الأعصاب القحفية
Function and bedside test for all 12 nerves.
الأعصاب
The 12 cranial nerves
| Nerve | Function | How to test |
|---|---|---|
| I — Olfactory | Smell | Eyes closed, identify a familiar smell (coffee, soap) in each nostril |
| II — Optic | Vision | Snellen chart, visual fields, fundoscopy |
| III — Oculomotor | Most eye movements, pupil constriction, eyelid elevation | Pupils (PERRLA), follow a finger in an H pattern |
| IV — Trochlear | Eye movement down and in (superior oblique) | H pattern |
| V — Trigeminal | Facial sensation, chewing, corneal reflex | Light touch or pinprick on forehead, cheek, jaw; clench the jaw |
| VI — Abducens | Lateral eye movement | Look to each side |
| VII — Facial | Facial expression; taste, front 2/3 of tongue | Raise eyebrows, smile, puff cheeks; sweet or salty taste |
| VIII — Vestibulocochlear | Hearing and balance | Whisper test, Weber (tuning fork on forehead), Rinne (mastoid then beside ear); Romberg |
| IX — Glossopharyngeal | Taste, back 1/3 of tongue; swallowing; gag | Tongue depressor and penlight; gag reflex |
| X — Vagus | Swallowing, voice, gag, uvula; parasympathetic to heart and gut | Say 'ah' — uvula midline, palate rises; gag |
| XI — Accessory | Sternocleidomastoid and trapezius | Shrug shoulders and turn head against resistance |
| XII — Hypoglossal | Tongue movement | Stick out tongue — midline; deviates toward the lesion |
Remember
- Names: Oh Oh Oh To Touch And Feel Very Good Velvet, Ah Heaven.
- Sensory / motor / both: Some Say Marry Money But My Brother Says Big Brains Matter More.
- Tooth and facial pain → trigeminal (V). Bell palsy → facial (VII). Gag reflex → IX and X.
- Weber: lateralises to the affected ear in conductive loss and to the good ear in sensorineural loss.
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