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Cat. I · Foundations & Professional Practice4 min read
Feeding & SwallowingSpeech Sound Production

Cranial Nerves for Speech-Language Pathology

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The Big 6 for Speech & Swallowing

CNNameTypeSLP-Relevant FunctionsDamage Signs
VTrigeminalMixed (S+M)Jaw movement (mastication); sensation to face, oral cavity, anterior 2/3 tongue (general)Jaw deviation toward weak side; reduced chewing; facial numbness
VIIFacialMixed (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
IXGlossopharyngealMixed (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
XVagusMixed (S+M)Vocal fold movement; velopharyngeal closure; pharyngeal constriction; laryngeal sensation; gag reflex (efferent)Dysphonia; breathy voice; VPI; aspiration; dysphagia
XISpinal AccessoryMotorSCM & trapezius (head turning, shoulder shrug); contributes to pharyngeal/laryngeal functionHead/neck weakness; difficulty with head positioning for swallowing
XIIHypoglossalMotorTongue 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

  1. Other CNs Relevant to SLP
  2. Vagus Nerve Branches: Critical Detail
  3. Oral Mechanism Exam: CN Assessment
  4. Sources to Know

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