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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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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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