Monday 21 September 2015

PGI MCQ for Medical PG Preparations .. NIME | Unilateral inter-nuclear ophthalmoplegia MCQ

Unilateral inter-nuclear ophthalmoplegia isassociated with:
A. Reduced adduction on the affected side
B. Reduced convergence
C. Nystagmus on abduction in the affected side
D. Diplopia can occur
E. There is abnormal optico-kinetic nystagmus



Ans. A,D,E
Unilateral internuclear ophthalmoplegia:
• Results from a lesion in the medial longitudinalfasciculus between the sixth nerve and third nerve nuclei
• Causes failure of the ipsilateral medial rectus to adducton horizontal gaze
• There is nystagmus of the contralateral abducting eye(caused by excessive innervation to the normal lateralrectus in accordance with hering's law)[MCQ