This document provides tips on lesions of various cranial nerves and their associated symptoms, including jaw deviation and sensory changes for CN5, lateralization of hearing loss for CN8, uvula deviation and palate mobility for CN10, head and shoulder weakness for CN11, and tongue deviation for CN12. It also cautions that while opioids can cause altered mental status in elderly patients with pain, other potential causes of delirium should be considered, especially in those who previously tolerated opioids well.
This document provides tips on lesions of various cranial nerves and their associated symptoms, including jaw deviation and sensory changes for CN5, lateralization of hearing loss for CN8, uvula deviation and palate mobility for CN10, head and shoulder weakness for CN11, and tongue deviation for CN12. It also cautions that while opioids can cause altered mental status in elderly patients with pain, other potential causes of delirium should be considered, especially in those who previously tolerated opioids well.
Cranial Nerve 10: Uvula deviates away from side of lesion Palate fails to elevate on the affected side Cranial Nerve 11: Weakness in turning head to opposite side of lesion Weakness in shrugging shoulder on the affected side. Cranial Nerve 12: Tongue deviates towards side of lesion (lick the wound) except in upper motor neuron type lesion where tongue deviates away from area of cortical damage
Opioids may be a cause of altered
mental status in elderly patients with pain, but other causes of delirium should be considered, particularly in patients who appear to have tolerated Opioids well previously