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Clinical features

Authoring team

Clinical features of trigeminal nerve palsy are related to loss of sensation in the areas supplied by the nerve and/ or loss of motor function for the muscles of mastication.

They include:

  • absent corneal reflex, with the patient unable to feel the cotton wool - this relates to the ophthalmic division of the trigeminal nerve
  • loss of facial sensation - if there is total loss of sensation in all three divisions then this is suggestive of a lesion at the ganglion or sensory root, e.g. an acoustic neuroma
  • inability to hold the mouth open - pterygoids - against light force from an examiner
  • denervation atrophy of the muscles of mastication
  • unilateral lesions of the motor division may result in deviation of the jaw to the weakened - affected - side.

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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