Clinical Applications to OCMM Flashcards
If patient presents with diplopia or estropia where might the dysfunction be and which cranial nerve may be involved?
superior orbital fissure in the ethmoid bone and CNVI
If patient presents with tinnitus, vertigo or healing loss where might the dysfunction be and which cranial nerve may be involved?
acoustic meatus in the temporal bone and CNVIII
If patient presents with headaches, arrhythmias, GI upset or respiratory problems where might the dysfunction be and which cranial nerve(s) may be involved?
jugular foramen in the occipital bone and CNIX and CNX
If patient presents with somatic dysfunction of the SCM or trapezium muscles where might the dysfunction be and which cranial nerve may be involved?
the spinal division of CNXI as it enters through the foramen magnum in the occipital bone
Which ganglion is suspected to be involved in palatine somatic dysfunction?
pterigopalatine ganglia
Which ganglion heavily influences the trigeminal nerves motor input?
pterigopalatine ganglia; watch for swallowing/speech difficulties in newborns or children
Explain the anatomy of the eustachian tube
passes within the temporal bone and exits in the auditory canal; impaired drainage of the tube can contribute to otitis media
Cephalgia
Headaches; commonly caused by distention, traction or dilation of intracranial or extra cranial arteries
What two arteries are commonly though of to cause headaches?
Middle meningeal artery and superficial temporal artery
What is a possible result of a temporal bone torsion?
injury to CNVII; can contribute to Bell’s palsy - weakness of side facial muscles and change in taste
Trigeminal Neuralgia
lancinating pain in the face that is incapacitating along the maxillary distribution (V2 - exits from foramen rotundum)
if the temporal bone is rotated and structures deep to the tentorium cerebra are effected, which CN would you be most concerned about?
CNV
True or false, CRI is synchronized with breathing?
False; CRI is independent of breathing
What measurement of cranial volume change was proven in the intracranial hemodynamics research?
12-15 ml; found at a rate of 6-14 cycles/min
CRI was concluded to be the product of what?
CSF volume and pressure, and metabolic regulation
Contractile proteins where observed in which CNS cells?
exclusive to pericytes
Major role of glial cells are it contributed to CSF fluctuation?
regulates blood flow in the brain and contributes to neuromuscular coupling; creates both contractile and dilation properties
Compression of which cranial nerves can cause suckling dysfunctions in which newborns?
CNIX and CNX at the jugular foramen and CNXII at the hypoglossal canal
