Vestibulocochlear nerve

Changed by Bruno Di Muzio , 17 Jun 2015

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The vestibulocochlear nerve is the eighth cranial nerve and has two roles:

  • innervation to the cochlea for hearing
  • innervation to the vestibule for acceleration sense

Gross anatomy

It emerges between the pons and the medulla, lateral to the facial nerve and nervus intermedius, passing laterally through the cerebellopontine angle to the internal acoustic meatus (IAM) with the aforementioned two other nerves.

In the IAM the nerve splits into 4 bundles: cochlear nerve, superior and inferior division of the vestibular nerve and nerve from the posterior semicircular canal, separated from each other by the falciform crest and Bill's bar (see figure 2).

Cochlear nerve

The cochlear nerve relays with the first order sensory cells in the spiral ganglion, which is in the base of the spiral lamina.

Vestibular nerve

The vestibular nerve relays in the vestibular ganglion (aka ganglion of Scarpa) From here, from there three bundles emerge:

  1. The superior division of the vestibular nerve carries sensory fibres from the hair cells of the anterior and lateral semicircular canals and utricle. It is located in the posterosuperior quadrant.
  2. The inferior division carries sensory fibres from the saccule. It is located in the posteroinferior quadrant, along with;
  3. The nerve from the posterior semicircular canal, also in the posteroinferior quadrant passes through the foramen singulare

Related pathology 

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Image 5 Photograph ( update )

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Image 9 MRI (T2) ( update )

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Image 10 MRI (T1 labelled) ( update )

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Annotated MRICase 2 -: annotated CN VIII and others - MRIcranial nerves

Image 11 Annotated image (CN VIII) ( update )

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Case 3: normal cranial nerves

Cases and figures

  • Figure 1: upper medulla anatomy - CN VIII (diagram)
  • Figure 2
  • Figure 3: ascending auditory pathway
  • Figure 4: brainstem nuclei
  • Figure 5: relationship to internal ear
  • Figure 6: nerves in the meatus
  • Figure 7: cranial nerve origins
  • Figure 8: cranial nerves
  • Case 1 - normal CN VII and VII (T2 MRI)
  • Case 2: annotated CN VIII and others cranial nerves
  • Case 3: normal cranial nerves
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