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D
lesion?
C
B
A
Two pathways?
SPINAL LEVEL C2
F
D
C
B
A
Know These!!!!
E
F
E
D
B
C
Know These!!!!
A
C
D
G
H
E
B
A
Know These!!!!
F
Would you know that
the upper is an MRI
of the medulla
“approximately” at
level 3? Do you know
that this is the
cerebellum?
What side is
the lesion on?
Deficits from
lesion (white
area)?
LATERAL
MEDULLARY
SYNDROME?
ARTERY=PICA?
Arrow=?
F
D
E
B
G
H
C
KNOW
A
THESE!
FLIP THIS AND
COMPARE
KNOW PYRAMID!!!
D
E
A
LL
I
F
B
FAB 4
G
KNOW THESE!
TRAP BODY
C
PONS LOOKS
“SQUARISH”
Cell bodies?
Origin of
axons?
Chief? mm
Fab 4
or Fab 5?
Does lesion affect gag ref?
Contains sensory fibers, motor
Fibers, or both?
Does big lesion cause uvula deviation
Side of hemiplegia?
Lesion effects?
Cell bodies?
Terminations?
Lesion= problems with the uvula?
Tongue? Face?
Lesion effect?
Cell bodies?
Components Fab 4?
What’s in TTT?
SCP
Cell bodies?
Head rotation?
Head tilt?
Atrophy?
Cell bodies
Termination
Effect lesion?
Hemiplegia? Facial weakness?
Uvula deviation? Tongue atrophy?
Jaw deviation?
Lesion effect?
Cell bodies?
Cell bodies?
Terminations?
Lesion effects?
Components Fab 4?
What’s in TTT?
C
Connects
What with what?
D
Lesion effect?
Cell bodies?
Components of
Fab 4?
What’s in TTT?
B
A
Hemiplegia? Facial weakness?
Uvula deviation? Tongue atrophy?
Jaw deviation?
CEREBRAL
PEDUNCLE
CAN YOU SEE
THE DUBER?
Superior or
Inferior colliculus?
How do you know?
CEREBRAL PEDUNCLE
B
A
Cell bodies
Termination
Effect lesion?
Where is Fab 4?
C
D
Hemiplegia? Facial weakness?
Uvula deviation? Tongue atrophy?
Jaw deviation?
Effects of lesions?
5m 5s
7m
PONS
7i
8a
8v
9
6
OLIVE
PYRAMID
11
12
10
PONS
I
E
J
G
H
A
B
C
D
What do you know about each nerve at this time?
F
RIGHT VERSUS LEFT? EFFECTS
OF LESIONS-PATHWAYS IN EACH
POSSIBLE SITES FOR LESION?
?
?
CEREBRAL OR CEREBELLAR?
?
A?
Space?
Bump?
Space?
A?
Artery?
Nerve?
PONS=
SQUARISH
SCHWANNOMA OF CN 8
PROBLEMS?
DEFICITS IN PATIENT WITH BRAIN ON LEFT?
WHERE COULD THE LESION BE?
LESION OF WHAT? HINT
CERVICAL, THORACIC, LUMBAR OR SACRAL?
WHY?
Would a lesion in
this part of the brain
result in facial
weakness?
Can she wrinkle her forehead
on the right?
“Central 7”=lesion of
corticobulbars to 7 (in the
CNS)
“Peripheral 7”=lesion to CN
7
Where is the lesion?
Uni- or bilateral?
Name of syndrome?
Think about where the lesion could be!
Could the state of the
face be a hint as to the location?
PLEASE!!!!
WHAT IS A CISTERN
C
B
A
E
D