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Published byAugusta Cain Modified over 9 years ago
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Cranial Nerve Examination Aaqid Akram MBChB (2013) Clinical Education Fellow
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Anatomy and Physiology
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Olfactory (I) Smell
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Optic (II) Visual Acuity Visual Fields Pupillary Light reflex (Consensual/Direct) Accomodation Fundoscopy Blind Spot Sensory Inattention
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Occulomotor (III) / Trochlear (IV) / Abducens (VI) Eye movements using the letter H Nystagmus Diplopia LR 6 SO 4
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Trigeminal (V) Sensation to face Muscles of mastication Jaw Jerk Corneal Response
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Facial (VII) Taste Abnormal face movements Raise eyebrows Screw eyes Blow out cheeks Show teeth Smile
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Vestibulocochlear (VIII) Air Conduction > Bone conduction Rinne’s Weber’s Balance
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Glossopharyngeal (IX) / Vagus (X) Posterior third tongue sensation Gag reflex Cough / Swallow Uvula deviation (away from lesion)
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Spinal Accessory (XI) Shrug Shoulders against resistance (Trapezius) Turn head o right/left against resistance (SCM)
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Hypoglossal (XII) Tongue movement Fasciculation / Wasting Protrude tongue (deviation towards lesion) Move tongue right to left quickly Tongue power against cheek resistance
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NumeralNerve IOlfactory IIOptic IIIOcculomotor IVTrochlear VTrigeminal VIAbducens VIIFacial VIIIVestibulocochlear IXGlossopharyngeal XVagus XISpinal Accessory XIIHypoglossal
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