{"id":63,"date":"2017-02-24T12:57:02","date_gmt":"2017-02-24T12:57:02","guid":{"rendered":"http:\/\/neurous.dk\/?page_id=63"},"modified":"2018-01-05T13:19:46","modified_gmt":"2018-01-05T13:19:46","slug":"ix-og-x-nn-glossopharyngeus-og-vagus","status":"publish","type":"page","link":"https:\/\/neurous.dk\/?page_id=63","title":{"rendered":"IX OG X. NN. GLOSSOPHARYNGEUS OG VAGUS"},"content":{"rendered":"<p>Er prim\u00e6rt komponenter i den parasympatiske nervesystem. Nervus glossopharyngeus har parasympatisk innervation af gl. submandibularis og sublingualis. N. vagus innerverer larynx, hjertet, thorakale og abdominale viscera.<\/p>\n<p><strong>Unders\u00f8gelse<\/strong><br \/>\nVurderes ved ganesejlsfunktionen og talen (mange motoriske funktioner innerveres af b\u00e5de IX og X). En ensidig parese g\u00f8r at uvula tr\u00e6kkes mod den raske side n\u00e5r patienten intonerer A. Talen vurderes. \u00c5bent sn\u00f8vl ved insufficient ganesejl. Ensidig n. recurrenceparese giver h\u00e6shed. Dysartri og dysartri kan ses som led i pseudobulb\u00e6r parese. Ensidig ganesejlparese kan ses ved processer p\u00e5 basis kranii og fex lateralt medull\u00e6rt infarkt (Wallenbergs syndrom). Den klinisk vigtigste isolerede l\u00e6sion af N.IX er \u201dtic douloureux of the ninth nerve\u201d (glossopharyngeal neuralgi) med halsidige st\u00e6rke smerter i halsen eller tonsillejet.<\/p>\n<p><iframe loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/249799926\" width=\"1440\" height=\"810\" frameborder=\"0\" title=\"Unders&oslash;gelse af n. glossopharyngeus og n. vagus\" webkitallowfullscreen mozallowfullscreen allowfullscreen><\/iframe><\/p>\n<p>&nbsp;<\/p>\n<span class=\"collapseomatic \" id=\"id6a76ce0d79851\"  tabindex=\"0\" title=\"<strong>L\u00e6sion<\/strong>\"    ><strong>L\u00e6sion<\/strong><\/span><div id=\"target-id6a76ce0d79851\" class=\"collapseomatic_content \">\nVed neurologisk unders\u00f8gelse vurderes ganesejlet (m. levator veli palatini). Ved ensidig l\u00e6sion vil ganesejlet ikke h\u00e6ves n\u00e5r patienten siger \u201dahh\u201d. Grundet tr\u00e6k fra den raske side vil der ses uvuladeviation til den raske side. S\u00e5fremt der er tegn p\u00e5 affektion af ganesejlet kan kl\u00f8gningsrefleksen testes.<\/div>\n<p>&nbsp;<\/p>\n<span class=\"collapseomatic \" id=\"id6a76ce0d79865\"  tabindex=\"0\" title=\"<strong>Kl\u00f8gningsrefleks<\/strong>\"    ><strong>Kl\u00f8gningsrefleks<\/strong><\/span><div id=\"target-id6a76ce0d79865\" class=\"collapseomatic_content \">\nVed at ber\u00f8re bageste ganebuer med en vatpind. Dette testes normal ikke p\u00e5 v\u00e5gne patienter. Patienterne vil ved affektion af ganesejlet ofte berette om at mad og drikke kommer op i n\u00e6sehulen og der h\u00f8res ved tale \u00e5bent sn\u00f8vl.<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Er prim\u00e6rt komponenter i den parasympatiske nervesystem. Nervus glossopharyngeus har parasympatisk innervation af gl. submandibularis og sublingualis. N. vagus innerverer larynx, hjertet, thorakale og abdominale viscera. Unders\u00f8gelse Vurderes ved ganesejlsfunktionen og talen (mange motoriske funktioner innerveres af b\u00e5de IX og X). En ensidig parese g\u00f8r at uvula tr\u00e6kkes mod den raske side n\u00e5r patienten intonererContinue reading &rarr;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-63","page","type-page","status-publish","hentry","no-thumb"],"_links":{"self":[{"href":"https:\/\/neurous.dk\/index.php?rest_route=\/wp\/v2\/pages\/63","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neurous.dk\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/neurous.dk\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/neurous.dk\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/neurous.dk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=63"}],"version-history":[{"count":6,"href":"https:\/\/neurous.dk\/index.php?rest_route=\/wp\/v2\/pages\/63\/revisions"}],"predecessor-version":[{"id":853,"href":"https:\/\/neurous.dk\/index.php?rest_route=\/wp\/v2\/pages\/63\/revisions\/853"}],"wp:attachment":[{"href":"https:\/\/neurous.dk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=63"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}