Ison, Von Jose V.

Batch 31

12 CRANIAL NERVES

NERVE FUNCTION INNERVATIONS ASSESSMENTS

OLFACTORY Sensory Nose Air ways must be

patent.

Ask the patient to

close his eyes and
occlude one nostril
then present diff.
Substances to smell.

OPTIC Sensory Eyes Visual acuity:

Tested by snellen
chart and have the
patient stand 6
meters(20 feet)
away from the chart,
cover one eye at a
time and read the
smallest print
possible on the chart
and so on with the
other eye.

Visual Fields:
Ask the patient to
cover his right eye
with their right
hand(left eye with
their left hand) and
stand 60 cm(2 feet)
away from the
patient and fix his
eyes to your nose.
Bring your two
wagging fingers to
the patient’s
peripheral vision in
all quadrants and
ask him if he can
see your wagging
finger.

OCULOMOTOR Motor -Superior rectus Tested at the same

muscle time including the
-Medial rectus, abducens nerve.
inferior rectus, and
 inferior oblique Ask the patient to
muscles follow your index
(Extraocular muscle finger approximately
of the eye) 30 cm (1 foot) away
from the patient’s
TROCHLEAR Motor Superior oblique nose and hold his
muscle head steadily. Move
(Extraocular muscle your finger from the
of the eye) right as far as the
patient’s eye moves
and then bring it to
the center.Next,
move it up and
down. Repeat the
test with left
direction.

TRIGEMINAL Sensory Sensation of the (motor)Ask the

and face(sensory) patient to bite down
Motor on a tongue
Mastication of mouth depressor with one
muscle side of the mouth
(Motor) and try to pull the
blade out. Repeat on
the other side of the
mouth.

(Sensory)
First,Touch the one
side of the patients
face and then the
other side and ask if
the sensation is
present and if it feels
the same way.

ABDUCENS Motor Lateral rectus Tested with

muscle oculomotor and
(Extraocular muscle trochlear nerve
of the eye)

FACIAL Sensory and Motor Taste(sensory) Observing the

Facial Muscle(motor) patients facial
expression and
symmetry of the
facial movement.

ACOUSTIC Sensory Cochlear (mediates Examined using

hearing) otoscope.
Vestibular (control
equilibrium)
GLOSSOPHARYNG Sensory Taste(sensory) Assessed together
EAL with vagus nerve.
and Pharynx(motor)
-Examine gag reflex
VAGUS Motor
-Ask the patient to
say “ah” and
observe the
movement of the
uvula and palate for
deviation and
asymmetry.

SPINAL Motor Sternocleidomastoid Neck and shoulder

(motor) muscle strength
should be
symmetric.
-apply pressure to
the jaw of the patient
and ask the patient
to turn his head
towards the pressure
and then place your
hands on his
shoulder and ask the
patient to shrug his
shoulder.

HYPOGLOSSAL Motor Muscles of the Ask the patient to

tongue stick out their tongue
and note any
deviation and
asymmetry.