EXAMINATION OF CRANIAL NERVES (1 – 6)

Name:
Age:
Sex:
Place:
Occupation:

General Examination:
Conscious
Oriented to time, place and person
Comfortable at rest
Well-built and well nourished
Not anaemic
Not jaundiced
Not cyanosed
No clubbing
No pedal edema
No significant generalized lymphadenopathy

Vital signs
Pulse:
Blood pressure:
Respiratory rate:
Temperature:

I Cranial Nerve – Olfactory Nerve

Right Left
Asafoetida Normal Normal
Clove oil Normal Normal

The subject is able to identify the two given substances in each nostril separately
II Cranial Nerve - Optic Nerve
Visual Acuity:
Right Left
A. Distant vision 6/6 6/6
B. Near vision N6 N6
Field of vision (Confrontation test):
Right Left
1. Superior 55° 55°
2. Inferior 65° 65°
3. Temporal 100° 100°
4. Nasal 50° 50°
Colour vision:
 The subject is able to identify all the plates in Ishihara charts
  The subject is able to match the given sample with the standard pattern of colours in
Holmgren’s wool matching test

Reflexes:
Reflex Root value Right Left
1. Direct light reflex Afferent: 2nd cranial nerve Present Present
Efferent :3rd cranial nerve
2. Indirect light reflex Afferent: 2nd cranial nerve Present Present
Efferent :3rd cranial nerve
3. Accommodation reflex Afferent: 2nd cranial nerve Present Present
Efferent :3rd cranial nerve

III, IV and VI cranial nerves:

No ptosis
Extraocular movements in both eyes are within normal limits
Reflex Root value Right Left
1. Direct light reflex Afferent: 2 cranial nerve
nd
Present Present
Efferent :3 cranial nerve
rd

2. Indirect light reflex Afferent: 2nd cranial nerve Present Present

Efferent :3 cranial nerve
rd

3. Accommodation reflex Afferent: 2nd cranial nerve Present Present

Efferent :3 cranial nerve
rd

V cranial nerve: (Trigeminal nerve)

Sensory:
 All the sensations are equally perceived in all the three divisions (Ophthalmic,
Maxillary, mandibular) of the Trigeminal nerve on both sides
Motor:
 Prominence of Masseter, Temporalis muscle is felt on both sides
 No deviation of jaw on opening the mouth

Reflexes:
Reflex Root value Right Left
Conjunctival reflex Afferent: 5th cranial nerve Present Present
Efferent :7th cranial nerve
Corneal reflex Afferent: 5th cranial nerve Present Present
Efferent :7th cranial nerve
Jaw jerk Afferent: 5th cranial nerve Present Present
Efferent :5rth cranial nerve
Result:
On clinical examination, the cranial nerves 1- 6 of the subject was found to be normal