Visual Apparatus

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Maryam Bahrami

Visual Apparatus

Health & Medicine

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ANATOMY CAUSES OF 3rd NERVE PALSY HOW TO LOCALIZE THE LESION CAUSES OF 3rd NERVE PALSY Fascicular midbrain portion Infarction Benedikt syndrome Weber syndrome Nothnagel syndrome Claude syndrome Hemorrhage Neoplasm Abscess Fascicular subarachnoid portion PCA Aneurysm Infectious meningitis - Bacterial, fungal/parasitic, Carcinomatous /lymphomatous /leukemic infiltration, granulomatous inflammation (sarcoidosis, lymphomatoid granulomatosis, Wegener granulomatosis)

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Base of orbit is closed partly by globe , extraocular muscles & their fascial expansions. - These fascial expansions & sup and inferior oblique muscles bound 5 orifices between them & orbital margins . -These are the communications between orbital cavity & deep portion of eyelid. - Through them blood & pus passes out of orbit . Further spread in lid is prevented by orbital septum. Clinical significance: * A sharp object injury through upper lid penetrates the roof & may damage frontal lobe. * Orbital roof anamolies or fractures can lead to pulsatile exophthalmos. * Since roof is neither perforated by major nerves nor vessels , it can be easily nibbed away in transfrontal orbitotomy

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