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Sunday, December 26, 2021

Origin of Cranial Nerves, Dysfunctions, Different Mnemonics

 

Origin of the Cranial Nerves

There are a total of twelve cranial nerves. The cerebrum gives rise to the olfactory nerve (CN I) and the visual nerve (CN II). 

The brain stem gives rise to the cranial nerves III–XII. They can come from a specific portion of the brain stem (midbrain, pons, or medulla), or from a point where two parts meet.

The trochlear nerve (IV) originates from the midbrain's posterior side. Of all the cranial nerves, it has the longest intracranial length. 

Oculomotor(III) - midbrain-pontine junction.

Trigeminal (V) - pons. 

Abducens, facial, and vestibulocochlear (VI-VII-VIII) Pontine-Medulla Junction. 

Glossopharyngeal, vagus, and accessory (IX-X-XI)-medulla oblongata posterior to the olive.

Hypoglossal(XII) : anterior to the olive.


 

I. Olfactory nerve (Smell)

The olfactory nerve sends sensory information about smells to your brain.

II. Optic nerve (Vision)

The optic nerve is the vision-related sense nerve.

III. Oculomotor nerve (Move eyes, Pupil)

Muscle function and pupil response are two motor functions of the oculomotor nerve. 

Muscle function is a term that refers to the ability of a muscle to perform a four of the six muscles around your eyes are controlled by the oculomotor nerve. These muscles aid in the movement and focus of your eyes. 

It also aids in the management of your pupil's size as it responds to light.

IV. Trochlear nerve (Move eyes)

The superior oblique muscle is controlled by the trochlear nerve. The downward, outward, and inward eye motions are controlled by this muscle.

V. Trigeminal nerve (Face sensation)

The largest of your cranial nerves, the trigeminal nerve serves both sensory and motor tasks. 

The trigeminal nerve is divided into three sections: 

Ophthalmic. 

Sensory information from the upper half of your face, such as your forehead, scalp, and upper eyelids, is sent to the ophthalmic division. 

Maxillary. 

The sensory information from the middle area of your face, including your cheeks, upper lip, and nasal cavity, is communicated through this division. 

Mandibular. 

The sensory and motor functions of the mandibular division are both present. Your ears, lower lip, and chin all provide sensory information to it. It also regulates the movement of your jaw and ear muscles.

VI. Abducens nerve (Move eye)

The lateral rectus muscle, which is related with eye movement, is controlled by the abducens nerve. Outward eye movement is controlled by this muscle. For example, You might use it to look to the side.

VII. Facial nerve (Move face)

The facial nerve controls both sensory and motor processes, including the muscles that move your face and several muscles in your jaw. 

Supplying flavor to the majority of your tongue 

providing glands in your head or neck, such as salivary glands and tear-producing glands, that communicate feelings from your ear's outer parts

VIII. Vestibulocochlear nerve (Hearing and Balance)

Hearing and balance are sensory capabilities of the vestibulocochlear nerve. There are two parts to it: the cochlear portion and the vestibular portion: 

Cochlear part:

Sound vibrations are detected by specialized cells in your ear based on the intensity and pitch of the sound. This causes nerve impulses to be generated, which are then sent to the cochlear nerve.

Vestibular part: 

This section also has a collection of unique cells that can track both linear and rotational head movements. The vestibular nerve receives this information and uses it to change your balance and equilibrium.

IX. Glossopharyngeal nerve (Taste, Gag reflex)

The glossopharyngeal nerve serves both motor and sensory tasks, delivering sensory information from your sinuses, back of your throat, sections of your inner ear, and the back part of your tongue. 

Producing a feeling of taste for the rear part of your tongue by activating voluntary movement of the stylopharyngeus muscle in the back of your throat.

X. Vagus nerve (Parasympathetic innervation)

The vagus nerve has a wide range of functions. It performs both sensory and motor functions, such as: 

Communicating sensation information from your ear canal and parts of your throat.

Sending sensory information from organs in your chest and trunk, such as your heart and intestines; allowing motor control of muscles in your throat.

Stimulating the muscles of organs in your chest and trunk, including those that move food through your digestive tract (peristalsis); and providing a sense of taste near the root of your tongue.

XI. Accessory nerve (Shoulder Shrug)

The motor neuron that controls the muscles in your neck is known as the accessory nerve. Your neck and shoulders can rotate, flex, and extend thanks to these muscles. 

There are two elements to it: spinal and cranial. The top part of your spinal cord is where the spinal portion begins. The medulla oblongata is where the cranial part begins.

XII. Hypoglossal nerve (Swallowing)

The hypoglossal nerve is the 12th cranial nerve, and it controls the majority of the muscles in your tongue. It begins in the medulla oblongata and travels down into the jaw, eventually reaching the tongue.

 

Two different mnemonics to help you remember the cranial nerves. 

First mnemonic goes like this on occasion our trusty truck acts funny very good vehicle anyhow now the first letter of each word corresponds to the first letter of that cranial nerve.

Mnemonics

Nerves

On

Olfactory

Occasion

Optic

Our

Oculomotor

Trusty

Trochlear

Truck

Trigeminal

Acts

Abducens

Funny

Facial

Very

vestibular cochlear

Good

Glossopharyngeal

Vehicle

vagus

Any

Accessory

How

Hypoglossal

 

 

Second mnemonics goes like this some say Mary money but my brother says big brains matter more. just like this where S stands for sensory M stands for motor and B stands for both sensory and motor.

Mnemonics

Nerve

Sensory

Olfactory

Sensory

Optic

Motor

Oculomotor

Motor

Trochlear

Both

Trigeminal

Motor

Abducens

Both

Facial

Sensory

vestibular cochlear

Both

Glossopharyngeal

Both

vagus

Motor

Accessory

Motor

Hypoglossal

 

 

 

Dysfunction of Cranial nerves

Certain cranial nerve disorders can impact the eye, pupil, optic nerve, or extra ocular muscles and their nerves, and are thus classified as cranial nerve disorders, neuro-ophthalmologic disorders, or both. 

Smell, vision, chewing, facial feeling or expression, taste, hearing, balance, swallowing, phonation, head tilting and shoulder elevation, or tongue movements can all be affected by cranial nerve diseases . It's possible that one or more cranial nerves are impacted. 

Tumors, inflammation, trauma, systemic illnesses, and degenerative or other processes can cause vision loss, diplopia, ptosis, pupillary irregularities, periocular pain, face pain, or headache, among other symptoms.

 Assessment of Cranial Nerves

 

 Sixth ( Abducens) Nerve Palsy


 

Saturday, December 25, 2021

Traumatic Brain injury (TBI) characteristics, traumatic brain injury recovery stages, types, rehabilitation

 What is traumatic brain injury (TBI)?

A traumatic brain injury (TBI) is a brain injury that occurs suddenly. When the head is hit, bumped, or jolted, this can happen. This is what is known as a closed head injury. When an object penetrates the skull, a TBI can occur.



What causes traumatic brain injury (TBI)?

The following are the most common causes of TBI, which vary depending on the type of brain injury: 

The following are some of the most common causes of a closed head injury:

•Falls. In adults aged 18 and up, this is the most common reason. 

Accident involving a motor vehicle. In young adults, this is the most common cause. 

Sports-related injuries 

Being struck by a moving item 

Explosion-related blast injuries

Being struck by a gunshot is one of the most prevalent causes of a penetrating injury. 

Having a weapon, such as a hammer, knife, or baseball bat, strike you 

A bone fragment penetrates the skull as a result of a head injury.


Who is at risk for traumatic brain injury (TBI)?

TBI is more common in some groups: men are more likely than women to suffer a TBI. They're also more prone to sustain a severe TBI. 

Adults over the age of 65 are the most likely to be hospitalized and die as a result of a TBI.


What are the symptoms of traumatic brain injury (TBI)?

TBI symptoms vary depending on the type of injury and the extent of brain damage. 

A temporary loss of consciousness is one of the signs of mild TBI in some circumstances. Many persons with mild TBI, on the other hand, stay cognizant following the damage. 

Headache

Confusion 

Lightheadedness 

Dizziness 

Blurred vision or fatigued eyes are two of the most common symptoms of glaucoma. 

•A ringing sensation in the ears.

•A bad taste in the mouth a feeling of exhaustion or lethargy.

A shift in sleeping habits. 

Changes in behavior or mood 

Memory, focus, attention, or reasoning problems

You may experience the same symptoms if you have a moderate or severe TBIOther signs and symptoms include: 

•A headache that worsens or does not go away.

Vomiting or nausea on a regular basis.

Seizures or convulsions.

Having trouble waking up from a nap or having a larger than normal pupil (dark centre) in one or both eyes. This is referred to as pupil dilatation. 

Weakness or numbness in the arms and legs Slurred speech. 

Loss of coordination is a term used to describe a situation when there is a lack of coordination. 

Confusion, restlessness, or agitation have increased.

 

How is traumatic brain injury (TBI) diagnosed?

If you have suffered a TBI as a result of a head injury or other trauma, you should seek medical attention as soon as possible. In order to make a diagnosis, your doctor must: 

Will inquire about your symptoms as well as the specifics of your injury. 

Will conduct a neurologic examination. 

May order imaging tests, such as a CT scan or an MRI; may utilise a tool like the Glasgow coma scale to assess the severity of the TBI. This scale assesses your capacity to move, speak, and open your eyes. 

You could take neuropsychological exams to see how your brain is working.


What are the treatments for traumatic brain injury (TBI)?

Many factors influence TBI treatment, including the severity, size, and location of the brain injury. 

Rest is the major treatment for mild TBI. You can take over-the-counter pain medicines if you have a headache. It's critical to adhere to your doctor's directions for total rest and return to normal activities. It may take longer to recuperate if you start doing too much activities. If your symptoms aren't improving or if you're experiencing new ones, talk to your doctor.

When you have a moderate to severe TBI, your health care specialists will initially try to stabilize you to prevent further damage. They'll monitor your blood pressure, check the pressure inside your skull, and make sure your brain is getting enough blood and oxygen.

Once you've reached a state of stability, you could need: 

Surgery: to prevent further brain injury, such as removing hematomas (clotted blood) 

Repair skull fractures and remove damaged or dead brain tissue 

Reduce the amount of pressure in the skull.

Medication: Anti-anxiety medicine to reduce feelings of nervousness and panic, and other medications to treat the symptoms of TBI and reduce some of the hazards connected with it, such as 

Anticoagulants (blood thinners) with anticonvulsants (seizure medications) 

Antidepressants are used to treat depression and mood swings, whereas muscle relaxants are used to relieve muscle spasms. 

Stimulants to improve alertness and focus

Rehabilitation therapieswhich can involve treatments for physical, emotional, and cognitive issues, include the following: 

Physical therapyis used to help people improve their physical strength, coordination, and flexibility. 

Occupational therapy, which can help you learn or relearn how to do things like get dressed, cook, and bathe. 

Speech therapy, can aid in the development of speech and other communication skills, as well as the treatment of swallowing issues. 

Psychiatric counseling, can assist you in developing coping skills, improving your relationships, and improving your emotional well-being. 

Occupational counselingwhich focuses on your capacity to return to work and deal with workplace issues. 

Cognitive therapyimprove your memory, attention, perception, learning, planning, and judgement. 

 

Related Question About TBI

Is TBI permanent?

Moderate to severe TBI might have long-term or even permanent consequences. While recovery and rehabilitation are feasible, most persons who have suffered a mild to severe TBI will confront life obstacles that will force them to adapt to a new reality.

 

What does a TBI do to the brain?

A traumatic brain injury disrupts the brain's regular functioning. When nerve cells in the brain are destroyed, they are unable to communicate with one another normally. The person's behaviour and talents alter as a result of this.

 

What are the 7 types of TBI?

Following are commonest types of traumatic brain injury (TBI):

· Coup-Contrecoup Brain Injury. 

· Brain Contusion.

· Concussion.

· Diffuse axonal injury. 

· Second Impact Syndrome. 

· Shaken Baby Syndrome. 

· Penetrating Injury.

 

Is TBI a progressive?

Background: Our research and that of others has revealed that moderate-to-severe TBI is a chronic condition with loss of brain volume, white matter integrity, and cognitive function.

 

Can you recover from TBI?

It can take a long time to recover from a serious TBI. Some patients regain consciousness and recover swiftly after a few days or weeks. Others grow more slowly, and they may be unconscious for months or years at a time. Every injury is unique and has its own timetable.

 

Can you see a TBI on a MRI?

TBIs can't be spotted on an MRI or CT scan in about 80% of cases. Neuropsychological or psychological testing - a fancy way of saying doctors ask patients questions or give them tasks to complete - used to be the only alternative technique to detect a TBI.

 

Is stroke a TBI?

Adults suffer from ischemic stroke and traumatic brain injury (TBI), both of which are prevalent, costly, and significant causes of severe impairment. Stroke and TBI, in particular, are responsible for significant disability in working-age adults—approximately 20% of strokes and more than 40% of TBI occur in those under the age of 65.

 

How long is recovery from TBI?

The majority of mild TBI patients experience these symptoms and recover entirely within a week to three months. If you're over 40, it can take a little longer to get back to normal. Symptoms usually go away without any therapy.

 

 

 

 

 

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