Ocular Changes in Increased ICP Flashcards

1
Q

damage to the diencephalon

A

small reactive

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2
Q

damage to III nerve (uncal)

A

dilated, fixed

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3
Q

damage to the midbrain

A

midposition, fixed

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4
Q

damage to the medulla

A

marked dilated, fixed

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5
Q

damage to the pons

A

pinpoint

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6
Q

tectal damage

A

large “fixed,” hippus

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7
Q

CN III compression

A
  • anisocoria
  • SL or NR to light
  • inability to move eye upward
  • ptosis
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8
Q

CN II compression

A

papilledema

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9
Q

Oculocephalic Reflex (Doll’s Eye)

brainstem intact

A

eyes move opposite to head

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10
Q

Oculocephalic Reflex (Doll’s Eye)

brainstem damage

A

unilateral reflex

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11
Q

Oculocephalic Reflex (Doll’s Eye)

major brainstem lesion

A

no reflex

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