Cranial Nerves : Flashcard By Medical Learner.
Cranial nerves are 12 pairs of nerves that emerge from the brain and brainstem, controlling sensory, motor, and autonomic functions of the head, neck, and beyond. In this article, we'll delve into the anatomy, functions, and clinical correlations of each cranial nerve.
Mnemonic for Cranial Nerves :
"Oh, Oh, Oh, To Touch And Feel Very Green Vegetables, AH!"
"Ooh, ooh, ooh to touch and feel very good velvet. Such heaven "
1. Olfactory (I)
2. Optic (II)
3. Oculomotor (III)
4. Trochlear (IV)
5. Trigeminal (V)
6. Abducens (VI)
7. Facial (VII)
8. Vestibulocochlear (VIII)
9. Glossopharyngeal (IX)
10. Vagus (X)
11. Accessory (XI)
12. Hypoglossal (XII)
Mnemonic for Functions of Cranial Nerves (Sensory/Motor/Both):
"Some Say Money Matters , But My Brother Says Big Brains Matter More."
Detailed Functions and Clinical Correlations
1. Olfactory (CN I) - Sensory
Function: Smell
Lesion: Anosmia (loss of smell)
Clinical Test: Smell test with familiar odors
2. Optic (CN II) - Sensory
Function: Vision
Lesion: Visual field defects (hemianopia)
Clinical Test: Visual acuity, visual fields
3. Oculomotor (CN III) - Motor
Function: Eye movement, pupil constriction (parasympathetic)
Lesion: Ptosis, diplopia, "down and out" eye, dilated pupil
Clinical Test: Pupil reaction, extraocular movements
4. Trochlear (CN IV) - Motor
Function: Eye movement (superior oblique muscle)
Lesion: Vertical diplopia, head tilt
Clinical Test: Downward eye movement
5. Trigeminal (CN V) - Both
Function: Facial sensation, mastication muscles
Lesion: Facial numbness, jaw weakness, trigeminal neuralgia
Clinical Test: Sensory testing, jaw clenching
6. Abducens (CN VI) - Motor
Function: Eye abduction (lateral rectus muscle)
Lesion: Diplopia, medial strabismus
Clinical Test: Lateral eye movement
7. Facial (CN VII) - Both
Function: Facial expression, taste (anterior 2/3 of the tongue), lacrimation, salivation
Lesion: Bell's palsy (LMN lesion), forehead sparing in stroke (UMN lesion)
Clinical Test: Facial movements, taste test
8. Vestibulocochlear (CN VIII) - Sensory
Function: Hearing and balance
Lesion: Hearing loss, vertigo, tinnitus
Clinical Test: Rinne and Weber tests, balance assessment
9. Glossopharyngeal (CN IX) - Both
Function: Taste (posterior 1/3), swallowing, salivation (parotid), carotid body reflexes
Lesion: Loss of gag reflex, impaired swallowing
Clinical Test: Gag reflex, taste test
10. Vagus (CN X) - Both
Function: Autonomic control of heart, lungs, digestion, swallowing, phonation
Lesion: Hoarseness, dysphagia, uvula deviation (away from lesion)
Clinical Test: Voice quality, palate elevation
11. Accessory (CN XI) - Motor
Function: Shoulder shrug (trapezius), head rotation (sternocleidomastoid)
Lesion: Weak shoulder shrug, head turn weakness
Clinical Test: Shoulder shrug, head rotation against resistance
12. Hypoglossal (CN XII) - Motor
Function: Tongue movement
Lesion: Tongue deviation toward the lesion side (LMN)
Clinical Test: Stick out tongue
Clinical Correlations
1. Bell's Palsy (CN VII) is a sudden facial paralysis.
2. Trigeminal Neuralgia (CN V) is a sharp facial pain.
3. Diplopia (CN III, IV, VI) is double vision due to extraocular muscle weakness.
4. Horner's Syndrome is ptosis, miosis, anhidrosis due to sympathetic disruption (affecting CN III).
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