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Cranial nerves

Also called Nervi craniales, Cranial nerves I to XII

Twelve pairs of nerves wired straight from the brain to your eyes, face, throat, and gut.

The cranial nerves lit up in a 3D model of the human brainOpen in 3D

Most nerves in your body plug into the spinal cord. These 12 pairs are special: they leave the brain directly, through small holes in the skull. They let you smell, see, hear, taste, move your eyes, make faces, chew, swallow, and talk. One of them, the vagus, even reaches all the way down to your heart and gut.

The twelve cranial nerves

NumberNerveTypeMain job
IOlfactorySensorySmell
IIOpticSensoryVision
IIIOculomotorMotorMoves most eye muscles, raises the eyelid, narrows the pupil
IVTrochlearMotorMoves the eye down and in (superior oblique muscle)
VTrigeminalBothFeeling in the face; the chewing muscles
VIAbducensMotorMoves the eye outward (lateral rectus muscle)
VIIFacialBothFacial expressions; taste on the front of the tongue; tears and saliva
VIIIVestibulocochlearSensoryHearing and balance
IXGlossopharyngealBothTaste on the back of the tongue; swallowing; senses blood pressure
XVagusBothThroat and voice box; slows the heart; runs the gut
XIAccessoryMotorShrugging the shoulders and turning the head
XIIHypoglossalMotorMoves the tongue

Memory tricks

The names, in orderOh Oh Oh To Touch And Feel Very Good Velvet, Such HeavenOlfactory, Optic, Oculomotor, Trochlear, Trigeminal, Abducens, Facial, Vestibulocochlear, Glossopharyngeal, Vagus, Spinal accessory, Hypoglossal
Sensory, motor or bothSome Say Marry Money, But My Brother Says Big Brains Matter MoreS = sensory, M = motor, B = both, in order from I to XII

Where it is

On the underside of the brain. The first two pairs (smell and sight) attach to the front of the brain. The other ten attach to the brainstem, the stalk at the base of the brain, roughly in order from top to bottom.

What it does

Senses of the head

They carry smell, sight, hearing, balance, taste, and touch from your face and head into the brain.

Aiming the eyes

Three of them (III, IV, and VI) work together to point both eyes at exactly the same spot, so you see one clear picture instead of two.

Face, mouth, and throat

They move the muscles you use to smile, chew, swallow, talk, and stick out your tongue.

Body autopilot

Some carry calming "rest and digest" signals that slow the heart, make tears and saliva, and keep food moving through the gut.

Think of them as 12 private phone lines running straight from the head office to the most important rooms in the building, with no switchboard in between.

Inside the cranial nerves

Works with

  • BrainstemTen of the twelve pairs plug into the brainstem, which holds their control centers.
  • MidbrainThe two top eye-moving nerves, III and IV, start in the midbrain.
  • PonsThe face-feeling nerve (V) leaves the pons, and nerves VI, VII, and VIII leave from its lower edge.
  • Medulla oblongataThe last four nerves, IX to XII, run the throat, voice, neck, and tongue from the medulla.
  • Spinal cordThe accessory nerve (XI) is unusual: its fibers start partly in the top of the spinal cord.
  • Frontal lobeThe smell bulbs (nerve I) rest right under the front of the frontal lobes.

When it goes wrong

A quick check-up

A doctor can test all 12 pairs in a few minutes with simple requests like "follow my finger", "smile", "shrug", and "stick out your tongue". Which test fails helps show where a problem is.

Warning signs

Sudden double vision, a drooping face, or slurred speech can mean a stroke or rising pressure inside the skull is affecting these nerves. These need emergency care.

For learning only, not medical advice. If you have a health concern, talk to a doctor.

Surprising facts

  • A classic memory trick for the names in order: "Ooh, Ooh, Ooh To Touch And Feel Very Good Velvet. Such Heaven!" That stands for Olfactory, Optic, Oculomotor, Trochlear, Trigeminal, Abducens, Facial, Vestibulocochlear, Glossopharyngeal, Vagus, Spinal accessory, Hypoglossal.
  • Another trick tells you what each one does, with S for sensory, M for motor (movement), and B for both: "Some Say Marry Money, But My Brother Says Big Brains Matter More."
  • They are numbered with Roman numerals roughly from front to back, in the order they leave the brain. That is why smell is number I and the tongue nerve is number XII.

By the numbers

12Pairs
3Sensing only: I, II and VIII
5Movement only: III, IV, VI, XI and XII
4Both sensing and movement: V, VII, IX and X

Where the name comes from

Cranial comes from the Greek kranion, meaning "skull". So these are simply the "skull nerves", the ones that begin inside the skull.

Quick quiz

6 questions. Your answers are saved and come back in your daily review.

  1. Which cranial nerve moves the eye outward, toward the ear?

    Show the answer

    Abducens nerve (VI). The abducens nerve (VI) "abducts" the eye, turning it away from the nose.

  2. A person can't close one eye or smile on that side of the face. Which nerve is affected?

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    Facial nerve (VII). The facial nerve (VII) moves the muscles of expression; this is what happens in Bell's palsy.

  3. Which nerve carries hearing and balance?

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    Vestibulocochlear nerve (VIII). The vestibulocochlear nerve (VIII) joins a hearing branch (cochlear) and a balance branch (vestibular).

  4. Which cranial nerve slows the heart and helps run digestion?

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    Vagus nerve (X). The vagus nerve (X) carries most of the parasympathetic signals to the chest and belly.

  5. Which nerve carries feeling from the face and works the chewing muscles?

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    Trigeminal nerve (V). The trigeminal nerve (V) has three sensory branches and a motor branch for chewing.

  6. Which nerve moves the tongue?

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    Hypoglossal nerve (XII). The hypoglossal nerve (XII) runs "under the tongue" to its muscles.

Sources

  1. Neuroanatomy, Cranial Nerve, StatPearls, NCBI Bookshelf
  2. Cranial Nerve Testing, StatPearls, NCBI Bookshelf
  3. Cranial Nerves: Function, Anatomy & Location, Cleveland Clinic

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