THE CNS
EXCEPTION-CRANIAL NERVES
The 1st cranial nerve-the olfactory
The 2nd cranial nerve-optic
The 3rd cranial nerve-the occulomotor
The 4th cranial nerve-trochlear
The 6th cranial nerve- Abducens Has only a somatic motor (general somatic efferent) component. Somatic motor: innervates the lateral rectus muscle of the ipsilateral orbit. The lateral rectus muscle is one of the six extraocular muscles responsible for the precise movement of the eye for visual tracking or fixation on an object.
The 5th cranial nerve-the trigeminal
The 7th cranial nerve-Facial
The 8th cranial nerve-the auditory (vestibulo-chochlear)
The 9th cranial nerve-the glossopharyngeal
The 10th cranial nerve-the Vagus
The 11th cranial nerve- the accessory
12th Cranial nerve-hypoglossal
The hypoglossal nerve controls the intrinsic musculature of the tongue and is evaluated by having the patient "stick out their tongue" and move it side to side. Normally, the tongue will be protruded from the mouth and remain midline. Note deviations of the tongue from midline, a complete lack of ability to protrude the tongue, tongue atrophy and fasciculations on the tongue. The tongue will deviate towards the side of a peripheral lesion, and to the opposite side of a central lesion.