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CRANIAL NERVE FUNCTION <br />1. Olfactory (CN I) <br />Can identify variety of smells <br />Deviation: Inability to identify aroma <br />2. Optic (CN II) <br />Has visual acuity and full visual fields <br />Fundoscopic exam reveals no pathology <br />Deviation: Inability to identify full visual fields - total or partial blindness of one or both eyes <br />3, 4, 6. Oculomotor (CN III), trochlear (CN IV), and abducens (CN VI) <br />Follows up to six cardinal positions of gaze <br />Pupils are unremarkable <br />Exhibits no nystagmus and no ptosis <br />Deviation: one or both eyes will deviate from its normal position <br />5. Trigeminal (CN V) <br />Clenches teeth with firm bilateral pressure <br />Has no lateral jaw deviation with mouth open <br />Feels a cotton wisp touched to forehead, cheek and chin <br />Differentiates sharp and dull sensations on face <br />Corneal reflex; blinks when cotton is touched to each cornea <br />Deviation: Absent or one-sided blinking of eyelids <br />7. Facial (CN VII) <br />Has facial symmetry with and without a smile <br />Can raise the eyebrows symmetrically and grimace <br />Can shut eyes tightly <br />Can identify sweet, sour, salt or bitter on the anterior tongue <br />Deviation: Irregular and unequal facial movements <br />Deviation: Inability to taste or identify taste <br />Deviation: Inability to taste or identify salt, sweet, sour, or bitter substances on the anterior two-thirds of the tongue <br />Deviation: Inability to smile symmetrically <br />8. Acoustic (CN VIII) <br />Can hear a whisper at 1-2 feet <br />Can hear a watch tick at 1-2 feet <br />Does not lateralize the Weber test <br />Can hear AC (air conduction) better than BC (bone conduction) in the Rinne test <br />Deviation: Inability to hear spoken word <br />9, 10. Glossopharyngeal (CN IX) and Vagus (CN X) <br />Swallows and speaks without hoarseness <br />Palate and uvula rise symmetrically when patient says quot;
ahquot;
 <br />Bilateral gag reflex <br />Can identify taste on the posterior tongue <br />Deviation: Unequal or absent rise of uvula and soft palate as the client says, quot;
ahquot;
 <br />Deviation: Absent gag reflex <br />Deviation: inability to taste or identify taste on the posterior tongue <br />11. Spinal accessory (CN XI) <br />Resists head turning <br />Can shrug against resistance <br />Deviation: Weak or absent shoulder and neck movement <br />12. Hypoglossal (CN XII) <br />Can stick tongue out and move it from side to side <br />Can push tongue strongly against resistance <br />Deviation: Tongue deviates to side <br />
Cranial nerve function

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Cranial nerve function

  • 1. CRANIAL NERVE FUNCTION <br />1. Olfactory (CN I) <br />Can identify variety of smells <br />Deviation: Inability to identify aroma <br />2. Optic (CN II) <br />Has visual acuity and full visual fields <br />Fundoscopic exam reveals no pathology <br />Deviation: Inability to identify full visual fields - total or partial blindness of one or both eyes <br />3, 4, 6. Oculomotor (CN III), trochlear (CN IV), and abducens (CN VI) <br />Follows up to six cardinal positions of gaze <br />Pupils are unremarkable <br />Exhibits no nystagmus and no ptosis <br />Deviation: one or both eyes will deviate from its normal position <br />5. Trigeminal (CN V) <br />Clenches teeth with firm bilateral pressure <br />Has no lateral jaw deviation with mouth open <br />Feels a cotton wisp touched to forehead, cheek and chin <br />Differentiates sharp and dull sensations on face <br />Corneal reflex; blinks when cotton is touched to each cornea <br />Deviation: Absent or one-sided blinking of eyelids <br />7. Facial (CN VII) <br />Has facial symmetry with and without a smile <br />Can raise the eyebrows symmetrically and grimace <br />Can shut eyes tightly <br />Can identify sweet, sour, salt or bitter on the anterior tongue <br />Deviation: Irregular and unequal facial movements <br />Deviation: Inability to taste or identify taste <br />Deviation: Inability to taste or identify salt, sweet, sour, or bitter substances on the anterior two-thirds of the tongue <br />Deviation: Inability to smile symmetrically <br />8. Acoustic (CN VIII) <br />Can hear a whisper at 1-2 feet <br />Can hear a watch tick at 1-2 feet <br />Does not lateralize the Weber test <br />Can hear AC (air conduction) better than BC (bone conduction) in the Rinne test <br />Deviation: Inability to hear spoken word <br />9, 10. Glossopharyngeal (CN IX) and Vagus (CN X) <br />Swallows and speaks without hoarseness <br />Palate and uvula rise symmetrically when patient says quot; ahquot; <br />Bilateral gag reflex <br />Can identify taste on the posterior tongue <br />Deviation: Unequal or absent rise of uvula and soft palate as the client says, quot; ahquot; <br />Deviation: Absent gag reflex <br />Deviation: inability to taste or identify taste on the posterior tongue <br />11. Spinal accessory (CN XI) <br />Resists head turning <br />Can shrug against resistance <br />Deviation: Weak or absent shoulder and neck movement <br />12. Hypoglossal (CN XII) <br />Can stick tongue out and move it from side to side <br />Can push tongue strongly against resistance <br />Deviation: Tongue deviates to side <br />