Cranial Nerve Lesions Flashcards
Causes
3-12 from brain stem = brain stem pathology
- MS
- TRAUMA
- TUMOURS
3, 4 + 6
Non functioning eye
CN3
Ptosis
Down and out
Fixed dilated pupil
LEW nuclei dysfunction
CN4
Diplopia = looking down
RARE = ALWAYS DUE TO TRAUMA
CN6
Adducted eye
Sign of increased ICP
CN5
Jaw deviates towards affected side
Loss of corneal reflex
Trigeminal neuralgia (incl. sensory pain/motor jaw pain in V1/V2/V3
CN7
Facial drop with NO FOREHEAD SPARING
- Bell’s palsy
- Parotid inflammation
CN8
Hearing loss
Loss of balance
Skull change (e.g. Paget’s), compression, middle ear disease
CN9 + 10
Impaired gag reflex (+ swallowing, resp, vocal issues)
Jugular foramen lesion
CN11
Can’t shrug shoulders/ turn head vs resistance
CN12
Tongue deviation towards side of lesion