N.

The Motor Portion

Jaras UMN dari scra primer korteks motorik
kontralateral, meskipun bgitu, nucl N.V
mnrima bilateral.
Muskulus mastikasi: masseter, temporalis,
medial dan lateral pterygoids
the masseter may be the most powerful
muscle in the body
Radiks motornya jg the mylohyoid,
anterior belly of the digastric, tensor veli
palatini, and tensor tympani muscles

The Sensory Portion

the largest ganglion in the
peripheral nervous system
ganglion gaseri (unit sensorik)
The sensory root can be compressed
by vascular loops, causing trigeminal
neuralgia (TN).
Neuron sensori pd ggl gaseri terbagi
dua
fine discriminative touch
primarily pain and temperature

 3 nukleus sensori
Nucl mesencephalik
Nucl principalis raba ringan dan
tekanan
nucl spinal track pain dan suhu

Onion skin (balaclava helmet

distribution) perioral to
periaurikular region
Sering pd neurosipilis, siringobulbi

Examination of the Motor

Functions
Otot mastikasi
Buka mulut deviasi atau tidak
Gerak kiri kanan? parese: tdk
bisadigerakan kontralateral
Gigit tongue spatel dgn molar
dibandingkan kedua sisi(saat spatel ditarik
keluar)

Parese bilateral (dangling jaw) mgkin

pd motor neuron disease, neuromuscular
transmission disorder or a myopathy.

Examination of the Sensory

Functions
Raba, nyeri dan terkadan suhu diperiksa
dgn cara yg sama seperti di tubuh lain
Dibandingkan di setiap divisi trigeminal,
and the perioral region compared to the
posterior face
Proprioception cannot be adequately
tested, but one can test for extinction
and the ability to identify figures written
on the skin

 3 kegiatan saat evaluasi:

determining whether sensory loss is organic
or nonorganic
determining which modalities are involved
defining the distribution

Cont non organik

Batas area abnormal adalah batas rambut
Rahan bawah ikut dikatakan abnormal
The corneal and sternutatory reflexes (see
below) should be normal
Splitting of vibration along the midline is
reputedly a nonorganic sign

Examination of the
Reflexes
The corneal, sternutatory, and jaw
reflexes
The Jaw, Masseter, or Mandibular Reflex (dgn
index or thumb, ketok pake hamer)
Bedain hiperreflek pd cervical lesi dgn hiperreflek
general pseudobulbar palsy (UMN n.V) ato ALS

The Corneal Reflex (N.V1) with a wisp of

cotton or tissue
Upper kornea, arah dari bawah ato blind spot
(bukan ke sklera !)
Kalo ada luka, kudu diganti kapas/tisu nya
Stroke supratentorial kotralateral, lesi di lesi batang
otak hingga cervical (C3-4) ipsilateral, atau kontak
lens

 The Sternutatory (Nasal, Sneeze) Reflex

(N.V1)
Stimulation of the nasal mucous membrane
with cotton, a spear of tissue, or similar
objects
wrinkling of the nose, eye closure and often
a forceful exhalation
cross-check on the corneal reflex
Photosternutatory ?