Neurology: Millard Gubler's and PCA Syndromes

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Questions and Answers

A patient presents with ipsilateral medial squint and facial paralysis, along with contralateral hemiplegia. Which syndrome is most likely?

  • Spinal Lemniscus Lesion
  • Millard-Gubler Syndrome (correct)
  • Acoustic Neuroma
  • Vestibular Neuritis

Progressive deafness and facial paralysis, accompanied by ipsilateral ataxia, are indicative of which condition?

  • Inf Olivary Nucleus lesion
  • Spinal Nu of V lesion
  • Acoustic Neuroma (correct)
  • Millard-Gubler Syndrome

Which anatomical structure's compression leads to the triad of ipsilateral facial paralysis, progressive deafness, and ipsilateral ataxia, typical of Acoustic Neuroma?

  • Facial Nu.
  • Pyramidal Tract
  • Ponto-Cerebellar Angle (correct)
  • Spinal Lemniscus

Damage to which cranial nerve would NOT directly result in ipsilateral facial paralysis?

<p>VIth nerve in Millard-Gubler Syndrome (C)</p> Signup and view all the answers

A lesion affecting the pyramidal tract in Millard-Gubler Syndrome results in which of the following motor deficits?

<p>Contralateral Hemiplegia (D)</p> Signup and view all the answers

Flashcards

Millard Gubler's Syndrome

A neurological condition characterized by ipsilateral facial paralysis and contralateral hemiplegia.

VI Nerve Impact

The abducens nerve, leading to ipsilateral medial squint.

VII Nerve Impact

Facial paralysis on the same side as the lesion.

Ponto Cerebellar Angle Syndrome

Condition involving facial paralysis, deafness, and ataxia due to acoustic neuroma.

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VIII Nerve Impact

The vestibulocochlear nerve, causing ipsilateral progressive deafness.

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Study Notes

Millard Gubler's Syndrome

  • VI nerve: Left or right medial squint
  • VIII nerve: Left or right facial paralysis
  • Pyramidal Tract: Left or right hemiplegia (also known as abducens nerve palsy)

Ponto Cerebellar Angle Syndrome

  • VIIth nerve: Left or right facial paralysis
  • VIIIth nerve: Left or right progressive deafness
  • MCP/ICP: Left or right ataxia

Brain Structures

  • Vestibular Nuclei
  • ICP
  • Nucleus Ambiguous
  • Spinal Nucleus of Vagus nerve (IX, X)
  • Spinal Lemniscus
  • Inferior Olivary Nucleus
  • Olive
  • Pyramid

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