What does bilateral innervation mean
Ava Robinson
Updated on May 06, 2026
The upper motor neuron innervation of most cranial nerves is bilateral which means that each cranial nerve receives impulses from the left and right hemisphere. This bilateral innervation pertains to the muscles of the eyes, jaw, pharynx, upper face, larynx, and neck.
Which nerves are bilaterally innervated?
Almost all the cranial nerves receive bilateral innervation from the brain via the UMNs. This means that both the left and right side of a pair of cranial nerves are innervated by the cortex of both the left and right hemispheres.
What is contralateral innervation?
The lateral corticospinal tract sends fibers predominantly to the extremity muscles, and the cortical innervation is contralateral, in other words, the left motor cortex controls the right extremities. … Therefore, trunk muscles are generally bilaterally cortically innervated.
Do all cranial nerves have bilateral innervation?
The corticobulbar tract innervates cranial motor nuclei bilaterally with the exception of the lower facial nuclei (which innervates facial muscles below the eyes) and the genioglossus muscle, which are innervated only unilaterally by the contralateral cortex.What does facial nerve innervate?
The facial nerve provides motor innervation of facial muscles that are responsible for facial expression, parasympathetic innervation of the glands of the oral cavity and the lacrimal gland, and sensory innervation of the anterior two-thirds of the tongue.
Which nerves affect swallowing?
- Trigeminal (cranial nerve V)
- Facial (cranial nerve VII)
- Glossopharyngeal (cranial nerve IX)
- Vagus (cranial nerve X)
- Hypoglossal nerve (cranial nerve XII)
What does bilateral nerve innovation mean?
The upper motor neuron innervation of most cranial nerves is bilateral which means that each cranial nerve receives impulses from the left and right hemisphere. This bilateral innervation pertains to the muscles of the eyes, jaw, pharynx, upper face, larynx, and neck.
What is a cranial nerve nuclei?
The cranial nerve nuclei are aggregate of cells (collection of cell bodies). Attached to these cell bodies are fibers called cranial nerves (bundles of axons). These nuclei are either sensory or motor but never both.Can the vagus nerve cause jaw pain?
Three epilepsy patients treated by cyclic continuous vagus nerve stimulation (VNS) experienced trigeminal pain during the periods of stimulation, which was reported as toothache in the left lower jaw, ipsilateral to the side of stimulation.
What happens if the Corticobulbar tract is damaged?If there is damage to the corticobulbar tract of one side anywhere between precentral gyrus to the motor nucleus of the facial nerve. It results in paralysis of muscles of the opposite lower half of the face.
Article first time published onWhat does contralateral mean in medical terms?
Listen to pronunciation. (KON-truh-LA-teh-rul) Having to do with the opposite side of the body.
What does Contralaterally mean?
Definition of contralateral : occurring on or acting in conjunction with a part on the opposite side of the body.
What does contralateral organization mean?
The contralateral organization of the forebrain (Latin: contra‚ against; latus‚ side; lateral‚ sided) is the property that the hemispheres of the cerebrum and the thalamus represent mainly the contralateral side of the body.
What are the symptoms of facial nerve damage?
- Rapid onset of mild weakness to total paralysis on one side of your face — occurring within hours to days.
- Facial droop and difficulty making facial expressions, such as closing your eye or smiling.
- Drooling.
- Pain around the jaw or in or behind your ear on the affected side.
What is nerve paralysis?
When something disrupts nerve signals to muscles, you may experience paralysis — being unable to make voluntary movements. Common causes of paralysis include strokes, spinal cord injuries and nerve disorders like multiple sclerosis.
What is the most common cranial nerve disorder?
Idiopathic facial nerve palsy (Bell’s palsy) is the most frequent peripheral cranial nerve lesion, and it is accompanied by a single-sided and acute occurrence of peripheral facial nerve palsy. This disease can occur at any age, often between the ages of 10–20 and 30–40 years.
What is a benefit of a nerve plexus?
What is a benefit of a nerve plexus? A plexus does not allow for redistribution. They provide a straight path from the spinal cord to target muscles. Damage to one single branch of a plexus does not necessarily disrupt all motor information sent to a region. The dorsal ramus can be distributed to many areas.
What two nerves do not arise from the brain stem?
The olfactory nerve is the shortest of the 12 cranial nerves and only one of two cranial nerves (the other being the optic nerve) that do not join with the brainstem.
What are the symptoms of upper motor neuron disease?
- Muscle weakness. The weakness can range from mild to severe.
- Overactive reflexes. Your muscles tense when they shouldn’t. …
- Tight muscles. The muscles become rigid and hard to move.
- Clonus. …
- The Babinski response.
What nerve Innervates the throat?
The vagus nerve is the large nerve that supplies the many branches of nerves that innervate the larynx.
What nerve controls the throat?
The glossopharyngeal nerve (cranial nerve IX or 9th nerve) supplies sensation to the deep throat. This region has significant overlap with the vagus nerve (cranial nerve X or 10th nerve), which is also responsible for swallowing.
What nerve controls the esophagus?
The esophagus is a muscular conduit connecting the pharynx and the stomach. Its function is controlled by an intrinsic nervous system and by input from the central nervous system through the vagus nerve.
Does anxiety affect the vagus nerve?
Although this vagal tone is also connected to inflammation, immune system, metabolism and emotional regulation, which is essential to our body. This means the vagus nerve has been associated with mental health conditions, such as anxiety.
Does the vagus nerve cause anxiety?
A low vagal tone means the vagus nerve isn’t functioning as it should. This may lead to a heightened stress response which becomes chronic, possibly resulting in depression, anxiety, gut issues and inflammation.
What side of the neck is the vagus nerve on?
Vagus nerve branches in the thorax On the right side, it arises from the trunk of the vagus as it lies beside the trachea. On the left side, it originates from the recurrent laryngeal nerve only. These branches end in the deep part of the cardiac plexus.
Are cranial nerve nuclei bilateral?
The cranial nerve nuclei are a series of bilateral grey matter motor and sensory nuclei located in the midbrain, pons and medulla that are the collections of afferent and efferent cell bodies for many of the cranial nerves.
What part of the brainstem controls consciousness?
The reticular activating system is the part of the brain stem that responsible for wakefulness. This is a collection of neurons, located in the upper brain stem, that projects to and stimulates the areas of the cortex that is responsible for awareness—the ability to think and perceive.
Where is optic nerve nuclei located?
Posterior to the optic chiasm, the nerve fibres travel in optic tracts to various portions of the brain—predominantly the lateral geniculate nuclei. Fibres from the lateral geniculate nuclei form the optic radiations that course toward the visual cortex located in the occipital lobes in the back of the brain.
Is corticobulbar tract a descending tract?
The corticobulbar tract is a descending pathway responsible for innervating several cranial nerves, and runs in paralell with the corticospinal tract.
What does the corticobulbar tract control?
The corticobulbar tract provides voluntary control over the muscles of the face, head and neck. This is in contrast to the corticospinal tract which controls the movement of the torso and limbs.
What are pyramidal signs and symptoms?
Signs of pyramidal tract dysfunction include spasticity, weakness, slowing of rapid alternating movements, hyperreflexia, and a Babinski sign. Muscle tone is examined by manipulating the major joints and determining the degree of resistance.