innervate the skin around the external auditory meatus, the
internal laryngopharynx and larynx, and provides visceral sensation to the
heart and other abdominal viscera
Special sensory – provides taste sensation to the root of the tongue and
epiglottis
Motor – supplies most of the muscles of the pharynx, soft palate and larynx
Parasympathetic – supplies all smooth muscle in the trachea, bronchi and
gastrointestinal tract and also regulates heart rhythm

Anatomical course:
 The vagus nerve is the longest cranial nerve, extending from the head to the
lower abdomen

In the head –
 The vagus nerve arises from the medulla oblongata of the brainstem, in
between the pyramid and the inferior cerebellar peduncle
 It leaves the cranium via the jugular foramen, with the glossopharyngeal
nerve and accessory nerve (CN IX and CN XI)
 While still in the cranium, the auricular branch splits from the vagus nerve,
which acts to supply sensation to the external auditory meatus and external
ear canal

In the neck –
 Here the vagus nerve enters the carotid
sheath, passing inferiorly with the
internal jugular vein and common
carotid artery
 At the base of the neck the vagus
nerve splits into:
1. Right vagus nerve – passes
anterior to the subclavian artery
and posterior to the
sternoclavicular joint, and enters
the thorax
2. Left vagus nerve – passes
inferiorly between the left
common carotid and left

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