Gaze disorders

If there was a lesion to the abducens nerve, this would affect
Ipsilateral LR only
Ipsilateral LR and contralateral MR
A Px comes in and you do ocular motility to find that there is a complete loss of conjugate eye movements on the right side. Vergence is intact. The eyes do not pass the midline on a left headturn with VOR. What kind of lesion does this indicate?
Left abducens nucleus lesion
Left PPRF lesion
Right PPRF lesion
Right abducens nucleus lesion
An ipsilateral facial palsy is often seen with which of the following lesions?
PPRF lesion
Abducens nucleus lesion
A PPRF lesion eliminates the pulse and step which results in
Loss of saccades to the side of the lesion
Loss of smooth pursuits to the side of the lesion
Potentially both
One and a half syndrome occurs when there is lesions to
Abducens nucleus & MLF
MLF only
PPRF & MLF
A or C
The only remaining eye movement in one and a half syndrome is:
ADDuction of the ipsilateral eye
ABDuction of the contralateral eye
ABDuction of the ipsilateral eye
ADDuction of the contralateral eye
Select 2 of the following: an acute lesion to the FEF (cortical lesion) causes
Ipsilateral gaze deviation
Contralateral gaze deviation
Contralateral abolition of saccades
Ipsilateral abolition of saccades
Cortical lesions can be overcome:
True
False
INOs are caused by damage to
PPRF
FEF
MLF
RiMLF
A Px presents and you notice on ocular motility that when looking to the right, there is a nystagmus in the RE and a slight lag in the LE. What is this?
Cortical lesion (FEF)
PPRF lesion
MLF lesion (INO)
Abducens nucleus lesion
If in and INO, the LE is lagging and the RE has an abduction nystagmus when looking to the right, what side is the lesion on?
Right
Left
Vergence often remains intact in INOs. When vergence is lost, this is known as?
WEBINO
WEDINO
WEBIDO
WELINO
Vertical saccades are controlled by the
RiMLF
InC
Vertical smooth pursuits are controlled by
RiMLF
InC
Projections to the riMLF and inC are the same for up and down gaze
True
False
Supranuclear gaze palsy will NOT cause
Not able to elevate eyes with saccades
Presence of downward saccades (not full)
Colliers sign
Abolition of vertical VOR
Failure of upgaze, convergence-retraction nystagmus and enlarges pupils is a sign of
Unilateral INO
Dorsal midbrain syndrome
Supranuclear palsy
One and a half syndrome
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