Trigeminal Fissure: A Case Study

After assessing the skull, the patient face was assessed also. During this physical examination, the patient face was assessing for any abnormally like Bell’s palsy which could cause the cranial nerve VII damage and any asymmetry with the central brain damage. There was no edema around the eyes (periorbital). The normal findings were appropriate to the age, the face was symmetrically intact to the eyebrows, the palpebral fissures, and the nasolabial folds. Pain denied in both sides. If it there was any pain in any side of the face, it could be marked as the trigeminal neuralgia (tic douloureux) which causes by the V cranial nerve. “Trigeminal neuralgia, also called tic douloureux, is a chronic pain condition that affects the trigeminal or 5th cranial nerve, one of the most widely distributed nerves in the head” (National Institutes of Health, 2015, 1). The facial sensation assessed by assessing the cranial nerve V also. …show more content…
There were many things that were assessed at this time. The patient had a vision of 20/20 in Snellen Eye Chart. The patient was standing at a distance of 20 feet from the chart and asked to read the letters on the chart from top to bottom. Then, the eye examination continues with a pin light for the light reaction. The patient was also assessed for the accommodation by asking the patient to focus on the distant object, then, to look to my finger which was close to her eyes. Her pupils were constricted and convergence. The six cardinal positions were assessed for Pupils equal, round and reactive to light and accommodation (PERRLA). The patient was assessed for the abnormally like swelling of the lacrimal gland, corneal abrasion, of the iris, and if there was any asymmetric of eyes which could cause by the damage of cranial nerve II, II, IV, and