A 61 year old man presents with acute diplopia, difficulty moving his right arm, a left third nerve palsy, and right-sided ataxia. Which of the following is the most likely diagnosis?
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الإجابة: B. Left midbrain infarct
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5. Acute Ischemic Stroke.pdf · p. 3
An ipsilateral CN III palsy with contralateral weakness and ataxia is a midbrain syndrome (Weber + Claude = Benedikt). The third nerve palsy is on the left and the limb signs are on the right, so the lesion is in the left midbrain.
- A right midbrain lesion would give a right CN III palsy.
- A hemispheric infarct does not cause a third nerve palsy.
- A pontine lesion affects CN VI/VII, not CN III.
- المصدر
- 5. Acute Ischemic Stroke.pdf · p. 3
Basics of Neurology-Ali Rawas.pdf · p. 45 - المحاضرة
- Weakness: TIA & Stroke · Neurology · Module C
- ظهر في
- MED42 ♀ EOM C