With a fourth nerve palsy you would expect the patient have Diplopia when..
Causing issues when..
Looking down or contralaterally to the good eye (may not be an obvious palsy visually)
Difficult walking downstairs and reading
Most common cause of unilateral 4th nerve palsy
And bilateral?
Unilateral - micro assaults disease I.e. Hypertension or diabetes
May also be congenital but presents late
Bilateral - closed head trauma
3rd nerve palsy presents with..
Commonly caused by..?
Ptosis and dilated, unresponsive pupil plus horizontal and vertical diplopia
Causes - intracranial aneurysm (post communicating), microvascular infarct, trauma, herniation, tumor
UMN signs in left leg with loss of vibration and propriocetion but loss of pain and temp on right leg indicates
Brown sequard syndrome (Hemi section lesion of spinal cord)
Weakness of the right side of the face with UMN signs of left side of body indicates..?
Right brainstorm lesion
