ASMR Trigeminal Nerve Examination | Cranial Nerve Exam

[00:00:07]Hello lovely.

[00:00:09]How are you?

[00:00:10]Good. Nice to meet you. I'm Dr. Nicola, one of the neurologists here at the clinic.

[00:00:18]I'll be carrying out your cranial nerve exam today and I will be focusing on your trigeminal nerve. So that's anything to do with your face. Okay, great. So, let's get straight into the exam. What I'd like you to do is just relax for me. Don't make any expression and just blink normally. All right. I'm going to observe your face at rest.

[00:00:46]Okay.

[00:03:16]Okay.

[00:03:19]So, your face is very symmetrical.

[00:03:23]Everything is in proportion as it should be. You do have some strong features, but that's a good thing. Okay.

[00:03:32]Everything looks perfect. There's no abnormalities at all. Okay? You don't have any hooded eyelids. There's no drooping going on. And there's nothing where it shouldn't be. All right, my lovelies. So, everything looks perfect.

[00:03:48]I've got no concerns with your face at rest. All right. Now, in a moment, I'm going to get you to do some expressions for me. All right. But before that, can you just tell me if you've had any Botox or fillers?

[00:04:04]What about any faceelifts?

[00:04:07]Any nose jobs?

[00:04:10]Any procedures on your lips?

[00:04:13]Wonderful. Okay. Now, with your brows, do you have anything done to them?

[00:04:21]Okay. Wonderful.

[00:04:24]So, now can you frown for me and hold it?

[00:04:44]Relax.

[00:04:46]Frown.

[00:04:48]Relax.

[00:04:49]Frown.

[00:04:51]Relax.

[00:04:53]Frown.

[00:04:56]Relax. Thank you.

[00:04:59]Could you raise your brows and hold it? Thank you.

[00:05:21]Relax and raise your brows. Hold it.

[00:05:29]Okay, relax, raise, relax, raise, relax, raise, relax. Thank you.

[00:05:44]You're looking good.

[00:05:49]Okay, now could you close your eyes for me? Thank you.

[00:06:12]and open close open close open close really really tight and hold it.

[00:06:24]Thank you.

[00:06:40]And you can open now. Can you smile? Thank you.

[00:06:49]Just hold it there.

[00:07:03]Relax.

[00:07:04]Smile.

[00:07:06]Relax.

[00:07:07]Smile.

[00:07:09]Relax. Now smile really big. That's it.

[00:07:14]Hold it there.

[00:07:16]Relax.

[00:07:26]Now smile big again. Relax again.

[00:07:32]Relax again.

[00:07:35]Relax. Thank you.

[00:07:40]Now, can you show me your teeth like that? Thank you.

[00:07:52]Okay.

[00:07:55]All right. Relax now. Show me your teeth. Relax.

[00:08:00]Teeth.

[00:08:02]Relax. And teeth.

[00:08:05]And relax. Thank you.

[00:08:12]Okay. Now, can you puff out your cheeks for me and hold it? Thank you.

[00:08:29]Relax.

[00:08:32]Puff them out.

[00:08:34]Relax. Out.

[00:08:37]Relax.

[00:08:39]Out.

[00:08:40]And relax. Good job.

[00:08:44]Now, can you pout for me and hold it?

[00:08:47]Thank you.

[00:09:00]Relax.

[00:09:01]Pout. Relax. Pout.

[00:09:05]Relax. Pout.

[00:09:09]Relax. Good job.

[00:09:15]Wonderful.

[00:09:20]All looking good. Okay. Everything's moving as it should and there's nothing abnormal when you're doing any of those movements. So, that's really good to see.

[00:09:30]Okay.

[00:09:33]When you were doing any of those movements, did you feel any pain, discomfort, numbness, tingling? Okay.

[00:09:40]Good.

[00:09:43]Great job.

[00:09:47]All right, that's fine.

[00:09:51]So, what I'd like you to do, and this is going to probably be a little bit silly, but if you could just talk. So, say something, anything at all. I'm not judging what you're saying. I just want to assess you as you talk. Okay? So, think of something that you would like to talk about. Maybe you live at home with, you know, whether you got any animals and things like that. Okay. When you're ready, wonderful. Keep going.

[00:10:31]Great stuff. Oh, that's that's nice.

[00:10:35]Yeah. Oh, lovely.

[00:10:38]Oh, that's good. I'm glad to hear that.

[00:10:41]Okay.

[00:10:45]That's all that.

[00:10:47]Right. So, Okay, good.

[00:11:19]Okay, so now in a moment I want you to close your eyes. Okay.

[00:11:34]Right. If you could close your eyes for me. All right. I want you to tell me if you can feel me touch your face. Okay.

[00:11:44]Can you feel that? Okay. What about that?

[00:12:02]Okay, keep your eyes closed and tell me what does it feel like?

[00:12:06]Okay.

[00:12:08]Okay. What about now? Can you feel it still?

[00:12:12]Does it feel the same or does it feel different?

[00:12:22]Okay, great stuff.

[00:12:24]Now, can you feel that?

[00:12:41]Mhm.

[00:12:56]and can you feel all of it? Great. Now, what does it feel like? Okay.

[00:13:03]Right. So, could you tell the difference between those two objects? You could.

[00:13:09]Great. So, keeping your eyes closed, tell me when I touch your face.

[00:13:26]Mhm.

[00:13:38]Okay. So you could feel all that. Tell me how did it feel. Now if you could tell me if it's sharp or dull. Okay.

[00:13:49]Sharp or dull.

[00:13:53]Sharp.

[00:13:57]Sharp.

[00:14:01]Sharp.

[00:14:04]Sharp.

[00:14:07]Okay. Okay. And I'm going to continue.

[00:14:11]Yes. Good job.

[00:14:19]Mhm.

[00:14:33]Great job.

[00:14:59]Great job.

[00:15:13]Keeping your eyes closed, I want you to tell me if you can feel this.

[00:15:22]Okay. What did it feel like? Mhm. What about now?

[00:15:28]And does it still feel the same? Okay.

[00:15:30]So, tell me when you can feel it on you.

[00:16:00]Great job. Keep your eyes closed.

[00:16:06]Okay, now this one is going to feel a little bit strange. Okay, I'm not going to tell you what the sensation is going to feel like, but when it happens, tell me if you can feel it and what it feels like. Okay.

[00:16:26]Okay. Yes, that's correct. You did jump a little bit there. I do apologize. So, that is the sensation that you're going to get and I want you to tell me when you can feel it. All right.

[00:16:40]If you can close your eyes. Thank you.

[00:16:49]Good job.

[00:16:58]Yep.

[00:17:34]Great job.

[00:17:36]can open your eyes a moment. Just going to short a couple of notes.

[00:17:50]So, when the last object was touching your face, how did it feel? Yeah. Okay.

[00:17:56]And did it feel pretty even all over?

[00:18:00]Okay. Good.

[00:18:19]Okay, that's good.

[00:18:34]Okay. Now, I need you to close your eyes for me. Okay.

[00:18:40]So, I'm going to touch your face with these two objects. Okay. I want you to tell me what you feel. Okay. First one, how does it feel to you?

[00:18:54]Okay. Second one.

[00:18:57]How does that feel? Great job. Yeah. So, one's dry and one's wet. Wonderful. Now, you said they're both quite soft. Would you still be in agreement with that?

[00:19:09]Okay. They are both soft, but the one is softer and warmer and dry, and the other one is soft, wet, and cooler. All right.

[00:19:22]So tell me when I touch your face with either one. Okay. Tell me which you feel.

[00:19:37]Great job.

[00:20:01]Yep.

[00:20:16]Great job. You can open your eyes.

[00:20:20]Just make sure your face dries before we carry on. Okay.

[00:20:45]Okay. Close your eyes.

[00:21:01]Okay.

[00:21:05]So, keep your eyes closed for me. Now, I want you to tell me how this object feels. Okay. So, it may make you jump.

[00:21:19]And how does it feel? It does. It feels very cold and soft. That's correct. And what about this one?

[00:21:29]Feel hard and warm. So, what I'd like you to tell me is if it's cool or warm.

[00:21:37]All right. You ready?

[00:21:41]Yep.

[00:21:48]Good job.

[00:21:54]Mhm.

[00:21:57]Mhm.

[00:22:20]Great job.

[00:22:22]You could clearly feel the difference.

[00:22:24]So, that's really good. Now, I just need your face to calm down now so it becomes an even temperature. All right. So, I'm just going to jot some notes whilst that happens.

[00:22:48]Okay. So, just making sure your face is at an even temperature. I'm just going to get you to do a couple of things.

[00:22:56]Okay. So, if you could just blink normally for me.

[00:23:05]Okay. Can you blink really fast?

[00:23:13]Okay. And try to bring really slow.

[00:23:19]Yep.

[00:23:21]Okay. And now just bring normally.

[00:23:27]Okay. Now I want you to try not to blink.

[00:23:37]Six. Good try.

[00:23:40]And try not to blink.

[00:23:47]Six. Seven. Good attempt. Well done.

[00:23:51]Just blink normally.

[00:23:55]Okay. So, what I'm going to do now is I want you to blink when I say blink.

[00:24:01]Blink.

[00:24:03]Blink.

[00:24:05]Blink blink blink blink blink blink blink blink blink blink blink blink blink blink blink blink blink blink blink blink now can you try and wink with that eye Try and try and wink with that eye.

[00:24:36]Good try. Now, I'm going to get you to wink. When I say wink, please pick your eye that you want to wink with. Okay.

[00:24:46]Wink wink wink wink wink wink wink wink wink wink wink. Good try. Wink wink wink wink wink wink wink. Excellent. Now, let's put them together. All right.

[00:25:15]Blink.

[00:25:17]Blink.

[00:25:20]Wink.

[00:25:22]Wink.

[00:25:24]Blink.

[00:25:26]Blink.

[00:25:28]Blink. Blink.

[00:25:30]Wink wink wink blink blink blink wink wink blink wink wink wink good try blink blink blink wink wink well done not bad overall my lovely okay excellent And okay, I want you to tell me now if it feels the same or not. Okay. So, does that feel the same as that?

[00:26:15]That that that.

[00:26:20]Okay.

[00:26:25]Okay, that good. So, it all feels the same.

[00:26:33]Perfect.

[00:26:35]Let me just get some more of that.

[00:26:41]Okay.

[00:26:46]Okay. Now, could you open your mouth for me and hold it?

[00:26:54]Close.

[00:26:56]Open.

[00:26:58]Close.

[00:27:00]Now open really wide for me.

[00:27:03]Close.

[00:27:05]Open.

[00:27:06]Close. Open. Close. Open. Close. Great job. Now, can you make a chewing action?

[00:27:16]Mhm. Now, can you move your jaw side to side for me? That's it. Like that.

[00:27:26]Okay, relax.

[00:27:38]Okay.

[00:27:44]Would you mind just tilting your head back a little bit and relax?

[00:27:52]Okay, wonderful.

[00:28:02]Looks all good to me. Your function is wonderful. And your face is moving as it should.

[00:28:12]All right. It's nice and smooth, which is really good to see.

[00:28:25]Okay. So, I'm just going to feel along your jaw and your face. Okay.

[00:28:34]Okay.

[00:28:38]Okay. Can you tense your jaw?

[00:28:41]Any pain or discomfort?

[00:28:46]Okay. You can relax.

[00:28:49]Chew for me.

[00:28:53]Okay, wonderful. Open your mouth. Close.

[00:28:58]Open. Close. Good job.

[00:29:12]Face feels okay.

[00:29:16]Can't feel any lumps or anything.

[00:29:34]Feels fine.

[00:29:42]Great.

[00:30:16]Okay. Wonderful.

[00:30:23]So, that is the examination complete and I'm happy to tell you that everything is working as it should. All right, my lovely. No concerns at all. All right.

[00:30:36]You're very welcome. It's lovely to meet you. I will write up the report and send it to you. Okay, my lovely. You're very welcome. You take care now. Bye-bye.