Cranial Nerve Examination Chart With Comments
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1Cranial Nerve Examination List
Comments
Rapport with patient
□ Introductions
Sit on edge of bed
□
General Inspection
□ Diagnostic facies □ IVC □ NGT □ IDC
□ Facial Asymmetry
□ Scars
□ Pupil Asymmetry
□ Ptosis
□ Eye Patch □ Glass Eye □ Hearing Aid
I: Ask for change in sense of smell
□
II: Test Visual Acuity
□ Snellen chart □ Left Eye □ Right Eye
II: Test Visual Field
□ Hat Pin
□ Left Eye
□ Right Eye
II: Test Light Reflexes
□ Direct □ Consensual □ Swinging torch
II: Test Accomodation
□ Hat Pin
II: Fundoscopy
□ Optic Disc
□ Retinopathy
III, IV & VI: Test Ocular Movements
□ Dysconjugate gaze (MLF)
Ask if diplopia occurs
□ H pattern testing
□ Diplopia
□ Nystagmus
□ Vertical
□ Horizontal
□ Test Intorsion (if CN III palsy)
V: Trigeminal Sensory & Motor
□ Pin-Prick testing □ V1 □ V2 □ V3
Deviation to affected side
□ Light touch testing □ Corneal reflex
□ Clench teeth & palpation of masseter mm
□ Open jaw & pterygoid resistance
□ Jaw jerk
VII: Test Facial Muscles
□ Forehead wrinkling
□ Eye Closure
Ask for change in taste
□ Blowing of cheeks
□ Smiling
If LMN lesion examine for cause
□ Ear □ Mastoid □ Parotid □ Palate
VIII: Test Hearing & Balance
□ Inspection of ear & tympanum
Distract other ear with scratching
□ Whisper: □ High tone 68 □ Low tone 100
□ Rinne’s: □ Right Ear
□ Left Ear
□ Weber’s (256 Hz)
□ Hallpike’s +/- Epley’s
□ Nystagmus
IX & X:
□ Dysphonia □ Swallowing
□ Cough
Deviation to normal side
□ Uvula deviation
□ Gag reflex
XI: Test Shoulder & Neck movements
□ Trapezius mm: Shoulder shrug
□ SCM mm: Head turning
XII: Tongue Protrusion
□ Wasting
□ Fasiculation
Deviation to affected side
□ Dysarthria
Ask for BSL
□
If relevant assess other neurological
□ Peripheral nervous system
systems
□ Cerebellar system
Summary & Interpretation
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Parent category: Medical