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Old 11-20-2003, 02:24 PM
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Eye lesion Qs.

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What kind of eye lesion would you see in a patient with uncal herniation?
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Old 11-20-2003, 04:15 PM
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my guess

uncal herniation: as uncus is medially forced, ipsilateral CN III is compressed producing pupilary dilation , ptosis , and as the process progresses pyramidal tract is involved, with consequent controlateral hemiplegia . Further progression will compress brain stem leading to respiratory and cardiac arrest .


ref: erwize.com
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Old 11-21-2003, 02:22 AM
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re

earlest sign: light fixed dilated pupil.

then, progress as step 1 said.
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