Friend: "What did you actually do today?" Me: "Localised a lesion to a couple of millimetres of brainstem using a stick and a light." Friend: "Cool. And then?" Me: "Then I typed about it for three hours." Send this to the colleague whose best work today also happened in a text box.
EXPLAINED (ACCURACY-CHECKED)
A careful bedside neurologic examination can localise a lesion to a brainstem structure only a few millimetres across — the pattern of cranial nerve findings versus long-tract findings identifies the level — before any imaging is obtained.
Established neuroanatomy: crossed findings localise to the brainstem; standard localization teaching.
PERMANENT LINK
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