Transcription of Cranial Nerves - Wiley-Blackwell
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Cranial Nerves - Wiley-Blackwell
A 70-year-old male has excruci-ating pain in the lower left part ofhis face. This began 1 month ago. Hedescribes it as being like a jolt of lightningthat radiates from his left ear, down to hisjaw, and to the side of his mouth. Thesejolts of pain occur numerous times eachday. Between attacks his face seems normal. He denies any numbness or tingling sensations. There is no hearingabnormality. The pain is triggered bytalking, chewing, or touch of the lowerleft part of his face. He is unable to eat orbrush his teeth, particularly on the leftside, since he fears triggering anotherpainful attack. He can only drink hismeals through a straw and cannot lie inbed on his left side. He had the samesymptoms about 2 years ago. At that timehe was treated with a medication whichhelped; symptoms subsided, but hestopped taking the medicine. The pain isso distressing that the patient admits tocontemplating general and neurologic exam isnormal, except that he withdraws andwill not let anyone touch the left side ofhis CASET here are 12 pairs of Cranial Nerves emerging from the brainand radiating from its surface (Fig.)
CRANIAL NERVES === 255 special visceral efferent to striated muscles derived from the branchial arches; general refers to those components that may be carried by cranial nerves …
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