Upward gaze palsy, eyelid retraction and convergence-retraction nystagmus - USMLE Forums
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Old 03-07-2012
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Neuro Upward gaze palsy, eyelid retraction and convergence-retraction nystagmus

Which of the following brain tumors can cause upward gaze palsy, eyelid retraction and convergence-retraction nystagmus?
A) Meningioma
B) Glioblastoma multiforme
C) Pineal germinoma
D) Astrocytoma
E) Craniopharyngioma
F) Ependymoma
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  #2  
Old 03-07-2012
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its either C or E... im guessing C.
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Old 03-07-2012
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Pinealoma!

Hate this one, got it wrong twice in UW
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Old 03-07-2012
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I would go with C...
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Old 03-07-2012
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why C?:sorry::sorry::sorry:
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Old 03-07-2012
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Quote:
Originally Posted by patho2012 View Post
why C?:sorry::sorry::sorry:

Pineal gland is very close to the pretectum where eye symptoms are common.
Classic problem with Pineal tumor= Parinaud's Syndrome which results in several different visual deficits = paralysis of upward gaze, reduced pupillary reflexes to light, convergence paresis.

Hope that helps...
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Nervous-System-, Neuroanatomy-, Pathology-, Step-1-Questions

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