Professional Documents
Culture Documents
ed to meridians of
longitude whereas the cranial nerves can be likened to parallels of latitude . To es
tablish the site of brainstem
lesion, you need to detect the point of intersection of the meridians of longitu
de and parallels of latitude. Thus
a medial brainstem syndrome will consist of the deficits of 4 M s and the relevant
motor cranial nerve, and a
lateral brainstem syndrome will consist of the deficits of 4 S s and either the 9 11t
h cranial nerve if in the
medulla, or the 5th, 7th and 8th cranial nerve if in the pons.
Example:
58 years old lady with left hemiparesis, Left side loss of proprioception and ri
ght sided tongue deviation.
1.
Left hemiparesis is associated with deficit of Motor or corticospinal pa
thway of Right side which lies
medially
2.
Left sided loss of proprioception is associated with deficit of medial l
emniscus of Right side which lies
medially
3.
Right sided tongue deviation is associated with deficit of Cranial nerve
12 on Right side which lies medially
in medulla
Diagnosis: Medial medullary syndrome due to lesion in right vertebral artery
Rule of 7s: For Orbit
There are 7 bones, 7 intraorbital muscles and 7 nerves in orbit
*
7 Bones: Frontal, Ethmoid, Lacrimal, Sphenoid, Zygomatic, Palatine, Maxi
lla
*
7 intraorbital muscles: Levator palpebrae, 4 recti (Superior, Inferior,
Medial and Lateral), 2 oblique
(Superior and Inferior)
*
7 orbital nerves: Optic (CN II), Occulomotor (CN III), 3 branches of Opt
halmic nerve (CN V1) Frontal,
Nasociliary, Lacrimal, Abducens nerve (CN VI)
Rule of 9s: Surface area of Skin
Adults:
*
9 % in head and neck
*
9% in each upper limb
*
18% in front of the trunk
*
18% in back of the trunk (including buttocks)
*
18% in each lower limb
*
1% in perineum
Children:
*
18% in head and neck
*
9 % in each limb
*
18% in front of the trunl
*
18% in back of the trunk
*
13.5% in each lower limb
*
1% in perineum
Tags:
Last updated: December 23, 2011
Articles under same category:
*
MBBS Study Guide and Tips : Anatomy
*
Lesions of Upper Motor Neurons and Lower Motor Neurons
*
Brachial Plexus And Its Injury
*
External Carotid Artery and Its branches
*
Clinical Anatomy of Anterior Abdominal Wall