【医学课件】 Cranial Nerve Clinical Correlations.pptVIP

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2018-03-14 发布于天津
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【医学课件】 Cranial Nerve Clinical Correlations.ppt

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Cranial Nerve Clinical Correlations W. Rose 2011;Cranial Nerve Testing /neurologicexam/html/cranialnerve_abnormal.html Abnormal: “Cranial nerves 3, 4, and 6 versions” 1 Versions: binocular tests, part of a regular exam. Pt. 1 can’t abduct L, i.e. n.6 (L) palsy. Pt.2 limited adduct, elevate, depress L eye, also shows ptosis-+ dilated pupil, i.e. n.3 (L) palsy. Movies from the Neurologic Exam and PediNeurologic Exam websites by Paul D. Larsen, M.D., University of Nebraska Medical Center and Suzanne S. Stensaas, Ph.D., University of Utah School of Medicine. Additional materials for Neurologic Exam are drawn from resources provided by Alejandro Stern, Stern Foundation, Buenos Aires, Argentina; Kathleen Digre, M.D., University of Utah; and Daniel Jacobson, M.D., Marshfield Clinic, Wisconsin. ;Cranial Nerve Testing /neurologicexam/html/cranialnerve_normal.html Normal: “Vestibulo-ocular” (this tests III and VIII) Movies from the Neurologic Exam and PediNeurologic Exam websites by Paul D. Larsen, M.D., University of Nebraska Medical Center and Suzanne S. Stensaas, Ph.D., University of Utah School of Medicine. Additional materials for Neurologic Exam are drawn from resources provided by Alejandro Stern, Stern Foundation, Buenos Aires, Argentina; Kathleen Digre, M.D., University of Utah; and Daniel Jacobson, M.D., Marshfield Clinic, Wisconsin. ;Cranial Nerve Testing /neurologicexam/html/cranialnerve_abnormal.html Abnormal: “Cranial Nerve 12- Motor” 2 If time: Abnormal: “Cranial nerves 3, 4, and 6 ductions” 3 If time: Normal: “Cranial Nerve 12- Motor” 2. Atrophy, weakness, r. deviation of tongue due to lesion of r. cranial nerve 12. 3. Duction (monocular) tests done iff version results abnormal. Pt can’t medially rotate either eye. Observe nystagmus upon abduction of each eye. This other results (not shown) suggest bilateral internuclear ophthalmoplegia, often caused by demyelinating lesion affecting medial longitudinal fasciculus (MLF) bilaterally. Adduction defect occ