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Constriction occurs in each stimulated and opposite eye (consensual response) The reflex is brainstem-mediated, not spinal. Persistence of blinking (Myerson’s sign) indicates frontal lobe/extrapyramidal dysfunction Regular subjects suppress the blink response after the first few taps Cerebellar ataxia causes instability even within the regular stance or with feet collectively and eyes open. If balance worsens when the eyes close, the affected person has impaired proprioception (compensated by visual input).
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CN VII – Ask the affected person to raise eyebrows, smile, puff out cheeks, present teeth, and squeeze eyes shut. Ask the patient to maintain their head still and transfer solely eyes. Please notice that they aren’t uniformly valid (for example, in a affected person with quite a few distributed lesions). These could additionally be elicited when sufferers try to transfer their eyes, or by vestibulo-ocular reflexes. So don’t get lost in the weeds of exactly typing the affected person’s aphasia. In acute neurological problems, precise subtyping of aphasia could not localize precisely.
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