Nervus intermedius

Synonyms
Wrisberg's Nerv, Sapolini's Nerv

The nervus intermedius, also known as Wrisberg's nerve or Sapolini's nerve[^1], transmits both parasympathetic and sensory information.

Anatomy

The anatomy of the nervus intermedius is highly variable, and in approximately 56 % of cases, the nerve courses as a single bundle, while in the remaining 44 % of cases it consists of multiple nerve bundles [^3].

Course

The nervus intermedius emerges from the brain at the Cerebellopontine angle and courses between the Facial nerve and the Vestibulocochlear nerve.

Innervation

The nervus intermedius innervates the lacrimal gland and the nasopalatine gland. It innervates parts of the tongue, nose, and ear.

Intraoperative Imaging

Intraoperative nervus intermedius
Intraoperative image of the left nervus intermedius. View with an angled endoscope during a neurovascular decompression procedure.

Clinical Relevance

Vascular compression of the nervus intermedius can lead to Nervus intermedius neuralgia[^2].

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