10 Cranial Nerves
Structures
Olfactory
Optic
more an outgrowth of brain
ipsilateral lesion symptoms
Oculomotor
Trochlear
read or go down stairs
tilt head to opposite side to compensate. Other eye works normal
Trigeminal
bilateral blink
Abducens
Facial
UMN from both sides to forehead but only one side to lower face
pt with UMN lesion affecting facial nerve maintain forehead movement
LMN lesion completely losses both sides
unable to tolerate sounds because so loud
facial droop in half of face
Vestibularcochlear
rarely done
Doll's eyes: eyes move with head turn
almost never done
warm water side push eye ball away
Glossopharyngeal
Vagus
Speech Test
aortic dissection: enlarged aorta
Accessory
Hypoglossal
CN 12 pushes tongue to midline
Reflexes
Tongue
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