Science topic

Oculomotor Muscles - Science topic

The muscles that move the eye. Included in this group are the medial rectus, lateral rectus, superior rectus, inferior rectus, inferior oblique, superior oblique, musculus orbitalis, and levator palpebrae superioris.
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In your clinical or research experience: What is the variable that most impacts according to patient reports or clinical tests in a patient with vestibular disorder (peripheral or central) vertigo, dizziness, visuovestibular alterations, or instability? According to you, what could it be due to?
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What is the variable that most impacts according to patient reports or clinical tests
Patient reports are always of prime importance. In our facility we cannot have equipment all the tests / pts may not be able to afford comprehensive tests..so in that situation also patient reports gain importance.
no of episodes, duration of episode and accompanying symptoms are always helpful in making clinical decision. Then one can decide on whether to go with vestibular assessment or radiological.
issue with patient reports is, skill level of the clinician and time it takes to get all relevant information.
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Fig. 14-4 on page 268 of the current edition of Adams and Victors textbook “Principles of Neurology” states " A lesion at the level of the oculomotor nucleus results in homolateral third-nerve paralysis and homolateral anesthesia of the cornea”.
Is this an error and if not, what structures are located in that area that could cause homolateral corneal anesthesia?
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I have looked again at several cross sectional diagrams of the brainstem at the level of the Oculomotror Nuclear Complex and I don't see how a focal lesion at this level would give ipsilateral corneal anesthesia.  Where are the Neuro-ophthalmologists members of researchgate who should be commenting on this?