Dr. Stephens lesion names

Question 1

Millard-Gubler

Answer 1

A6H + 7

Question 2

Syndrome of foville

Answer 2

A6H + ML

CBT messed up too- X, XII ipsilateral

Question 3

Alternating trigeminal hemiplegia with dorsal expansion

Answer 3

A5H + ML

CBT messed up too- VII, X, XII contralateral

Question 4

Weber syndrome

Answer 4

A3H

CBF too- VII, X, XII contralateral

Question 5

Lateral medullary syndrome, wallenburg’s syndrome, syndrome of PICA

Answer 5

A5H (pain/temp) + SL

Loss pain and temp one side of face and other side of body is the key*

Question 6

Cerebellopontine angle (CPA) syndrome

Answer 6

A7H + 8 + lateral medullary syndrome

Cerebellar peduncle involvement too- ataxia

Question 7

Benedikt’s syndrome

Answer 7

A3H + ML + SL red nucleus + superior cerebellar peduncle

Red nucleus/peduncle- ipsilateral oculomotor palsy, contralateral tremor, ataxia, chorea

Everything lining up to go to brain- where lesion hit

Question 8

Parinaud’s syndrome

Answer 8

Superior colliculus (can’t look up) lesion, pineal tumor, Varix great v of Galen

Loss consensual light reflex poss too

Question 9

Thalamic syndrome (Dejerine-Roussy syndrome)

Answer 9

Thrombus of post choroidal of thalamogeniculate branches of PCA.

Crawling ants, neglect