CNs

Question 1

CN V-Trigeminal

Answer 1

Disordered: decreased jaw movements, decreased face, mouth and jaw sensation

Swallow symptoms: decreased mastication and oral containment

Speech symptoms: unilateral: nothing, bilateral: decreased articulatory precision

Question 2

CN VII- Facial

Answer 2

Deficit: decreased facial movement and sensation, increased salivation

Swallow symptoms: residual in lateral channels, drooling

Speech symptoms: mild artic distortion (b,p,f,v)

Question 3

CN VIII-Acoustic

Answer 3

Deficits: decreased hearing and balance

Swallow symptoms: none

Speech symptoms: distorted resonance, decreased artic precision of all sounds eventually

Question 4

CN IX: Glossopharyngeal

Answer 4

Deficits: Delayed pharyngeal triggers, decreased velopharyngeal closure, decreased laryngeal elevation

Swallow symptoms: aspiration before and during the swallow

Speech symptoms: hypernasality

Question 5

CN X- Vagus

Answer 5

Deficits: decreased palatal, pharyngeal, laryngeal excursion, decreased TVC abduction and/or adduction, decreased pharyngeal sensation

Swallow symptoms: residue in vallecula, posterior pharyngeal wall, pyriform sinuses; aspiration during or after the swallow, poor cough reflex

Speech symptoms: hypernasality, breathiness, hoarseness, decreased pitch range, decreased loudness

Question 6

CN XII-Hypoglossal

Answer 6

Deficits: decreased lingual range of motion and strength

Swallow symptoms: decreased bolus consolidation, decreased AP movement of bolus, oral residue

Speech symptoms: imprecise articulation