Medial longitudinal fasciculus and associated defects (diagram)

Case contributed by Travis Fahrenhorst-Jones
Diagnosis not applicable

Simplified diagram of the normal pathway of horizontal eye movement involving the medial longitudinal fasciculus as well as diagrams of internuclear ophthalmoplegia and one-and-a-half syndrome.

Note: one-and-a-half syndrome may occur due to a lesion in either the paramedian pontine reticular formation or CNVI nucleus separately, or a lesion affecting a combination of both. The ipsilateral medial longitudinal fasciculus must have a defect. 

Case Discussion

Refer to the articles medial longitudinal fasciculus and internuclear ophthalmoplegia for further information. 

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