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III, IV, VI

cranial nerve

Dr Mohd Imran ANATOMY JNMC AMU 1


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Dr Mohd Imran ANATOMY JNMC AMU 3
Dr Mohd Imran ANATOMY JNMC AMU 4
Superior  Elevation, Adduction & Intorsion
Rectus
Medial  Adduction
Rectus
Inferior  Depression, Adduction & Extorsion
Rectus

Lateral
 Abduction
Rectus
Superior
Oblique  Depression, Abduction & Intorsion
Inferior
Oblique  Elevation, Abduction & Extorsion

Dr Mohd Imran ANATOMY JNMC AMU 5


Dr Mohd Imran ANATOMY JNMC AMU 6
III – Occulomotor

Dr Mohd Imran ANATOMY JNMC AMU 7


III

Occulomotor

Dr Mohd Imran ANATOMY JNMC AMU 8


Dr Mohd Imran ANATOMY JNMC AMU 9
Dr Mohd Imran ANATOMY JNMC AMU 10
Dr Mohd Imran ANATOMY JNMC AMU 11
Lesions of oculomotor nerve
• Ptosis (drooping of the upper eyelid)
• Lateral strabismus (i.e., lateral squint)

• Dilated and fixed pupil


• Loss of accommodation

• Double vision or diplopia


• Proptosis
Dr Mohd Imran ANATOMY JNMC AMU 12
IV

Trochlear

Dr Mohd Imran ANATOMY JNMC AMU 13


Dr Mohd Imran ANATOMY JNMC AMU 14
Lesions of trochlear nerve
• Extorsion of the eyeball
• Weakness of downward gaze
• As a result, the patient faces difficulty
while going downstairs or reading
newspaper
• Diplopia (double vision), which occurs
when the patient looks laterally and in
glances on looking downward
• There is compensatory head-tilting to the
opposite side
Dr Mohd Imran ANATOMY JNMC AMU 15
VI
Abducens

Dr Mohd Imran ANATOMY JNMC AMU 16


Dr Mohd Imran ANATOMY JNMC AMU 17
Dr Mohd Imran ANATOMY JNMC AMU 18
Lesions of abducent nerve
• Convergent squint due to the unopposed
action of medial rectus

• Inability to abduct the eye

• Diplopia (double vision) with maximum


separation of two images while looking
toward the paralyzed side
Dr Mohd Imran ANATOMY JNMC AMU 19

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