Review Article

Transitional Nerve: A New and Original Classification of a Peripheral Nerve Supported by the Nature of the Accessory Nerve (CN XI)

Table 2

Renumeration of cranial nerves following the application of the definition of a cranial nerve. To be defined as a cranial nerve the nuclei must originate from the brainstem, communicate with a foramen of the skull and secondary neuron whose cell bodies are located in the brainstem. This criteria still produced 12 cranial nerves.

Current orderAssessment resultsNew order

(1) OlfactoryEliminates, (1) nucleus not in brainstem, (2) primary sensory neuron
(2) OpticEliminated, (1) nucleus not in brainstem, (2) primary sensory neuron
(3) OculomotorBecomes 1st cranial nerve(1) Oculomotor
(4) TrochlearBecomes 2nd cranial nerve(2) Trochlear
(5) TrigeminalIs split into 2 separate nerves due to separate nuclei-current sensory remains as trigeminal with ophthalmic, maxillary, and mandibular divisions as 4th cranial nerve, motor of trigeminal becomes the masticatory nerve and is now the 3rd cranial nerve(3) Masticatory
(4) Trigeminal
(6) AbducensMoves to the 5th cranial nerve(5) Abducens
(7) FacialDue to separate nuclei, facial becomes 6th cranial nerve; nervous intermedius becomes the 7th cranial nerve(6) Facial
(7) Nervous Intermedius
(8) VestibulocochlearIs split into 2 nerves due to separate nuclei and separate modalities. Vestibular nerve becomes the 8th cranial nerve; and the cochlear nerve becomes the 9th cranial nerve(8) Vestibular
(9) Cochlear
(9) GlossopharyngealBecomes the 10th cranial nerve(10) Glossopharyngeal
(10) VagusIs split into 2 divisions due to target organs:(11) Vagus:
(1) Laryngopalatopharyngeal (formerly cranial root of 11)ā€ƒ(a) Laryngopalatopharyngeal
(2) Thoracoabdominalā€ƒ(b) Thoracoabdominal
(11) AccessoryEliminated, nucleus not in brainstem
(12) HypoglossalRemains the same(12) Hypoglossal