Stroke

Question 1

Ventral pons
Millard gubler
FSH. Raymond only SH

S I/Lsixth nerve (fascicle)lateral rectus palsy

Dorsal pons
Foville
FSH . S is sixth nerve nuclei - lat gaze palsy

Answer 1

Medulla : vertebral

Medial medulla -
VErt >PICA
Medial leminisci
CST , 12 Th nerve(I/L)

Lateral medulla
Vert> ant spinal
Spth
Sp cbllar 5 , 7 (nts) ,8 , 9,10 , 13

Question 2

Jug foramn 9 10 11

Avelli 10
Scmidt 10 ,11
Jackson 10, 11 , 12

Sicard 9,10,11,12
Villaret above and sympathetics

Answer 2

SOF 3,4,5,6

Orbital apex SOF + 2

Petrous apex : 5,6

CP angle : 8 +/- 5/7/cbllar hemisphere

Question 3

Lesion in Guilin mollare triangle

Palatal myoclonus

Answer 3

Lesion in tegmnetum of
Midbrain

Medial lateral leminisci affected
Cst
Mlf

Contralateral pan sens loss
C/l weakness

Question 4

genu internal capsule lies at the level of f of Munro

Limbic system 
Thalamus
Hypothal
Basal ganglia
Amygdala
Hippo

Answer 4

Paper circuit - emotional
Medial limbic circuit

Cingulate gyrus

Parahippo gyrus
Hippo fornix

Mammillary body

Ant thalamus ———-/-cing gyrus

Question 5

Trochlear action

Down
Intortion
Vertical abduction

Answer 5

Lesion
Rest : hypertropia of affectd eye , goes up

Vertical diplopia
ESP on looking down reading

Corrects with bielchowsky head tilt test

Question 6

Declarative memory
Medial temporal and hippo

Implicit or nondeclarativ
Procedural : BGang frontal

Answer 6

Probabalistic learning
Predicting based on cues
BASAL GANGLIA

priming : recall with associated word
Neocortex

Classical conditioning : based on prev experience- amygdala cerebellum

Question 7

Citalopram hyponatremia

Nortryptoline
Trazadone Sedation

Tca overdose arrhythmias

Arip partial dopa ag. Eps

Answer 7

Phenelzine

nonsel mao inh

Question 8

Weber at level of crus cerebri

Cerebral peduncle CST and 3rd nerve

PCA or top of basilar artery supplies

Answer 8

.claude at level of red nucleus - midbr tegmntm

3 rd nerve and contralateral ataxia

PCA or top of b supplies

Question 9

Artery of Percheron stroke

Answer 9

Altered mentation

Memory impairment

Vertical gaze palsy

Question 10

Weber is at crus
Cst and 3

Benedict at red nuc - 3 and red n

Claude at red nuc - red n and 3 and contralateral sup cbllr peduncle

Answer 10

Nothnagel

Umn 3 and I/l supcbblr peduncle

Question 11

Medial medulla predominantly supplies by

Ant spinal

Answer 11

Lateral medulla

Vertebral > pica > post spinal