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cranial Nerves
assessment and disorders
13
Anatomy
Undergraduate 1
10/24/2007

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Cards

Term
I olfactory
Definition

Asmt: person is asked to sniff and identify various orders( vanilla)



disorders: inability to smell (anosmia)
Term
II optic
Definition
examination of the interior of the eye by ophthalmoscopic visualization. use of eye charts and tests of perpheral vision.

loss of vision
Term
III Oculomotor
Definition
test the ablity of the eyes to follow a moving object. examination of pupils for size, shape, and size equality. pupillary reflex is tested with a penlight (the pupils should constrict) test the ability of the eyes to converge.

drooping upper eyelid(ptosis). absence of pupillary reflex ( dilated and fixed pupils that may indicate an increase in intracranial pressure).
difficulty in focusing eyes on an object
Term
IV Trochlear
Definition
test ability of the eyes to follow a moving object

inability to move eyeball in a particular direction
Term
V Trigemical
Definition
sensations (pain/touch/temperature) are tested with sharp pin and hot/cold objects. corneal reflex (sensory) is tested with a cotton wisp. Motor function is tested by asking the person to open the mouth (against resistance) and to move the jaw from side to side.

loss of sensation(pain/touch) impaired corneal reflex. paresthesias (tingling/ itching, and numbness) difficulty in chewing/ shift of jaw to side of lesion when opened
Term
VI Abducens
Definition
test ability of the eyes to follow a moving object.

inability to move eyes laterally
Term
VII facial
Definition
test anterior two thirds of tongue for sweet, salty sour and bitter taste. person is asked to cause facial muscle movement( smile, close eyes, wrinkle forehead, whistle). ability to secrete tears is tested by asking person to sniff ammonia fumes.

bell's palsy (experssionless face, drooping mouth and drooling, inability to close eyes and blink).
loss of tast on anterior two thirds of tongue on side of lesion.
Term
VIII Vestibulocochlear
Definition
hearing is cheched by air and bone conduction (use of tuning fork)

loss of hearing noises in ear(tinnitus)
loss of balance (vertigo
Term
IX Glossopharyngeal
Definition
check gag and swalloing reflex, person is asked to speak and cough. test posterior two thirds of tongue for taste.

loss of gag reflex
difficulty in swallowing(dysphagia)
loss of taste on posterior two thirds of tongue
decreased salivation
Term
X Vagus
Definition
similar to testing for CN IX (because they both innervate throat)

sagging of soft palate
hoarseness of voice due to paralysis of vocal fold
Term
XI Accessory
Definition
ask person to rotate head from side to side and to shrug shoulders (against resistance)

drooping shoulders
inability or difficulty in rotaing head(wryneck)
Term
XII Hypoglossal
Definition
person is asked to stick out tongue-note any deviation in position of the protruded tongue.

some difficulty in speaking (dysarthria), chewing, and swallowing (dysphagia)
Term
Cranial Nerves
Definition
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