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Cranial Nerve And Muscle Chart Case l

CRANIAL NERVE AND MUSCLE CHART

SENSORY OR MOTOR TO

Left in j?

NOSE

SENSORY—SMELL

II EYE

SENSORY-SIGHT

EYEUO

LEVATOR PALPE BRAE SUPERIORIS RECTUS SUPERIOR

OBLIOUUS INFERIOR

RECTUS ME DI ALIS

RECTUS INFERIOR

OBLIOUUS SUPERIOR

S SENSORY-FACE & INT STRUCTURES OF HEAD

PALATE

MASTICATION

S HYOID

TENSOR TYMPANI TENSOR VELI PALATINI MASS ETER ^TEMPORALIS PTERYGOIDEUS MEDIALIS PTERYGOIDEUS LATERALIS MYLOHYOIDEUS ANTERIOR DIGASTRIC

RECTUS LATERALIS

TONGUE [EAR

SENSORY TASTE ANTERIOR Vi TONGUE SENSORY—EXTERNAL EAR STAPEDIUS

S HYOID

POSTERIOR DIGASTRIC

STYLOHYOI DEUS

OCCIPITALIS

INTRINSIC EAR MUSCLES

AURICULARIS POSTERIOR

POST AURICULAR BRANCH

AURin il ARIS ANTERIOR

AURICULARIS SUPERIOR

TEMPORAL BRANCH

SCALP

EYEBR EYELID

CORRUGATOR SUPERCILII

ORBICULARIS OCULI PROCERUS

SEPTI & NAS, TRANS

TEMP & ZYGO BRANCH

NASALIS. ALAR ZYGOMATICUS MAJOR LEVATOR LABII SUPERIORIS BUCCINATOR ORBICULARIS ORIS LEVATOR ANGULI ORIS RISORIUS

DEPRESSOR ANGULI ORIS DEPRESSOR LABII INFERIORIS .MENTALIS

PLATYSMA

i BUCCAL BRANCH

>MANDIBULAR BRANCH

CERVICAL BRANCH

TEMP & ZYGO BRANCH

i BUCCAL BRANCH

>MANDIBULAR BRANCH

G G

5ENSORY—HEARING & EQUILIBRIUM

SENSORY—POSTERIOR V¡ TONGUE SENSORY—PHARYNX FAUCES. SOFT PALATE

STYLOPHARYNGEUS STRIATED MUSCLES - PHARYNX

SENSORY—ABDOMINAL VISCERA & HEART

TRAPEZIUS & STERNOCLEIDOMASTOID LEVATOR VELI PALATINI

STRIATED MUSCLES—SOFT PALATE. PHARYNX & LARYNX

STYLOGLOSSUS HYOGLOSSUS

XII TONGUE

STRIATED MUSCLES—SOFT PALATE. PHARYNX & LARYNX INVOLUNTARY MUSCLES—ALIMENTARY TRACT INVOLUNTARY MUSCLES—AIR PASSAGES INVOLUNTARY CARDIAC MUSCLE SENSORY—AURICULAR SENSORY- ALIMENTARY TRACT SENSORY AIR PASSAGES

SENSORY—ABDOMINAL VISCERA & HEART

TRAPEZIUS & STERNOCLEIDOMASTOID LEVATOR VELI PALATINI

STRIATED MUSCLES—SOFT PALATE. PHARYNX & LARYNX

STYLOGLOSSUS HYOGLOSSUS

XII TONGUE

Date 1 week after onset

s^Ci

DERMATOMES

CUTANEOUS DISTRIBUTION OF CRANIAL NERVES

GENIOGLOSSUS

TONGUE INTRINSICS

Ophthalmie 1. Supratrochlear N. 2 Supraorbital N.

3. lacrimal N.

4. hlrabocntear NL

5. Nasal N. Mandibular

9. AuricuOlEmporal N I0 BuccalN. II. MentalN.

Maxi^y

6. Zygoraatica-temporal N.

7. Intraorbital N

8. Zygomatic lacialN.

Cervical Nerves

12. Greater Occipital N.

13. lesser Occipital N.

14. Great Auricular N

i Body 28th od

© 2005 Florence P. Kendall. Author grants permission to reproduce for personal use but not for sale.

CASE 2

In this case of facial paralysis, which was first seen for examination 3 weeks after onset, no evidence of any muscle function was observed except for a slight action in the corrugator. This case showed very little change during the first 3'/2 months. By the end of 6 months, however, most of the muscles graded either fair or better. By the end of 8 months, further improvement was noted. By the end of 9'/2 months, approximately V3 of the muscles graded fair, and all others graded either good or normal. This case shows the slow but gradual improvement that occurs in some instances.

This patient was fitted with a very small, plastic hook that was contoured to fit in the corner of the mouth and was attached by a rubber band to the side-piece of her glasses.* She was instructed in how to give herself light massage—upward on the affected side and downward and toward the mouth on the unaffected side. At times, transparent Scotch tape was used to hold up the side of the mouth and cheek. When the patient was not using the hook or the tape, she was advised to make a habit, when sitting, of resting her right elbow on a table or arm of a chair and placing her right hand with the palm under her right chin and the fingers along her cheek to hold the right side of her face upward. Also, when she was speaking, smiling, or laughing, she was to use the hand to push the affected side toward the right and upward to compensate for the weakness as well as to prevent the unaffected side from distorting the mouth in that direction. In addition, she was taught how to exercise the facial muscles by assisting the weak side and restraining the stronger side.

The sidepiece, or temple, is the part of the frame that extends from the lens both to and over the ear.

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