Week 5

Question 1

What is CN X?

Answer 1

vagus

Question 2

If there is damage to the Laryngeal branch of CN X what is affected?

Answer 2

larynx

• a weak cough and glottal coup
• paralysis of VF

Phonation of convo. speech

• breathy
• rough voice
• diplophonia
• reduced loudness
• monopitch
• stidor

AMR/SMR
-Breathy, rough, diplophonia

Prolonged vowels
-short duration

Question 3

If there is damage to the velopharyngeal branch of CN X what is affected?

Answer 3

velopharynx

• decreased elevation of velum
• uvula points to strong side

resonance of conv. speech

• hypernasal
• nasal emission

AMR/SMR
-weak articulation of stops

Prolonged vowels
-short duration

Question 4

What is CN XII?

Answer 4

hypoglossal

Question 5

What is the damage of the CN XII affect?

Answer 5

tongue

• atrophy
• fascic
• weak protrusion
• lateralization
• elevation
• difficulty licking lips

Articulation convo speech

• imprecise lingual consonants and tense vowels
• slow rate

AMR/SMR
-Imprecise, slow ddk

Question 6

What is the compensatory strategy for damage to CN XII?

Answer 6

Thermal stimulations
Increased awareness
Increase ROM and strength - paired with strength

Question 7

What is the compensatory strategy for damage to CN X?

Answer 7

Surgery
Amplifiers
Turn head to weak side
SOVT
Palatal prosthesis
Open moth wider for oral resonance