Eye Movements Flashcards
extorsion v intorsion
extorsion- upper portion of eye approaches temporal region
intorsion- upper portion of eye approaches nose
every movement above or below the horizontal plane involves at least 2 muscles
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muscles involved in up and down gaze
upgaze:
superior rectus
inferior oblique
downgaze:
inferior rectus
superior oblique
superior rectus actions
elevate, intort, adduct
inferior oblique actions
elevate, extort, abduct
inferior rectus actions
depress, extort, adduct
superior oblique actions
depress, intort, abduct
how do you test the individual eye muscles
lateral and medial rectus- just have eyes move horizontally
during adduction- vertical movement tests inferior and superior oblique
during abduction- vertical movement tests inferior and superior rectus
where do the cranial nerves controlling eye movements emerge from the brain
CN3- interpenduncular fossa
CN4- dorsum of brainstem
CN6- medullary/pontine junction
which CN crosses the midline and innervates contralaterally
trochlear innervates contralateral superior oblique
CN3
somatic efferent innervation of medial, inferior, superior rectus, and inferior oblique
somatic innervation of levator palpebrae superioris
parasympathetics for accomodation
edinger-westphal nucleus
parasympathetic nucleus in brainstem that is the preganglionic portion of the chain for accomodation
compression of CN3 results in what first?
pupillary dilation- parasympathetics are on the outside of the nerve, and when it gets compressed, those fibers are lost first
how do CN3, 4, 5, and 6 traverse the cavernous sinus
3, 4, 5 thru the lateral wall
6 thru the center
extraocular motor neuron activity
contain a tonic activity. abduction increases firing rate and adduction decreases firing rate. at the new position, there is a new resting tonic level of activity