The abducens nerve emerges from the anterior surface of the brain, in the groove between the lower border of the pons (part of the brainstem) and the medulla oblongata. It lies at first in the posterior cranial fossa. It then pierces the dura mater lateral to the dorum sellae and turns sharply forward, crossing the superior border of the petrous part of the temporal bone. Having entered the cavernous sinus, it runs forward below and lateral to the internal carotid artery. It enters the orbital cavity through the lower part of the superior orbital fissure, within the tendinous ring. Finally, the abducens nerve runs forward and supplies the lateral rectus muscle.
PathologyDue to its long path inside the skull, the abducens nerve is often damaged in fractures of the base of the skull, or by a disorder, such as a tumor, that distorts the brain. Such damage may give rise to double vision or a squint.
Related category• ANATOMY AND PHYSIOLOGY
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