Which cranial nerve(s) is/are not involved in "Locked in syndrome"?
Locked-in Syndrome: A pseudo-coma state in which an awake patient has no means of producing speech or volitional movement Retains voluntary veical eye movements and lid elevation Pupils are normally reactive. Aphonic because of the involvement of pyramidal fibers Involvement of medulla leads to 9th, 10th, 12th nerves. Conscious, ale and awake as the tegmental Ascending Reticular Activating System (ARAS) is intact. Veical eye movements are intact as it is controlled by the interstitial nucleus of Cajal and the rostral pa of the M.L.F Horizontal movements are lost ,basalis pontis is involved- 6th cranial nerve involvement
9
10
11
12
Stroke and TIA