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CRANIAL NERVE SYNDROMES –EXTRAMEDULLARY
CRANIAL NERVE SYNDROMES –INTRAMEDULLARY
SITE CRANIAL NERVES EPONYMIC
SYNDROME
USUAL CAUSE
SPHENOIDAL
FISSURE
3,4,OPTHALMIC,5,
6
FOIX INVASIVE TUMOURS OF SPHENOID
BONE
Lateralwall of
cavernous sinus
3,4,opthalmic ,5
6
Tolosa hunt Aneurysm or thrombosis of cavernous sinus
Retrosphenoidal space 2,3,4,5,6 jaccoud Large tumours of middle cranial fossa
Apex of petrous bone 5,6 gradenigo Petrositis,tumours of petrous bone
Internal auditory meatus 7,8 - tumours of petrous bone, tumours of petrous
bon
Pontocerebellar angle 5,7,8, and sometimes 9 - Acoustic neuroma
Jugular foramen 9,10,11 vernet Tumours and aneurysms
Posterior laterocondylar
space
9,10,11,12 Collet -sicard Tumours of parotid gland ,carotid
body,tubercuous adenitis
Posterior retroparotid
space
9.10,11,12 and horners
syndrome
villaret Same
Syndrome Ipsilateral contralateral Lesion site
Weber’s Oculomotor palsy Hemiparesis Cranial nerve III ,
cerebralpeduncle
Benedikt’s Oculomotor palsy Tremors ±
Hemianaesthesia
Cranial nerve III , Red
nucleus
± medial longitudinal
fasciculus, spinothalamic
tract
Claude’s Oculomotor palsy Tremor and ataxia Cranial nerve III, red
nucleus, brachium
conjuctivum
Nothnagel’s Oculomotor palsy y&
Ataxias
Oculomotor palsy+ ataxia
-
Cranial nerve III,
brachium conjuctivum
Plus-minus lid Ptosis Lid retraction CN III fascicles to the
levator palpebrae muscle;
nucleus of

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Cranial nerve syndromes

  • 1. CRANIAL NERVE SYNDROMES –EXTRAMEDULLARY CRANIAL NERVE SYNDROMES –INTRAMEDULLARY SITE CRANIAL NERVES EPONYMIC SYNDROME USUAL CAUSE SPHENOIDAL FISSURE 3,4,OPTHALMIC,5, 6 FOIX INVASIVE TUMOURS OF SPHENOID BONE Lateralwall of cavernous sinus 3,4,opthalmic ,5 6 Tolosa hunt Aneurysm or thrombosis of cavernous sinus Retrosphenoidal space 2,3,4,5,6 jaccoud Large tumours of middle cranial fossa Apex of petrous bone 5,6 gradenigo Petrositis,tumours of petrous bone Internal auditory meatus 7,8 - tumours of petrous bone, tumours of petrous bon Pontocerebellar angle 5,7,8, and sometimes 9 - Acoustic neuroma Jugular foramen 9,10,11 vernet Tumours and aneurysms Posterior laterocondylar space 9,10,11,12 Collet -sicard Tumours of parotid gland ,carotid body,tubercuous adenitis Posterior retroparotid space 9.10,11,12 and horners syndrome villaret Same Syndrome Ipsilateral contralateral Lesion site Weber’s Oculomotor palsy Hemiparesis Cranial nerve III , cerebralpeduncle Benedikt’s Oculomotor palsy Tremors ± Hemianaesthesia Cranial nerve III , Red nucleus ± medial longitudinal fasciculus, spinothalamic tract Claude’s Oculomotor palsy Tremor and ataxia Cranial nerve III, red nucleus, brachium conjuctivum Nothnagel’s Oculomotor palsy y& Ataxias Oculomotor palsy+ ataxia - Cranial nerve III, brachium conjuctivum Plus-minus lid Ptosis Lid retraction CN III fascicles to the levator palpebrae muscle; nucleus of