CMD 377 Lecture Notes - Lecture 6: Levator Palpebrae Superioris Muscle, Pupillary Light Reflex, Lateral Rectus Muscle

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13 Sep 2016
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Motor nucleus for cn iii located in the midbrain oculomotor nucleus. Supplies the visceral motor component of the following muscles: pupillary sphincter controls the size of the pupil, ciliary muscles changes the shape of the lens (accommodation) Lesions: central lesion both nuclei are damaged, lesion to cn iii ipsilateral signs. Inability to move affected eye medially or laterally. Abnormal pupillary light reflex: absence of pupillary constriction in affected eye. Inability for affected eye to focus on near objects. Supplies the superior oblique muscles: concerned with the downward movement of the eye (when in medial position) Cell bodies located in the contralateral trochlear nucleus. Cn iv is the only cranial nerve that is: attached to the dorsal surface of the brainstem, completely crossed (originating from a contralateral nucleus) Lesions: damage to the nerve results in less significant deficit, diplopia when attempting to move eyes downward. Difficultly in descending stairs and reading: lesion contralateral sign.

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