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17 Cards in this Set

  • Front
  • Back

Inter nuclear opthalmopelegia

When medial longitudinal fasiculus is injured



Or MLF syndrome



The ipsilateral eye is unable to add addict in the opposite eye has horizontal nystagmus when it abducts

Pic of inter nuclear opthalmopelegia

Back (Definition)

What 2 cranial nerves involved in interopthalmopelgia

6 and 3

Trochlear nerve muscle

Superior oblique


Downward


Intortion

Trochlear nerve muscle

Superior oblique


Downward


Intortion

Trochlear

Intortion 12 o'clock turns in toward nose

Trochlear injured eye twists

Into extortion as can't intort

Trochlear injured eye twists

Into extortion as can't intort

Which way do patients tilt head to improve diplopia if right trochlear nerve injured

Tilt to right - dr najeeb

Trochlear injured eye twists

Into extortion as can't intort

Which way do patients tilt head to improve diplopia if right trochlear nerve injured

Tilt to right - dr najeeb

Why trochlear nerve injury keep chin tucked

If keep eyes up eye works better as injured eye can't look down

When is best time to check sup oblique

When adducted looking at nose in that case it is only muscle that moves eye downward otherwise inf recrudescence also helps

MLF connects eye muscles

Med and lat rectus so can coordinate conjugate gaze

Sup rectus

Look up

Sup rectus

Look up

Inf rectus

Look down