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Neuro Assessment
*When assessing the patient, always compare left to
right
*Asymmetry is abnormal
*Do your exam the same
way every time; start at
the top and work down
*Assess: LOC and Language,
Cranial Nerves Motor
Cerebellar
Sensory
Neuro Assessment
Obtain: Complete past history
including any events that may
have left a residual deficit
Complete list of meds,
including OTCs, vitamins,
supplements and recreational
drugs
Information must be from a
Neuro Assessment
Components of consciousness
Arousal: eye opening
participate
Neuro Assessment
Cranial Nerves:
CN III
Oculomotor: moves eyes in all
directions except outward and down
& in; opens eyelid; constricts pupil
CN IV
Trochlear:moves eyes down and in
Neuro Assessment
Cranial Nerves:
CN VI
Abducens: moves eyes outward
EOMs:
assessment of eye movement in
all directions ( III, IV
& VI)
Neuro Assessment
Cranial Nerves:
CN V
Trigeminal: 3 branches; sensation to
the face, cornea and scalp; opens
jaw against resistance
CN VII Facial:
moves the face; taste
Neuro Assessment
Cranial Nerves
CN VIII
Acoustic: 2 branches, acoustic
(hearing) and vestibular
(balance) CN IX
Glossopharyngeal: moves
the pharynx (swallow, speech & gag)
CN X Vagus:
voice quality
Neuro Assessment
Cranial Nerves
CN XI Spinal
Accessory: turns head and
elevates shoulders
CN XII
Hypoglossal: moves tongue
Neuro Assessment
Cranial Nerves
Test gag,
swallow and speech together
( IX, X, XII)
Brain
Teaser
QUESTIONS
DON”T SHOUT OUT Please
raise your hand
Question 1
What’s the earliest and most reliable
movements?
Question 3
A patient whose has dysarthria and
coughs when he attempts to drink has
weakness in which 3 cranial nerves?
PLEASE
return all penlights
to me.
THANKS!