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Case study (Brain stem lesion)
Content
R.V. 58-year-old man, was in a meeting when suddenly he lost control of the right side of his body, including his face. He slumped in his chair, and the right side of his face appeared to sag, but he did not lose consciousness. R.V. complains of double vision. The clinical findings are as follows:
Somatosensation is intact.
Movement and strength on the left side of his body are normal. He is able to sit unassisted in a chair with arm and back support but cannot sit unassisted without support. R.V. is able to voluntarily move his right upper limb at the shoulder and his right lover limb at the hip, but strength is less than half that of the left side. He cannot move any other joints in his limbs on the right.
All cranial nerves are intact except for the following.
-He is unable to voluntarily move his right lover face.
-He cannot move his left eye medially, downward, or upward.
-He cannot fu���(������)