SlideShare a Scribd company logo
Dr Rashida Hanif
Demonstrator physiology
§ At the end of this practical should should be able to know
ØNames of cranial nerves and their nature
ØImportance of 3rd ,4th and 6th cranial berves
ØEye muscles ,their innervation and actions
ØHow to examine these nerves
ØEffects produced due to lesions of these nerves
§ Sensory 1,2,8
§ Motor 3,4,6,11,12
§ Mixed 5,7,9,10
Neuclei
§ Cerebral cortex 1,2
§ Mid brain 3,4
§ Pons 5,6,7,8
§ Medulla 9,10,11,12
EXTRINSIC MUSCLES/extraocular
1. Superior rectus
2. Inferior rectus
3. Medial rectus
4. Lateral rectus
5. Superior oblique
6. Inferior oblique
INTRINSIC MUSCLE /intraocular
1. Cilliary muscle
2. Iris ( sphincter pupillae and dilator
pupillae )
§ Occulomotor / 3rd nerve
1. Superior rectus
2. Inferior rectus
3. Medial rectus
4. Inferior oblique
5. All intrinsic muscles
6. Levator palpebrae superioris ( eyelid muscle)
§ Trochlear / 4th nerve
1. Superior oblique ( SO4)
§ Abducens / 6th nerve
1. Lateral rectus (LR6)
1. Inspection of eye
A. position of eye ball
B. Position of eyelids
C. Symmetry of palpebral fissures
2. Examination of eye movements
3. Examination of pupil
A. Size and shape of pupil
B. Meiosis and mydriosis
C. Pupillary reflexes
§ Oculomotor / 3rd nerve lesion:
1. SR, IR, MR, IO muscles are paralyzed so eyeball cannot move Medially and
Upward and it is deviated Laterally and slightly donwards due to unopposed
action of LR and SO muscle.
2. Intrinsic muscles are damaged.There is ptosis , fixed and dilated pupils with
absent light but intact accomodation reflex (Argyll Robertson pupil)
§ Trochlear /4th nerve lesion:
1. Superior oblique is paralyzed and eyeball is deviated laterally
§ Abducent /6th nerve lesion:
1. Lateral rectus is paralyzed and eyeball is deviated medially
3,4,6 nerves practical .pdf

More Related Content

Similar to 3,4,6 nerves practical .pdf

Frontal lobe and its functions
Frontal lobe and its functionsFrontal lobe and its functions
Frontal lobe and its functions
drnaveent
 
Facial nerve
Facial nerve Facial nerve
Facial nerve
Mohammad saleh Moallem
 
Facial nerve injury and reanimation
Facial nerve injury and reanimationFacial nerve injury and reanimation
Facial nerve injury and reanimation
Mohammed Rhael
 
Anatomy of Cerebellum professor dr saeed abuel makareem _ Relevant Connection...
Anatomy of Cerebellum professor dr saeed abuel makareem _ Relevant Connection...Anatomy of Cerebellum professor dr saeed abuel makareem _ Relevant Connection...
Anatomy of Cerebellum professor dr saeed abuel makareem _ Relevant Connection...
ssuser6e679b
 
Facial nerve
Facial nerveFacial nerve
Facial nerve
KathirvelGopalakrish
 
Cranial nerves
Cranial nervesCranial nerves
Cranial nerves
Chitransha03
 
Cranial Nerve
Cranial NerveCranial Nerve
Cranial Nerve
Sandeep Ghritlahre
 
FACIAL NERVE.pptx
FACIAL NERVE.pptxFACIAL NERVE.pptx
FACIAL NERVE.pptx
AnumitaDeka1
 
frontal lobe
frontal lobefrontal lobe
Assesment of neurological system
Assesment of neurological systemAssesment of neurological system
Assesment of neurological system
Pinchika S Nair
 
Cranial nerves
Cranial nervesCranial nerves
Cranial nerves
MHKseven
 
Brainstem Physiology
Brainstem PhysiologyBrainstem Physiology
Brainstem Physiology
Dr. Rima Jani (PT)
 
Neuroassessment important neuro reflex’s in icu for nurses +rass score+tbi
Neuroassessment important neuro reflex’s in icu  for nurses +rass score+tbiNeuroassessment important neuro reflex’s in icu  for nurses +rass score+tbi
Neuroassessment important neuro reflex’s in icu for nurses +rass score+tbi
MURUGESHHJ
 
Brain
BrainBrain
Brain
AryaOjha1
 
USMLE NEUROANATOMY 04 BRAIN STEM neuro anatomy midbrain pons medulla.pdf
USMLE   NEUROANATOMY 04 BRAIN STEM neuro anatomy midbrain pons medulla.pdfUSMLE   NEUROANATOMY 04 BRAIN STEM neuro anatomy midbrain pons medulla.pdf
USMLE NEUROANATOMY 04 BRAIN STEM neuro anatomy midbrain pons medulla.pdf
AHMED ASHOUR
 
Cerebellum and its connections
Cerebellum and its connections Cerebellum and its connections
Cerebellum and its connections
Srikanth Yadav
 
Introduction to Neurology
Introduction to Neurology Introduction to Neurology
Introduction to Neurology
Walid Reda Ashour
 
Head Injury (Traumatic Brain Injury) - types, complications and management
Head Injury (Traumatic Brain Injury) - types, complications and managementHead Injury (Traumatic Brain Injury) - types, complications and management
Head Injury (Traumatic Brain Injury) - types, complications and management
VarunMahajani
 
The facial nerve
The facial nerveThe facial nerve
The facial nerve
Alok Singh
 
Objectives1 Define the two divisions of the nervous system.pdf
Objectives1 Define the two divisions of the nervous system.pdfObjectives1 Define the two divisions of the nervous system.pdf
Objectives1 Define the two divisions of the nervous system.pdf
advancethchnologies
 

Similar to 3,4,6 nerves practical .pdf (20)

Frontal lobe and its functions
Frontal lobe and its functionsFrontal lobe and its functions
Frontal lobe and its functions
 
Facial nerve
Facial nerve Facial nerve
Facial nerve
 
Facial nerve injury and reanimation
Facial nerve injury and reanimationFacial nerve injury and reanimation
Facial nerve injury and reanimation
 
Anatomy of Cerebellum professor dr saeed abuel makareem _ Relevant Connection...
Anatomy of Cerebellum professor dr saeed abuel makareem _ Relevant Connection...Anatomy of Cerebellum professor dr saeed abuel makareem _ Relevant Connection...
Anatomy of Cerebellum professor dr saeed abuel makareem _ Relevant Connection...
 
Facial nerve
Facial nerveFacial nerve
Facial nerve
 
Cranial nerves
Cranial nervesCranial nerves
Cranial nerves
 
Cranial Nerve
Cranial NerveCranial Nerve
Cranial Nerve
 
FACIAL NERVE.pptx
FACIAL NERVE.pptxFACIAL NERVE.pptx
FACIAL NERVE.pptx
 
frontal lobe
frontal lobefrontal lobe
frontal lobe
 
Assesment of neurological system
Assesment of neurological systemAssesment of neurological system
Assesment of neurological system
 
Cranial nerves
Cranial nervesCranial nerves
Cranial nerves
 
Brainstem Physiology
Brainstem PhysiologyBrainstem Physiology
Brainstem Physiology
 
Neuroassessment important neuro reflex’s in icu for nurses +rass score+tbi
Neuroassessment important neuro reflex’s in icu  for nurses +rass score+tbiNeuroassessment important neuro reflex’s in icu  for nurses +rass score+tbi
Neuroassessment important neuro reflex’s in icu for nurses +rass score+tbi
 
Brain
BrainBrain
Brain
 
USMLE NEUROANATOMY 04 BRAIN STEM neuro anatomy midbrain pons medulla.pdf
USMLE   NEUROANATOMY 04 BRAIN STEM neuro anatomy midbrain pons medulla.pdfUSMLE   NEUROANATOMY 04 BRAIN STEM neuro anatomy midbrain pons medulla.pdf
USMLE NEUROANATOMY 04 BRAIN STEM neuro anatomy midbrain pons medulla.pdf
 
Cerebellum and its connections
Cerebellum and its connections Cerebellum and its connections
Cerebellum and its connections
 
Introduction to Neurology
Introduction to Neurology Introduction to Neurology
Introduction to Neurology
 
Head Injury (Traumatic Brain Injury) - types, complications and management
Head Injury (Traumatic Brain Injury) - types, complications and managementHead Injury (Traumatic Brain Injury) - types, complications and management
Head Injury (Traumatic Brain Injury) - types, complications and management
 
The facial nerve
The facial nerveThe facial nerve
The facial nerve
 
Objectives1 Define the two divisions of the nervous system.pdf
Objectives1 Define the two divisions of the nervous system.pdfObjectives1 Define the two divisions of the nervous system.pdf
Objectives1 Define the two divisions of the nervous system.pdf
 

More from Sana67616

Eye physiology 1 bds.pptx physiology of eye
Eye physiology 1 bds.pptx physiology of eyeEye physiology 1 bds.pptx physiology of eye
Eye physiology 1 bds.pptx physiology of eye
Sana67616
 
LEC 1 ,Excitable tissue nerve and muscle.pptx
LEC 1 ,Excitable tissue nerve and muscle.pptxLEC 1 ,Excitable tissue nerve and muscle.pptx
LEC 1 ,Excitable tissue nerve and muscle.pptx
Sana67616
 
LEC 4,Properties of action potential - Copy.pptx
LEC 4,Properties of action potential - Copy.pptxLEC 4,Properties of action potential - Copy.pptx
LEC 4,Properties of action potential - Copy.pptx
Sana67616
 
Transport of Carbondioxid.ppt
Transport of Carbondioxid.pptTransport of Carbondioxid.ppt
Transport of Carbondioxid.ppt
Sana67616
 
areas of cortex.pptx
areas of cortex.pptxareas of cortex.pptx
areas of cortex.pptx
Sana67616
 
Muscle Blood Flow and Cardiac Output During Exercise.pptx
Muscle Blood Flow and Cardiac Output  During Exercise.pptxMuscle Blood Flow and Cardiac Output  During Exercise.pptx
Muscle Blood Flow and Cardiac Output During Exercise.pptx
Sana67616
 
1.Organization of the Nervous System.pptx
1.Organization of the Nervous System.pptx1.Organization of the Nervous System.pptx
1.Organization of the Nervous System.pptx
Sana67616
 
Secretion of hormones & radioimmunoassey.pptx
Secretion of hormones & radioimmunoassey.pptxSecretion of hormones & radioimmunoassey.pptx
Secretion of hormones & radioimmunoassey.pptx
Sana67616
 
Parkinsonism.ppt
Parkinsonism.pptParkinsonism.ppt
Parkinsonism.ppt
Sana67616
 
Hypothalamus Limbic system 2.pdf
Hypothalamus  Limbic system 2.pdfHypothalamus  Limbic system 2.pdf
Hypothalamus Limbic system 2.pdf
Sana67616
 
effect of anemia.pptx
effect of anemia.pptxeffect of anemia.pptx
effect of anemia.pptx
Sana67616
 
1st Year MBBS Physiology mcqs synapse ; nmj.pptx
1st Year MBBS Physiology mcqs synapse ; nmj.pptx1st Year MBBS Physiology mcqs synapse ; nmj.pptx
1st Year MBBS Physiology mcqs synapse ; nmj.pptx
Sana67616
 
THE THALAMUS.pptx
THE THALAMUS.pptxTHE THALAMUS.pptx
THE THALAMUS.pptx
Sana67616
 
2-Anterolateral system updated.pptx
2-Anterolateral system updated.pptx2-Anterolateral system updated.pptx
2-Anterolateral system updated.pptx
Sana67616
 
Headache.pptx
Headache.pptxHeadache.pptx
Headache.pptx
Sana67616
 
PARTURITION.pptx
PARTURITION.pptxPARTURITION.pptx
PARTURITION.pptx
Sana67616
 
Nephrotic Syndrome.pptx
Nephrotic Syndrome.pptxNephrotic Syndrome.pptx
Nephrotic Syndrome.pptx
Sana67616
 
capacitation ,Acrosome reaction.pptx
capacitation ,Acrosome reaction.pptxcapacitation ,Acrosome reaction.pptx
capacitation ,Acrosome reaction.pptx
Sana67616
 
Myesthenia gravis.pptx
Myesthenia gravis.pptxMyesthenia gravis.pptx
Myesthenia gravis.pptx
Sana67616
 
Diuretics.pptx
Diuretics.pptxDiuretics.pptx
Diuretics.pptx
Sana67616
 

More from Sana67616 (20)

Eye physiology 1 bds.pptx physiology of eye
Eye physiology 1 bds.pptx physiology of eyeEye physiology 1 bds.pptx physiology of eye
Eye physiology 1 bds.pptx physiology of eye
 
LEC 1 ,Excitable tissue nerve and muscle.pptx
LEC 1 ,Excitable tissue nerve and muscle.pptxLEC 1 ,Excitable tissue nerve and muscle.pptx
LEC 1 ,Excitable tissue nerve and muscle.pptx
 
LEC 4,Properties of action potential - Copy.pptx
LEC 4,Properties of action potential - Copy.pptxLEC 4,Properties of action potential - Copy.pptx
LEC 4,Properties of action potential - Copy.pptx
 
Transport of Carbondioxid.ppt
Transport of Carbondioxid.pptTransport of Carbondioxid.ppt
Transport of Carbondioxid.ppt
 
areas of cortex.pptx
areas of cortex.pptxareas of cortex.pptx
areas of cortex.pptx
 
Muscle Blood Flow and Cardiac Output During Exercise.pptx
Muscle Blood Flow and Cardiac Output  During Exercise.pptxMuscle Blood Flow and Cardiac Output  During Exercise.pptx
Muscle Blood Flow and Cardiac Output During Exercise.pptx
 
1.Organization of the Nervous System.pptx
1.Organization of the Nervous System.pptx1.Organization of the Nervous System.pptx
1.Organization of the Nervous System.pptx
 
Secretion of hormones & radioimmunoassey.pptx
Secretion of hormones & radioimmunoassey.pptxSecretion of hormones & radioimmunoassey.pptx
Secretion of hormones & radioimmunoassey.pptx
 
Parkinsonism.ppt
Parkinsonism.pptParkinsonism.ppt
Parkinsonism.ppt
 
Hypothalamus Limbic system 2.pdf
Hypothalamus  Limbic system 2.pdfHypothalamus  Limbic system 2.pdf
Hypothalamus Limbic system 2.pdf
 
effect of anemia.pptx
effect of anemia.pptxeffect of anemia.pptx
effect of anemia.pptx
 
1st Year MBBS Physiology mcqs synapse ; nmj.pptx
1st Year MBBS Physiology mcqs synapse ; nmj.pptx1st Year MBBS Physiology mcqs synapse ; nmj.pptx
1st Year MBBS Physiology mcqs synapse ; nmj.pptx
 
THE THALAMUS.pptx
THE THALAMUS.pptxTHE THALAMUS.pptx
THE THALAMUS.pptx
 
2-Anterolateral system updated.pptx
2-Anterolateral system updated.pptx2-Anterolateral system updated.pptx
2-Anterolateral system updated.pptx
 
Headache.pptx
Headache.pptxHeadache.pptx
Headache.pptx
 
PARTURITION.pptx
PARTURITION.pptxPARTURITION.pptx
PARTURITION.pptx
 
Nephrotic Syndrome.pptx
Nephrotic Syndrome.pptxNephrotic Syndrome.pptx
Nephrotic Syndrome.pptx
 
capacitation ,Acrosome reaction.pptx
capacitation ,Acrosome reaction.pptxcapacitation ,Acrosome reaction.pptx
capacitation ,Acrosome reaction.pptx
 
Myesthenia gravis.pptx
Myesthenia gravis.pptxMyesthenia gravis.pptx
Myesthenia gravis.pptx
 
Diuretics.pptx
Diuretics.pptxDiuretics.pptx
Diuretics.pptx
 

Recently uploaded

PCOS corelations and management through Ayurveda.
PCOS corelations and management through Ayurveda.PCOS corelations and management through Ayurveda.
PCOS corelations and management through Ayurveda.
Dr. Shivangi Singh Parihar
 
How to Fix the Import Error in the Odoo 17
How to Fix the Import Error in the Odoo 17How to Fix the Import Error in the Odoo 17
How to Fix the Import Error in the Odoo 17
Celine George
 
Your Skill Boost Masterclass: Strategies for Effective Upskilling
Your Skill Boost Masterclass: Strategies for Effective UpskillingYour Skill Boost Masterclass: Strategies for Effective Upskilling
Your Skill Boost Masterclass: Strategies for Effective Upskilling
Excellence Foundation for South Sudan
 
বাংলাদেশ অর্থনৈতিক সমীক্ষা (Economic Review) ২০২৪ UJS App.pdf
বাংলাদেশ অর্থনৈতিক সমীক্ষা (Economic Review) ২০২৪ UJS App.pdfবাংলাদেশ অর্থনৈতিক সমীক্ষা (Economic Review) ২০২৪ UJS App.pdf
বাংলাদেশ অর্থনৈতিক সমীক্ষা (Economic Review) ২০২৪ UJS App.pdf
eBook.com.bd (প্রয়োজনীয় বাংলা বই)
 
clinical examination of hip joint (1).pdf
clinical examination of hip joint (1).pdfclinical examination of hip joint (1).pdf
clinical examination of hip joint (1).pdf
Priyankaranawat4
 
MARY JANE WILSON, A “BOA MÃE” .
MARY JANE WILSON, A “BOA MÃE”           .MARY JANE WILSON, A “BOA MÃE”           .
MARY JANE WILSON, A “BOA MÃE” .
Colégio Santa Teresinha
 
How to Manage Your Lost Opportunities in Odoo 17 CRM
How to Manage Your Lost Opportunities in Odoo 17 CRMHow to Manage Your Lost Opportunities in Odoo 17 CRM
How to Manage Your Lost Opportunities in Odoo 17 CRM
Celine George
 
Digital Artefact 1 - Tiny Home Environmental Design
Digital Artefact 1 - Tiny Home Environmental DesignDigital Artefact 1 - Tiny Home Environmental Design
Digital Artefact 1 - Tiny Home Environmental Design
amberjdewit93
 
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
National Information Standards Organization (NISO)
 
Liberal Approach to the Study of Indian Politics.pdf
Liberal Approach to the Study of Indian Politics.pdfLiberal Approach to the Study of Indian Politics.pdf
Liberal Approach to the Study of Indian Politics.pdf
WaniBasim
 
World environment day ppt For 5 June 2024
World environment day ppt For 5 June 2024World environment day ppt For 5 June 2024
World environment day ppt For 5 June 2024
ak6969907
 
Introduction to AI for Nonprofits with Tapp Network
Introduction to AI for Nonprofits with Tapp NetworkIntroduction to AI for Nonprofits with Tapp Network
Introduction to AI for Nonprofits with Tapp Network
TechSoup
 
A Strategic Approach: GenAI in Education
A Strategic Approach: GenAI in EducationA Strategic Approach: GenAI in Education
A Strategic Approach: GenAI in Education
Peter Windle
 
C1 Rubenstein AP HuG xxxxxxxxxxxxxx.pptx
C1 Rubenstein AP HuG xxxxxxxxxxxxxx.pptxC1 Rubenstein AP HuG xxxxxxxxxxxxxx.pptx
C1 Rubenstein AP HuG xxxxxxxxxxxxxx.pptx
mulvey2
 
The basics of sentences session 6pptx.pptx
The basics of sentences session 6pptx.pptxThe basics of sentences session 6pptx.pptx
The basics of sentences session 6pptx.pptx
heathfieldcps1
 
PIMS Job Advertisement 2024.pdf Islamabad
PIMS Job Advertisement 2024.pdf IslamabadPIMS Job Advertisement 2024.pdf Islamabad
PIMS Job Advertisement 2024.pdf Islamabad
AyyanKhan40
 
The Diamonds of 2023-2024 in the IGRA collection
The Diamonds of 2023-2024 in the IGRA collectionThe Diamonds of 2023-2024 in the IGRA collection
The Diamonds of 2023-2024 in the IGRA collection
Israel Genealogy Research Association
 
CACJapan - GROUP Presentation 1- Wk 4.pdf
CACJapan - GROUP Presentation 1- Wk 4.pdfCACJapan - GROUP Presentation 1- Wk 4.pdf
CACJapan - GROUP Presentation 1- Wk 4.pdf
camakaiclarkmusic
 
The simplified electron and muon model, Oscillating Spacetime: The Foundation...
The simplified electron and muon model, Oscillating Spacetime: The Foundation...The simplified electron and muon model, Oscillating Spacetime: The Foundation...
The simplified electron and muon model, Oscillating Spacetime: The Foundation...
RitikBhardwaj56
 
How to Build a Module in Odoo 17 Using the Scaffold Method
How to Build a Module in Odoo 17 Using the Scaffold MethodHow to Build a Module in Odoo 17 Using the Scaffold Method
How to Build a Module in Odoo 17 Using the Scaffold Method
Celine George
 

Recently uploaded (20)

PCOS corelations and management through Ayurveda.
PCOS corelations and management through Ayurveda.PCOS corelations and management through Ayurveda.
PCOS corelations and management through Ayurveda.
 
How to Fix the Import Error in the Odoo 17
How to Fix the Import Error in the Odoo 17How to Fix the Import Error in the Odoo 17
How to Fix the Import Error in the Odoo 17
 
Your Skill Boost Masterclass: Strategies for Effective Upskilling
Your Skill Boost Masterclass: Strategies for Effective UpskillingYour Skill Boost Masterclass: Strategies for Effective Upskilling
Your Skill Boost Masterclass: Strategies for Effective Upskilling
 
বাংলাদেশ অর্থনৈতিক সমীক্ষা (Economic Review) ২০২৪ UJS App.pdf
বাংলাদেশ অর্থনৈতিক সমীক্ষা (Economic Review) ২০২৪ UJS App.pdfবাংলাদেশ অর্থনৈতিক সমীক্ষা (Economic Review) ২০২৪ UJS App.pdf
বাংলাদেশ অর্থনৈতিক সমীক্ষা (Economic Review) ২০২৪ UJS App.pdf
 
clinical examination of hip joint (1).pdf
clinical examination of hip joint (1).pdfclinical examination of hip joint (1).pdf
clinical examination of hip joint (1).pdf
 
MARY JANE WILSON, A “BOA MÃE” .
MARY JANE WILSON, A “BOA MÃE”           .MARY JANE WILSON, A “BOA MÃE”           .
MARY JANE WILSON, A “BOA MÃE” .
 
How to Manage Your Lost Opportunities in Odoo 17 CRM
How to Manage Your Lost Opportunities in Odoo 17 CRMHow to Manage Your Lost Opportunities in Odoo 17 CRM
How to Manage Your Lost Opportunities in Odoo 17 CRM
 
Digital Artefact 1 - Tiny Home Environmental Design
Digital Artefact 1 - Tiny Home Environmental DesignDigital Artefact 1 - Tiny Home Environmental Design
Digital Artefact 1 - Tiny Home Environmental Design
 
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
 
Liberal Approach to the Study of Indian Politics.pdf
Liberal Approach to the Study of Indian Politics.pdfLiberal Approach to the Study of Indian Politics.pdf
Liberal Approach to the Study of Indian Politics.pdf
 
World environment day ppt For 5 June 2024
World environment day ppt For 5 June 2024World environment day ppt For 5 June 2024
World environment day ppt For 5 June 2024
 
Introduction to AI for Nonprofits with Tapp Network
Introduction to AI for Nonprofits with Tapp NetworkIntroduction to AI for Nonprofits with Tapp Network
Introduction to AI for Nonprofits with Tapp Network
 
A Strategic Approach: GenAI in Education
A Strategic Approach: GenAI in EducationA Strategic Approach: GenAI in Education
A Strategic Approach: GenAI in Education
 
C1 Rubenstein AP HuG xxxxxxxxxxxxxx.pptx
C1 Rubenstein AP HuG xxxxxxxxxxxxxx.pptxC1 Rubenstein AP HuG xxxxxxxxxxxxxx.pptx
C1 Rubenstein AP HuG xxxxxxxxxxxxxx.pptx
 
The basics of sentences session 6pptx.pptx
The basics of sentences session 6pptx.pptxThe basics of sentences session 6pptx.pptx
The basics of sentences session 6pptx.pptx
 
PIMS Job Advertisement 2024.pdf Islamabad
PIMS Job Advertisement 2024.pdf IslamabadPIMS Job Advertisement 2024.pdf Islamabad
PIMS Job Advertisement 2024.pdf Islamabad
 
The Diamonds of 2023-2024 in the IGRA collection
The Diamonds of 2023-2024 in the IGRA collectionThe Diamonds of 2023-2024 in the IGRA collection
The Diamonds of 2023-2024 in the IGRA collection
 
CACJapan - GROUP Presentation 1- Wk 4.pdf
CACJapan - GROUP Presentation 1- Wk 4.pdfCACJapan - GROUP Presentation 1- Wk 4.pdf
CACJapan - GROUP Presentation 1- Wk 4.pdf
 
The simplified electron and muon model, Oscillating Spacetime: The Foundation...
The simplified electron and muon model, Oscillating Spacetime: The Foundation...The simplified electron and muon model, Oscillating Spacetime: The Foundation...
The simplified electron and muon model, Oscillating Spacetime: The Foundation...
 
How to Build a Module in Odoo 17 Using the Scaffold Method
How to Build a Module in Odoo 17 Using the Scaffold MethodHow to Build a Module in Odoo 17 Using the Scaffold Method
How to Build a Module in Odoo 17 Using the Scaffold Method
 

3,4,6 nerves practical .pdf

  • 2. § At the end of this practical should should be able to know ØNames of cranial nerves and their nature ØImportance of 3rd ,4th and 6th cranial berves ØEye muscles ,their innervation and actions ØHow to examine these nerves ØEffects produced due to lesions of these nerves
  • 3.
  • 4.
  • 5. § Sensory 1,2,8 § Motor 3,4,6,11,12 § Mixed 5,7,9,10 Neuclei § Cerebral cortex 1,2 § Mid brain 3,4 § Pons 5,6,7,8 § Medulla 9,10,11,12
  • 6.
  • 7.
  • 8. EXTRINSIC MUSCLES/extraocular 1. Superior rectus 2. Inferior rectus 3. Medial rectus 4. Lateral rectus 5. Superior oblique 6. Inferior oblique INTRINSIC MUSCLE /intraocular 1. Cilliary muscle 2. Iris ( sphincter pupillae and dilator pupillae )
  • 9.
  • 10.
  • 11.
  • 12. § Occulomotor / 3rd nerve 1. Superior rectus 2. Inferior rectus 3. Medial rectus 4. Inferior oblique 5. All intrinsic muscles 6. Levator palpebrae superioris ( eyelid muscle) § Trochlear / 4th nerve 1. Superior oblique ( SO4) § Abducens / 6th nerve 1. Lateral rectus (LR6)
  • 13. 1. Inspection of eye A. position of eye ball B. Position of eyelids C. Symmetry of palpebral fissures 2. Examination of eye movements 3. Examination of pupil A. Size and shape of pupil B. Meiosis and mydriosis C. Pupillary reflexes
  • 14. § Oculomotor / 3rd nerve lesion: 1. SR, IR, MR, IO muscles are paralyzed so eyeball cannot move Medially and Upward and it is deviated Laterally and slightly donwards due to unopposed action of LR and SO muscle. 2. Intrinsic muscles are damaged.There is ptosis , fixed and dilated pupils with absent light but intact accomodation reflex (Argyll Robertson pupil) § Trochlear /4th nerve lesion: 1. Superior oblique is paralyzed and eyeball is deviated laterally § Abducent /6th nerve lesion: 1. Lateral rectus is paralyzed and eyeball is deviated medially