The 11th cranial nerve. The
accessory nerve originates from
neurons in the medulla and in the cervical
spinal cord. It has a cranial root, which joins the vagus (10th cranial) nerve and sends motor fibers to the
muscles of the
larynx, and a spinal root, which sends motor fibers to the trapezius and the sternocleidomastoid
muscles. Damage to the nerve produces weakness in
head rotation and
shoulder elevation.