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cranial nerves
cranial nerves
30
Veterinary Medicine
Professional
03/26/2006

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Term
CN II
Definition
The optic nerves are necessary for vision and also carry the afferent fibers of the pupillary light reflex to the midbrain.
Term
CN III
Definition
These nerves carry efferent parasympathetic fibers from the pupillary light reflex center of the midbrain to the fibers of the ciliary ganglion, which innervate the constrictor muscle of the pupils. They are also efferent to the levator palpebrae muscles; the dorsal, medial, and ventral rectus muscles; and the ventral oblique muscles of the eye.
Term
CN IV
Definition
These are the motor nerves to the dorsal oblique muscles of the eye.
Term
CN V
Definition
These nerves have 3 branches. The mandibular branch is the motor nerve to the muscles of mastication and the sensory nerve to the floor of the oral cavity, ventral arcade, and the skin of the ventrolateral head. The ophthalmic and maxillary branches are sensory to the skin of the dorsolateral head; mucous membranes of the roof of the oral cavity, the dorsal arcade, and the nasal cavity; and the eyeball, including the cornea (pain).
Term
CN VI
Definition
These are the motor nerves to the lateral rectus and retractor bulbi muscles of the eye.
Term
CN VII
Definition
These are the motor nerves to the muscles of facial expression (ear, eyelids, nose, and mouth).
Term
CN VIII
Definition
There are 2 main divisions of these nerves. The first division, the cochlear nerve, transmits auditory stimuli. The second division, the vestibular nerve, functions to maintain posture, muscle tone, and equilibrium.
Term
CN IX and X
Definition
The glossopharyngeal nerves provide sensory and motor control of the pharynx and larynx, and the vagus nerves, of the viscera.
Term
CN XI
Definition
These nerves innervate the trapezius, sternocephalic, and brachycephalic muscles.
Term
CN XII
Definition
These are the motor nerves to the tongue and geniohyoid muscles
Term
How do you test CN II?
Definition
Visual Tests: Cotton balls can be dropped and the animal observed watching them fall to the floor. The menace response is tested by making a threatening gesture toward each eye and causing the animal to blink. Excessive air currents or touching the eyelashes should be avoided because this will test response to touch, rather than to vision. Obstacle testing may be necessary when visual acuity is in doubt. It is useful to blindfold one eye at a time to detect blindness of either eye.
Pupillary Light Reflex: A bright focal light is directed into each pupil toward the temporal retina, and the pupil observed for immediate constriction. The opposite pupil should constrict consensually.
Ophthalmoscopic Examination: This detects local eye diseases. Chorioretinitis or papilledema may be associated with central or peripheral nervous system diseases.
Term
How do you test CN III?
Definition
Tests: The pupillary light reflex test should be performed as for the optic nerves, and constriction of the pupils to light observed. The presence or absence of ptosis of the upper eyelid as well as ventrolateral strabismus should be noted.
Term
How do you test CN IV?
Definition
Test: The eyeballs should be observed for dorsomedial strabismus (easiest to see in species with a horizontal or vertical shaped pupil).
Term
How do you test CN V?
Definition
Tests: Jaw tone and masticatory movements should be evaluated, and the masseter and temporalis muscles palpated for atrophy to evaluate the motor component of the trigeminal nerve. The sensory function can be evaluated by touching the medial and lateral canthi of the eyelid, which elicits the palpebral reflex and closure of the eyelids. Stimulation of the cornea results in globe retraction. In stoic animals, sensation is tested by a pinprick to the nasal mucosa (an avoidance response will be seen).
Term
How do you test CN VI?
Definition
Tests: The eyeballs should be observed for medial strabismus. The corneal reflex should be elicited with the eyelids held open, and the eyeball observed for retraction and the third eyelid observed for prolapse.
Term
How do you test CN VIII?
Definition
Tests: Deafness is detected when loud noises do not evoke a response from an awake or sleeping animal. Unilateral deafness is best detected with a brain stem auditory evoked response (BAER) test. Head tilt, disequilibrium, and a tendency to circle, fall, or roll to one side develop with unilateral or asymmetric vestibular lesions. The animal should be examined for the presence of spontaneous nystagmus with the head held in a normal position and in a deviated position (positional nystagmus), as well as for abnormal eye position with the head elevated (positional strabismus). Normal vestibular nystagmus is seen as a few beats to the left as the head is turned to the left, and to the right as the head is turned to the right.
Term
How do you test CN VII?
Definition
Tests: The menace and palpebral reflexes should be elicited to test orbicularis oculi muscle function. The nose should be examined for deviation (with unilateral lesions). The lip should be pinched to see if it retracts. The ear should be tickled to see if it moves. A Schirmer tear test should be performed to evaluate parasympathetic innervation of tear glands.
Term
How do you test CN IX an X?
Definition
Tests: The hyoid bones should be pinched to elicit a gag reflex. The animal should be observed for normal phonation and respiratory sounds.
Term
How do you test CN XI?
Definition
Tests: The muscles should be palpated
Term
How do you test CN XI?
Definition
Tests: The muscles should be palpated
Term
How do you test CN XII?
Definition
Tests: The tongue should be observed for muscular control during licking and lapping of water. The tongue curls under to lap water in dogs and cats.
Term
What are the signs of Horner's syndrome?
Definition
miosis, ptosis, enopthalmus (loss of periorbital smooth muscle tone)
Term
These cranial nerves maintain eyeball position.
Definition
CN III, IV,VI, VIII
Term
If ventrolateral strabismis and ptosis...
Definition
CN III denervation
Term
If dorsomedial strabismus in calves and dorsolateral strabismus in cats....
Definition
CN IV denervation
Term
If medial strabismus andinability to retract eyeball into globe....
Definition
CN VI denervation
Term
if ventral or ventrolateral deviation of pupil but no paralysis usually seen when the head is extended (tonic clonic reactions)...
Definition
CN VIII denervation (vestibular strabismus)
Term
If you see mydriasis, ventrolateral strabismus and ptosis..
Definition
CN III denervation. ptosis has been repoted with myesthenia gravis in dogs.
Term
If inability to close mouth (dropped jaw syndrome) +- masseter/temporalis m. atrophy
Definition
CN V, motor branches
Term
differential for atrophy of head muscles
Definition
dermatomyositis of collies and shelties, type 1 fiber myopathy in labs, neurofibrosarcoma affecting CN V of lyumphosarc, masticotory myositis, trauma (especially to the base of the ear)
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