Cranial Nerves for Speech-Language Pathology
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| CN | Name | Type | SLP-Relevant Functions | Damage Signs |
|---|---|---|---|---|
| V | Trigeminal | Mixed (S+M) | Jaw movement (mastication); sensation to face, oral cavity, anterior 2/3 tongue (general) | Jaw deviation toward weak side; reduced chewing; facial numbness |
| VII | Facial | Mixed (S+M) | Facial expression; lip closure; taste anterior 2/3 tongue; salivary glands (sublingual, submandibular) | Facial droop (LMN lesion such as Bell's palsy: upper and lower face on the lesion side; unilateral UMN lesion: lower face on the opposite side, forehead largely spared); drooling; loss of taste; difficulty with bilabials |
| IX | Glossopharyngeal | Mixed (S+M) | Sensation posterior 1/3 tongue & pharynx; taste posterior 1/3; gag reflex (afferent); stylopharyngeus (pharyngeal elevation) | Reduced gag (afferent); taste loss posterior tongue; dysphagia |
| X | Vagus | Mixed (S+M) | Vocal fold movement; velopharyngeal closure; pharyngeal constriction; laryngeal sensation; gag reflex (efferent) | Dysphonia; breathy voice; VPI; aspiration; dysphagia |
| XI | Spinal Accessory | Motor | SCM & trapezius (head turning, shoulder shrug); contributes to pharyngeal/laryngeal function | Head/neck weakness; difficulty with head positioning for swallowing |
| XII | Hypoglossal | Motor | Tongue movement (all intrinsic & most extrinsic muscles) | Tongue deviation toward weak side; dysarthria; oral phase dysphagia |
CN XI's pharyngeal and laryngeal role follows the exam convention of a cranial root; many current anatomy texts assign those cranial-root fibers to CN X (Lachman et al., 2002).
The rest of this outline 4
- Other CNs Relevant to SLP
- Vagus Nerve Branches: Critical Detail
- Oral Mechanism Exam: CN Assessment
- Sources to Know
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