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Midbrainandpontinesyndromes
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April13at11:14am
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Syndromes
Torsionoftestiscanbedifferentiated
fromepididymoorchitisclinicallyby
elevatingtheaffectedtestis,intorsion
painwillbeaggravatedandin
epididymoorchitis,painwillbe
relieved.
1Like
Weberssyndrome
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Ipsilateral3rdNervepalsywithcontralateralhemiplegia
NothnagelsSyndrome
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1. Duetosuperiorcerebellarpeduncleinjury.
2. Ipsilateral3rdnervepalsywithContralateralcerebellarataxia
BenedictsSyndrome
1. Duetoinvolvementofrednucleus
2. Ipsilateral3rdnervepalsywithcontralateralchorea,tremors,athetosis.
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ClaudesSyndrome
1. CombinationoffeaturesofbenedictsandNothnagelssyndromes.
2. 3rdNpalsywithcontralateraltremorandataxia,nohemiparesis.
Perinaudssyndrome
1.
2.
3.
4.
5.
6.
7.
DorsalMidbrainsydrome
Paralysisofupgaze
PseudoArgyllRobertsonspupils:Lightneardissociation
Skewdeviation
Lidretraction(Collierssign)
Settingsunsign:Downwardoculardeviation
Seeninpinealomas,Obstructivehydrocephalus
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PontineSyndromes
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RaymondCestanSyndrome
1. Upperdorsalpontinesyndrome
2. Ipsilateralataxia,tremor,INO,contalateralhemiparesis
MillardGublerSyndrome
1. Ventralparamedianpontinelesioninvolving6thand7thfasciclesandthepyramidaltract
2. Lateralrectuspalsy
Lateralmedullary
syndrome
Fovillessyndrome
1. LowerpontinetegmentallesioninvolvingPPRF,6thN,7thN,pyramidaltract.
2. Lateralgazepalsypresent
LockedInsyndrome
1. Bilateralpontineinfarction/bleed
2. Quardiplegia,consiousnesspreserved
3. Onlyverticaleyemovementspresent.
Syndromes
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