PEMERIKSAAN DAN PENGUKURAN SYARAF KRNIAL DAN SYARAF TEPI

NAWANGSASI TAKARINI

12 SYARAF CRANIAL

I - Olfactory II - Optic III - Oculomotor IV - Trochlear V - Trigemi al VI - A!"uce # VII - Facial VIII - Au"itory I$ - %lo##ophary geal $ - Vagu# $I - Acce##ory $II - &ypogla##al

Cranial Nerve Mnemonic

A commonly used mnemonic for identifying and remembering the cranial nerves is: On Old Olympus Towering Tops, Finn And German Viewed Some ops! The details of the cranial nerves are as follows!

CN1 Olfactory: You have one nose, h!ch !s here CN 1 res!"es# Its funct!on contr!$utes to the sense of s%ell# CN II O&t!c: You have t o eyes, here you !ll f!n" CN II# 'unct!on of th!s cran!al nerve !s v!tal to v!s!on an" v!sual f!el"s, an", !n con(unct!on !th CN III, &u&!llary react!on# CN III Occulo%otor: CN III, the eye )occulo*+ %ove%ent )%otor+ nerve or,s !th CN III, Ian" -I )a$"ucens, h!ch hel&s the eye$all a$"uct or %ove+# The act!ons of these CNs are lar.ely res&ons!$le for the %ove%ent of the eye$all an" eyel!"# CN I- Trochlear CN - Tr!.e%!nal: Three )tr!+ ty&es of sensat!on te%&erature, &a!n an" tact!le co%e fro% th!s three )tr!+*$ranche" nerve that covers three )tr!+ terr!tor!es of the face# 'or nor%al corneal refle/es to $e &resent, the afferent l!%$ of the f!rst "!v!s!on of CN - an" the effect l!%$ of CN -II nee" to $e !ntact# CN -I A$"ucens CN -II 'ac!al: 0ysfunct!on of th!s nerve .!ves the character!st!c f!n"!n.s of 1ell2s &alsy )fac!al asy%%etry, "roo& of %outh, a$sent nasola$!al fol", !%&a!re" eyel!" %ove%ent+# CN -III Au"!tory or vest!$ulocochlear: When th!s "oes not funct!on &ro&erly, hear!n. )au"!tory+ or $alance !s !%&a!re" )vest!$ulocochlear+# The R!nne test !s &art of the evaluat!on of th!s cran!al nerve# CN I3 Glosso&haryn.eal: The na%e of th!s CN &rov!"es a clue that !ts funct!on affects the ton.ue ).losso+ an" throat )&haryn/+# Alon. !th CN 3, the funct!on of th!s nerve !s cr!t!cal to s allo !n., &alate elevat!on an" .ustat!on# CN 3 -a.us CN 3I Accessory or s&!nal root of the accessory: 'unct!on of th!s CN can $e teste" $y evaluat!n. shoul"er shru. an" lateral nec, rotat!on# CN 3II 4y&o.lossal* 'unct!on of th!s CN !s teste" $y not!n. %ove%ent an" &rotrus!on of the ton.ue#

Common peripheral nerves !erri!ories o" innerva!ion an# clinical correla!es$

Peripheral Nerve Sensor% Innerva!ion (ac) of thum!* i "e+* mi""le* a " , ri g fi ger- !ac) of forearm Mo!or Innerva!ion .ri#t e+te #io a " a!"uctio of thum! i palmer pla e Con!ri&'!in( Spinal Nerve Roo!s Clinical

Ra"ial Ner'e

C/* 0* 1

At ri#) for compre##io at humeru#* ) o2 a# 3Satur"ay Night 4al#y3 At ri#) for i 8ury 2ith el!o2 fracture9 Ca get tra #ie t #ymptom# 2he i #i"e of el!o2 i# #truc) 63fu y !o e3 "i#tri!utio 7

5l ar Ner'e

4almar a " "or#al a#pect# of pi )y a " , of ri g fi ger

A!"uctio of fi ger# 6i tri #ic mu#cle# of ha "7

C0* 1 a " T1

:e"ia Ner'e

4almar a#pect of the thum!* i "e+* mi""le a " , ri g fi ger- palm !elo2 the#e fi ger#9

A!"uctio of thum! perpe "icular to palm 6the ar mu#cle#79

C1* T1

Compre##io at carpal tu el cau#e# carpal tu el #y "rome

Lateral Cuta eou# Ner'e of Thigh

Lateral a#pect thigh

L1* 2

Ca !ecome compre##e" i o!e#e patie t#* cau#i g um! e## o'er it# "i#tri!utio Ca !e i 8ure" 2ith pro+imal fi!ula fracture* lea"i g to foot "rop 6i a!ility to "or#ifle+ foot7

Lateral leg* top of foot 4ero eal

;or#ifle+io of foot 6ti!iali# a terior mu#cle7

L<* =- S1

SEGMENT
C1 C2 C3 C4 C5 C6 C7 C8 TH1 TH2 TH3 TH4 TH5 TH6 TH7 TH8 TH9 TH10 TH11 TH12 L1 L2 L3 L4 L5 S1 S2 S3 S4 S5
C1-C5

Upper Extremity Lower Extremity

PERIPHERAL SYMPATHETIC INNERVATION