Cranial nerves for OMM: exits, lesions and entrapments

4 min read. Updated October 9, 2026.Founders

Where each nerve leaves the skull

NerveExit
ICribriform plate
IIOptic canal
III, IV, V1, VISuperior orbital fissure (VI first passes through Dorello's canal)
V2Foramen rotundum
V3Foramen ovale
VIIInternal acoustic meatus and facial canal; the motor trunk exits the stylomastoid foramen
VIIIInternal acoustic meatus
IX, X, XIJugular foramen (XI's spinal root first climbs in through the foramen magnum)
XIIHypoglossal canal

The jugular foramen lies between the temporal and occipital bones, at the occipitomastoid suture region. Dorello's canal carries only CN VI under the petrosphenoid ligament; III and IV do not pass beneath it.

The rest of this guide is for founders

Founders get every guide, endless cases with an AI tutor, and Anki export of their misses. Here is what is inside:

  1. Where each nerve leaves the skull
  2. Function and lesion clues
  3. Telling look-alikes apart
  4. Entrapments OMM questions test

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