| Identifier |
gold_textbook_figures_051 |
| Title |
Figure 51: Lateral Medullary Lesion Causing Saccadic Dysmetria |
| Creator |
Daniel R. Gold, DO |
| Affiliation |
(DRG) Departments of Neurology, Ophthalmology, Neurosurgery, Otolaryngology - Head & Neck Surgery, Emergency Medicine, and Medicine, The Johns Hopkins School of Medicine, Baltimore, Maryland |
| Description |
A lesion of the left lateral medulla and inferior cerebellar peduncle (ICP) will cause decreased climbing fiber inhibition of the left dorsal vermis causing simple-spike (inhibitory) discharge of Purkinje cells to increase. Increased Purkinje cell firing leads to increased inhibition of the ipsilateral (left) fastigial nucleus, with a resultant decrease in excitation of the right excitatory burst neuron/inhibitory burst neuron (EBN/IBN) pair. This will lead to less excitation of the ipsilateral (right) VIth nucleus and less inhibition of the contralateral (left) VIth nucleus, with an end result of right hypometria and left hypermetria (and ipsipulsion). |
| Date |
2022 |
| References |
Gold D. (2022). Neuro-ophthalmology and neuro-otology : a case-based guide for clinicians and scientists. Springer International Publishing AG. Retrieved September 16 2022 from https://online.statref.com/p/1057?grpAlias=. |
| Language |
eng |
| Format |
image/jpeg |
| Type |
Image |
| Relation is Part of |
Neuro-Ophthalmology and Neuro-Otology: A Case-Based Guide for Clinicians and Scientists |
| Collection |
Neuro-Ophthalmology Virtual Education Library: Dan Gold Neuro-Ophthalmology Collection: https://novel.utah.edu/Gold/ |
| Publisher |
North American Neuro-Ophthalmology Society |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E SLC, UT 84112-5890 |
| Rights Management |
Copyright 2016. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s6gy1ptn |
| File Name |
gold_textbook_figures_051.png |
| Setname |
ehsl_novel_gold |
| ID |
2050031 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6gy1ptn |
