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CNs and Testing
Cranial nerves and methods of testing
Nerve: | Afferent (Sensory): | Efferent (Motor): | Test: |
---|---|---|---|
Olfactory | Smell: nose | Identify familiar odors | |
Optic | Sight: eye | Test visual fields | |
Oculomotor | Voluntary motor: levator of eyelid; superior, medial and inferior recti; inferior oblique muscle of eyeball. Autonomic: smooth muscle of eyeball | Upward, downward and medial gaze. Reaction to light | |
Trochlear | Voluntary motor: superior oblique muscle of eyeball | Downward and lateral gaze | |
Trigeminal | Touch, pain: skin of face, mucous membranes of nose, sinuses, mouth, anterior tongue | Voluntary motor: muscles of mastication | Corneal reflex. Face sensation. Clench teeth; push down on chin to seperate jaws |
Abducens | Voluntary motor: lateral rectus muscle of eyeball | Lateral gaze | |
Facial | Taste: anterior tongue | Voluntary motor: facial muscles. Autonomic: lacrimal, submandibular, and sublingual glands | Close eyes tight. Smile and show teeth. Whistle and puff cheeks. Identify familiar tastes |
Vestibulocochlear (acoustic nerve) | Hearing: ear Balance: ear | Hear watch ticking; hearing tests; balance and coordination tests | |
Glossoppharyngeal | Touch, pain: posterior tongue, pharynx Taste: posterior tongue | Voluntary motor: uninportant muscle of pharynx. Autonomic: parotid gland | Gag reflex Ability to swallow |
Vagus | Touch, pain: pharynx, larynx, bronchi Taste: tongue, epiglottis | Voluntary motor: palate, pharynx, and larynx muscles Autonomic: thoracic and abdominal viscera | Gag reflex Ability to swallow Say "Ahhh" |
Accessory | Voluntary motor: sternocleidomastoid and trapezius muscle | Resisted shoulder shrug | |
Hypoglossal | Voluntary motor: muscles of tongue | Tongue protrusion (if injured, tongue deviates toward injured side) |