Visceral Reflexes Flashcards
Pupillary Light Reflex
Segmental level
Afferent: CN II
Efferent: CN III
Pupillary Light Reflex
Procedure
Shine light into one eye watch for constriction of both eyes.
Pupillary Light Reflex
Response & Indications
Should see bilateral constriction. If not may be CN II or CN III lesion
Accommodation Reflex
Segmental level
CN III
Accommodation Refex
Procedure
Have patient look at finger 2 feet away, then follow it to ~6in away from nose then look away at far object
Accommodation Reflex
Response & Indications
Convergence of eyes constriction of pupils, lens thickening, CN III lesion
Ciliospinal Reflex
Segmental level
Afferent: cercials and CN V
Efferent: Cervical sympathetics
Ciliospinal Reflex
Procedure
Painful stimulus to skin of the neck
Ciliospinal Reflex
Response & Indications
Dilation of the pupil on the painful side of stimulation.
If absent, may be lesion of cervical sympathetics
Oculocardiac Reflex
Segmental level
Afferent: CN V
Efferent: CN X
Oculocardiac Reflex
Procedure
Thumb pressure on the eyeballs
Oculocardiac Reflex
Response & Indications
Decrease in heart rate
Carotid Sinus Reflex
Segmental level
Afferent: CN IX
Efferent: CN X
Carotid Sinus Reflex
Procedure
Pressure on the carotid sinus (unilateral or bilateral)
Carotid Sinus Reflex
Response & Indications
Decrease in heart rate and fall in blood pressure