Cranial nerve injury

Question 1

Loss of forehead and brow movement , inability to close eyes and dropping of eyelids , loss of nasolabial folds and drooping of lower lip

Answer 1

Bells palsy 7thCN facial nerve lesion

Question 2

Herpes zoster oticus (Ramsy hunt syndrome)

Answer 2

viral infection caused by varicella zoster
infection along one or more cranial nerve dermatomes (shingles)
-Herpes zoster of the pinna with otalgia
-Facial paralysis
-Sensorineural hearing loss
-Bullus myringitits
- A vesicular eruption of the concha of the pinna and the EAC

Question 3

Patient with facial asymmetry, moth deviation,
absence of forehead
wrinkles, what’s the nerve afected?

Answer 3

7th

Question 4

Patient has sudden onset unilateral facial
paralysis, which medication is proven to reduce
duration of symptoms?

Answer 4

Steroids

Question 5

Patient complaining of 4 months hearing loss,
now come with 7th cranial nerve palsy, what is
the most likely diagnosis?

Answer 5

Rumsy hunt

Question 6

loss of sensation in out 2/3 of tongue?

Answer 6

Trigeminal nerve

Question 7

loss of sensation in 1/3 of tongue?

Answer 7

Facial nerve

Question 8

Patient with double vision, when he look
straight the left eye is deviated to nose side,
Left eye can not look laterally, which nerve is
afected?

Answer 8

Left 6th cranial nerve palsy

-Third vasculopathic tumor = aneurysm (0) ( 0)
-Fourth vasculopathic tumor= Congenital truma (0 ) (0 )
-Sixth vasculopathic tumor= Cranial pressure ( 0 ) (0 )

Question 9

55-year-old male known case of diabetes
mellitus presented complaining of ptosis,
inability to adduct, elevate and depress the
right eye, double vision when looking laterally
upon examination pupils are reactive
bilaterally, what is the most likely cause?

Answer 9

3rd nerve neuropathy

-Third vasculopathic tumor = aneurysm (0) ( 0)
-Fourth vasculopathic tumor= Congenital truma (0 ) (0 )
-Sixth vasculopathic tumor= Cranial pressure ( 0 ) (0 )