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Cranial Nerve Examination Aaqid Akram MBChB (2013) Clinical Education Fellow.

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Presentation on theme: "Cranial Nerve Examination Aaqid Akram MBChB (2013) Clinical Education Fellow."— Presentation transcript:

1 Cranial Nerve Examination Aaqid Akram MBChB (2013) Clinical Education Fellow

2 Anatomy and Physiology

3

4 Olfactory (I) Smell

5 Optic (II) Visual Acuity Visual Fields Pupillary Light reflex (Consensual/Direct) Accomodation Fundoscopy Blind Spot Sensory Inattention

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8 Occulomotor (III) / Trochlear (IV) / Abducens (VI) Eye movements using the letter H Nystagmus Diplopia LR 6 SO 4

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10 Trigeminal (V) Sensation to face Muscles of mastication Jaw Jerk Corneal Response

11 Facial (VII) Taste Abnormal face movements Raise eyebrows Screw eyes Blow out cheeks Show teeth Smile

12 Vestibulocochlear (VIII) Air Conduction > Bone conduction Rinne’s Weber’s Balance

13 Glossopharyngeal (IX) / Vagus (X) Posterior third tongue sensation Gag reflex Cough / Swallow Uvula deviation (away from lesion)

14 Spinal Accessory (XI) Shrug Shoulders against resistance (Trapezius) Turn head o right/left against resistance (SCM)

15 Hypoglossal (XII) Tongue movement Fasciculation / Wasting Protrude tongue (deviation towards lesion) Move tongue right to left quickly Tongue power against cheek resistance

16 NumeralNerve IOlfactory IIOptic IIIOcculomotor IVTrochlear VTrigeminal VIAbducens VIIFacial VIIIVestibulocochlear IXGlossopharyngeal XVagus XISpinal Accessory XIIHypoglossal


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