This recess in the inferomedial part of the middle cranial fosses houses the largest sensory ganglion
What is Meckel's cave
This nerve conveys taste sensation from the anterior 2/3 of the tongue before joining the chordates tympani
What is lingual nerve
Head turning to which side would be impaired with damage to right spinal accessory nerve
Head turning to L will be weak
The foramen/fissure in which the sensory division of trigeminal nerve exit
What is superior orbital fissure (V1), foramen rotunda (V2), and foramen oval (V3)
What is affected in this image and how would they present clinically
Facial colliculus resulting in left facial palsy and left gaze palsy
The foramen which the glossopharyngeal, vagus and spinal accessory nerves leave the skull
What is jugular foramen
52 yo F presents with left paroxysmal facial pain. She states its so severe that it makes her grimace. On exam there is no demonstrable motor or sensory deficit. You initiated first line treatment with this agent
carbamazepine or oxcarbazepine
Facial palsy and this exam finding
What is Ramsay Hunt Syndrome
69 yo M in post-up after left endarectomy. PACU noted that his speech was slurred necessitating a Neurology consult. Upon examination, you noted that he has lingual dysarthria. Which way do you expect his tongue to be deviated
Left
57 yo M comes to you with persistent numbness of chin and lower lip. You, as an excellent Neurologist initiated work up for these conditions
What is malignancy workup (breast, prostate, multiple myeloma)
Patient comes to you complaining of tears when he eats. As an astute Neurologist, you suspect
What is synkinesis following recovery from facial palsy. "Crocodile tears"
32 yo M presents with recurring paroxysmal stabbing pain of the back of left side of tongue, ear and angle of jaw trigged by swallowing and coughing. The pain was relieved after you anesthetized the area with 10% lidocaine spray
What is glossopharyngeal neuralgia
5 yo F presents with left rtetroorbital pain. Upon examination you, noted drainage from her left ear and the photo below
You diagnose her with this syndrome and order a CTH
What is Gradenigo syndrome
Father and daughter
What is Mobius syndrome
You are evaluating a patient that you admitted for seizures whom went into SVT. You remember from your intern years that the initial treatment is carotid sinus massage. What nerve and nucleus is involved in this maneuver
CN IX and X. Nucleus solitarius and nucleus ambiguus