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  • Mn.... Vii Nerve

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    Vishal Gaurav
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    The VII nerve controls sensory, motor, and secretomotor functions related to the face. It is responsible for taste on the anterior two-thirds of the tongue, movement of facial muscles, and controlling glands like the lacrimal gland. Facial nerve palsy can be caused by congenital issues, infections, neoplasms, trauma, or idiopathically. Evaluating a facial nerve palsy involves testing motor function, sensory function, and using electrodiagnostic tests to determine the grade and location of injury.

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    Mn....Vii Nerve

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    The VII nerve controls sensory, motor, and secretomotor functions related to the face. It is responsible for taste on the anterior two-thirds of the tongue, movement of facial muscles, and controlling glands like the lacrimal gland. Facial nerve palsy can be caused by congenital issues, infections, neoplasms, trauma, or idiopathically. Evaluating a facial nerve palsy involves testing motor function, sensory function, and using electrodiagnostic tests to determine the grade and location of injury.

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    30 views8 pages

    Mn.... Vii Nerve

    Uploaded by

    Vishal Gaurav
    The VII nerve controls sensory, motor, and secretomotor functions related to the face. It is responsible for taste on the anterior two-thirds of the tongue, movement of facial muscles, and controlling glands like the lacrimal gland. Facial nerve palsy can be caused by congenital issues, infections, neoplasms, trauma, or idiopathically. Evaluating a facial nerve palsy involves testing motor function, sensory function, and using electrodiagnostic tests to determine the grade and location of injury.

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    VII NERVE PALSY

    FUNCTIONAL PARTS SENSORY, MOTOR & SECRETOMOTOR

    FUNCTIONAL PARTS
    SENSORY - TASTE
    SOFT P ALA TE

    NUCLEUS GUST TORY A

    GENICULA TE GANGLION

    ANT 2/3 TONGUE

    SENSORY SUPPLY
    SOMATIC SENSATIONS EAR SKIN EXTERNAL CANAL SPINAL TRIGEMINAL NUCLEUS GENICULATE GANGLION

    MOTOR SUPPLY
    MOTOR

    FACIAL MUSCLES

    STAPEDIUS FACIAL MOTOR NUCLEUS GENICULATE GANGLION

    POST BELLY OF DIGASTRIC

    AUTONOMIC SUPPLY
    LACRIMAL GLAND LACRIMAL PTERYGOPALATINE GANGLION

    NUCLEUS

    SUBMANDIBULAR/ SUBLINGUAL GLAND

    SUP SALIVATORY NUCLEUS

    SUBMANDIBULAR
    GANGLION

    ANATOMY

    INTRACRANIAL
    PONS CP ANGLE IAM

    SVN

    VII N Co N

    IVN

    INTRATEMPORAL
    IAM

    LABARYNTHINE
    1ST GENU

    HORZONTAL
    2ND GENU

    VERTICAL
    STYLOMASTOID FORAMEN

    EXTRATEMPORAL

    CAUSES OF FACIAL NERVE PALSY : a) CONGENITAL: BIRTH TRAUMA (Forceps) DEVELPMENTAL (MYOTONIC DYSTROPHY, Albers-Schonberg) INHERITED (Moebius Syn, CHARGE) b) INFECTIOUS SOM, BELLS PALSY?, RAMSAY HUNT, LYME, AIDS c) NEOPLASMS VII N NEUROMA, ACOUSTIC NEUROMA, PAROTID TUMOURS d) TRAUMA IATROGENIC (MASTOID SURGERY, PAROTID SURGERY), TEMPORAL BONE #, FACIAL INJURIES

    e) IDIOPATHIC EVALUATION CLINICAL EVALUATION MOTOR FUNCTION BLINK TEST FACIAL MOVEMENTS STAPEDIAL REFLEX

    SENSORY FUNCTION TASTE SOMATIC HISTELBERGERS SIGN

    AUTONOMIC LACRIMAL SCHIRMERS TEST SUBMANDIBULAR FLOW RATE

    TESTING FACIAL MUSCLES

    TESTING FACIAL MUSCLES


    Facial Asymmetry Forehead wrinkling Inability to close the eyes Bells Phenomenon Inability to blow Deviation of angle of mouth
    LOWER VS UPPER MOTOR NEURON PALSY

    TOPODIAGNOSTIC TESTS: MOTOR, TASTE, STAPEDIAL REFLEX, LACRIMATION

    TOPOGNOSTIC TESTS
    L S T
    GSPN

    L+ S T

    N to ST
    L + S+ T CT

    L + S+ T +

    ELECTRODIAGNOSTIC TESTS Minimal Nerve Excitability Test Maximal Stimulation Test Electroneurography Electromyography GRADES OF INJURY NEUROPRAXIA AXONTEMESIS NEUROTMESIS

    EVALUATION DEGREE OF INJURY : SUNDERLANDS CLASSIFICATION GRADING RECOVERY : HOUSE BRACKMANNS CLASSIFICATION

    SUNDERLANDS CLASSIFICATION
    FIRST DEGREE
    Compression partial block of axons

    SECOND DEGREE
    Axon loss endoneurium intact

    THIRD DEGREE
    Endoneurium injured

    FOURTH DEGREE
    Perineurium injured

    FIFTH DEGREE
    Epineurium injured

    HOUSE-BRACKMANNS CLASSIFICATION
    GRADE GRADE GRADE GRADE GRADE GRADE I II III IV V VI Normal Mild dysfunction Moderate dysfunction Mod severe dysfunction Severe dysfunction Total paralysis

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