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» LymeNet Flash » Questions and Discussion » Medical Questions » Cranial Nerve Damage?

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Author Topic: Cranial Nerve Damage?
I Have Lyme Etc
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Good Morning everyone
Well today I have to see my GI about my swallowing trouble and then tomorrow my MD.
Can anyone tell me if you know, how they test for cranial nerve damage due to illness? Im really starting to think it's possible that my GI problems and my swallowing problems are being caused by cranial nerve damage from Lyme and co infection..
Thank you ..

------------------
"It is not genius, nor glory, nor love that reflects the greatness of the
human soul.....it is kindness..."


Posts: 209 | From South Carolina by the beach | Registered: Jun 2005  |  IP: Logged | Report this post to a Moderator
lymelady
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Lyme can affect the vagus nerve which is the one that controls swallowing (don't remember what number nerve it is)
so your assumption could very well be right
LL


Posts: 484 | From Fredericksburg, Va USA | Registered: Sep 2004  |  IP: Logged | Report this post to a Moderator
Mathias
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Isn't your swallowing problem enough proof? I sure wouldn't want an EMG/NCV done on my face.
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lymeloco
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I had difficulty swallowing last year.
Had barium swallow, upper endoscopy, and everything was fine!

Mine was so bad, I had to take liquid antibiotics.

I was told it's from the lyme. I don't have it anymore. I do believe it's the vagus nerve. Not sure, but maybe the 6th cranial nerve.

Good luck!


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lymeloco
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Sorry, I stand to be corrected, it's the 10th cranial nerve.
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homelandstockfarm
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An interesting site on cranial nerves and where they originate in the brain.
http://www.mult-sclerosis.org/cranialnerves.html

WV Hillbilly


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andie-ws
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Dear I Have Lyme etc,

That sounds lousy, hope he comes up with a solution to make you more comfortable!

Probably the 9th, possibly the 10th cranial nerve:

See: as per TC's very informative post:

Check the list and match it with your symptoms if neuro Lyme is your problem. It will indicate which nerve has been affected.

Cranial nerves: Nerves that emerge from or enter the skull (the cranium), as opposed to
the spinal nerves which emerge from the vertebral column. Cranial nerves come directly from the brain through the skull. There are 12 cranial nerves each of which is accorded a Roman numeral and a name:
Cranial nerve I: The olfactory nerve, Cranial nerve II: the optic nerve,
Cranial nerve III: the occulomotor nerve, Cranial nerve IV: the trochlear nerve, Cranial nerve V: the trigeminal nerve, Cranial nerve VI: the abducent nerve, Cranial nerve VII: the facial nerve,
Cranial nerve VIII: the vestibulocochlear nerve,
Cranial nerve IX: the glossopharyngeal nerve,
Cranial nerve X:the vagus nerve,
Cranial nerve XI: the accessory
nerve, and
Cranial nerve XII: the hypoglossal nerve.
The cranial nerves are nerves of the brain.


Cranial nerve I: The cranial nerves emerge from or enter the skull (the cranium), as
opposed to the spinal nerves which emerge from the vertebral column. There are twelve
cranial nerves.
The first cranial nerve is the olfactory nerve which carries impulses for the sense of smell from the nose to the brain.
The word "olfactory" comes from the Latin "olfactare", to sniff at and "olfacere", to smell.

Cranial nerve II: The second cranial is the optic nerve, the nerve that connects the eye
to the brain and carries the impulses formed by the retina -- the nerve layer that lines the back of the eye, senses light and creates the impulses -- to the brain which interprets them as images.
In terms of its embryonic development, the optic nerve is a part of the central nervous
system (CNS) rather than a peripheral nerve.
The word "optic" comes from the Greek "optikos", pertaining to sight.
Aside from the optic nerve, the eye has a number of other components. These include the
cornea, iris, pupil, lens, retina, macula, and vitreous.

Cranial nerve III: The third cranial nerve is the oculomotor nerve.
The oculomotor nerve is responsible for the nerve supply to muscles about the eye:
The upper eyelid muscle which raises the eyelid; The extraocular muscle which moves the eye inward; and The pupillary muscle which constricts the pupil.
Paralysis of the oculomotor nerve results in drooping eyelid (ptosis), deviation of the
eyeball outward (and therefore double vision) and a dilated (wide-open) pupil.

Cranial nerve IV: The fourth cranial nerve, the trochlear nerve, is the nerve supply to
the superior oblique muscle of the eye, one of the muscles that moves the eye. Paralysis
of the trochlear nerve results in rotation of the eyeball upward and outward (and,
therefore, double vision).
The trochlear nerve is the only cranial nerve that arises from the back of the brain stem and it follows the longest course within the skull of any of the cranial nerves.

Cranial nerve V: The fifth cranial nerve is the trigeminal nerve.
The trigeminal nerve is quite complex. It functions both as the chief nerve of sensation for the face and the motor nerve controlling the muscles of mastication (chewing). Problems with the sensory part of the trigeminal nerve result in pain or loss of sensation in the face. Problems with the motor root of the trigeminal nerve result in deviation of the jaw toward the affected side and trouble chewing.
The term "trigeminal" comes from the Latin "trigeminus" meaning "threefold," referring to the three divisions (ophthalmic, maxillary and mandibular) of this nerve.

Cranial nerve VI: The sixth cranial nerve is the abducent nerve. It is a small motor
nerve that has one task: to supply a muscle called the lateral rectus muscle that moves the eye outward. Paralysis of the abducent nerve causes inward turning of the eye (internal strabismus) leading to double vision.
The word "abducent" comes from the Latin "ab-", away from + "ducere", to draw = to
draw away. The abducent (or abducens) operates the lateral rectus muscle that draws the eye toward the side of the head. The abducent nerve is also called the abducens nerve.

Cranial nerve VII: The facial nerve is the seventh cranial nerve.
The facial nerve supplies the muscles of facial expression. Paralysis of the facial nerve causes a characteristic picture with drooping of one side of the face, inability to wrinkle the forehead, inability to whistle, inability to close the eye
and deviation of the mouth toward the other side of the face. Paralysis of the facial nerve is called Bell's palsy.

Cranial nerve VIII: The eighth cranial nerve is the vestibulocochlear nerve.
The vestibulocochlear nerve is responsible for the sense of hearing and it is also pertinent to balance, to the body position sense. Problems with the vestibulocochlear nerve may result in , (ringing or noise in the ears), vertigo and vomiting.


Cranial nerve IX: The ninth cranial nerve is the glossopharyngeal nerve. The 12 cranial
nerves, the glossopharyngeal nerve included, emerge from or enter the skull (the
cranium), as opposed to the spinal nerves which emerge from the vertebral column.
The glossopharyngeal nerve supplies the tongue, throat, and one of the salivary glands (the parotid gland). Problems with the glossopharyngeal nerve result in trouble with taste and swallowing.
"Glosso-" comes from the Greek "glossa", the tongue and "pharynx" is the Greek for
throat. So the glossopharyngeal nerve is the nerve that serves the tongue and throat.

Cranial nerve X: The tenth cranial nerve, and one of the most important, is the vagus
nerve. All twelve of the cranial nerves, the vagus nerve included, emerge from or enter
the skull (the cranium), as opposed to the spinal nerves which emerge from the vertebral
column. The vagus nerve originates in the medulla oblongata, a part of the brain stem.
The vagus nerve is a remarkable nerve that relates to the function of numerous structures in the body. The vagus nerve supplies nerve fibers to the pharynx (throat), larynx (voice box), trachea (windpipe), lungs, heart, esophagus and most of the intestinal tract (as far
as the transverse portion of the colon). And the vagus nerve brings sensory information
back from the ear, tongue, pharynx and larynx. The term "vagus" (Latin for "wandering") is apt because the vagus nerve wanders all the
way down from the brainstem to the colon, a long wandering trek. Complete interruption of the vagus nerve causes a characteristic syndrome. The back part of the palate (the soft palate) droops on that side. The capacity to gag (the gag reflex) is
also lost on that side. The voice is hoarse and nasal. The vocal cord on the affected side is immobile. The result is dysphagia and dysphonia (trouble swallowing and trouble
speaking).
One of the best known branches of the vagus nerve is the recurrent laryngeal nerve. After
leaving the vagus nerve, the recurrent laryngeal nerve goes down into the chest and then loops back up to supply the larynx (the voice box). Damage to the recurrent laryngeal
nerve can result from diseases inside the chest (intrathoracic diseases) such as a tumor or an aneurysm (ballooning) of the arch of the aorta or of the left atrium of the heart. The consequence is laryngeal palsy, paralysis of the larynx (the voice box), on the affected side. Laryngeal palsy can also be caused by damage to the vagus nerve before it gives off the recurrent laryngeal nerve.

Cranial nerve XI: The eleventh cranial nerve is the accessory nerve. The accessory is
so-called because, although it arises in the brain, it receives an additional (accessory) root from the upper part of the spinal cord.
The accessory nerve supplies the sternocleidomastoid and trapezius muscles. The sternocleidomastoid muscle is in the front of the neck and turns the head. The trapezius muscle moves the scapula (the wingbone), turns the face to the opposite side, and helps pull the head back.
Damage to the accessory nerve can be isolated (confined to the accesssory nerve) or it may also involve the ninth and tenth cranial nerves which exit through the same opening (foramen) from the skull . Accessory neuropathy (nerve disease) can sometimes occur and recur for unknown reasons. Most patients recover. Paralysis of the accessory nerve prevents rotation of the head away from that side and
causes drooping of the shoulder.

Cranial nerve XII: The twelfth cranial nerve is the hypoglossal nerve.
The hypoglossal nerve supplies the muscles of the tongue. (The Greek "hypo-", under and
"-glossal" from "glossa", the tongue = under the tongue).
Paralysis of the hypoglossal nerve affects the tongue. It impairs speech (it sounds thick) and causes the tongue to deviate toward the paralyzed side. In time, the tongue diminishes in size (atrophies).

Hope you feel better soon.
Keep us posted.

andie, jc & julie


Posts: 278 | From weston,ct.usa | Registered: Aug 2004  |  IP: Logged | Report this post to a Moderator
I Have Lyme Etc
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Thanks everyone for the information and input.. While I do have GERD, Gastritis and a Hiatal Hernia all which can cause the swallowing difficulty Im having I also feel it's a 2 fold problem. Part Digestive part lyme but it's kind of like which came first the chicken or the egg? So I've decided with the help of my MD I'm going to attack this from both sides.. Acid reducing treatment plus Lyme treatment. I've been without an LLMD for 3 yrs now and finally have an MD who is from South NJ and he is very much open to learning how to help me.. I gave him the paper on The Cranial Nerves that TinCup posted. Thank you TC..And he said he believes fully I could have some cranial nerve involvement here going by my symptoms which when looking at that paper seems more than one nerve may be affected and hes also asked me to get him the guidelines from ILADS as well as ILADS information. So I guess a step at a time.. Thank you all so much..

------------------
"It is not genius, nor glory, nor love that reflects the greatness of the
human soul.....it is kindness..."


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lou
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oops, duplicate post

[This message has been edited by lou (edited 14 August 2005).]


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lou
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It was suggested to me that my swallowing problems might be caused by "silent GERD" and so I was tested for H. pylori. The test was positive, but then many people have antibodies to this and don't need treatment.

Not sure what to do at this point. It could be lyme/cranial nerve or GERD with or without H. pylori. Maybe taking a bunch of pills has irritated my GI tract. As usual, I'm in a quandary.

If it is active H. pylori, why no stomach problems too? If it needs treatment, seems like it will be resistant to a whole lot of meds because some of same drugs used for lyme as for H. pylori.


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I Have Lyme Etc
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hi Lou
I just had an upper endoscopy about 3 weeks ago.. Biopsies were taken and found to be normal including for H Pylori which came back negative.. So like you, at this point I"m not sure what is causing what...

------------------
"It is not genius, nor glory, nor love that reflects the greatness of the
human soul.....it is kindness..."


Posts: 209 | From South Carolina by the beach | Registered: Jun 2005  |  IP: Logged | Report this post to a Moderator
   

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