Head & Neck · NEET PG Preparation Anatomy

A patient presents with a cavernous sinus thrombosis secondary to a severe facial infection. Which of the following cranial nerves is typically the v…

Practice question from Head & Neck (NEET PG Preparation Anatomy), with the correct answer and a step-by-step solution.

hard · MCQ · Q-B997EF

A patient presents with a cavernous sinus thrombosis secondary to a severe facial infection. Which of the following cranial nerves is typically the very first to manifest signs of dysfunction within the cavernous sinus?

  1. A.Oculomotor nerve (CN III)
  2. B.Trochlear nerve (CN IV)
  3. C.Abducent nerve (CN VI)Correct answer
  4. D.Ophthalmic nerve (CN V1)

Solution

Within the cavernous sinus, the abducent nerve (CN VI) runs freely through the center of the sinus, lateral to the internal carotid artery. Because of this unique central location, it is typically the first cranial nerve affected in cavernous sinus thrombosis, leading to lateral rectus palsy.

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