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Anatomy Neuroanatomy 3 0459617a

Injury to which of the following structures causes constricted pupils even when room lighting is dim?

A
Trochlear nerve
B
Superior cervical ganglion
C
Oculomotor nerve
D
Ophthalmic nerve
High-Yield Explanation
Postganglionic sympathetic fibers that originate from the superior cervical ganglion and innervate the dilator pupillae (radial muscles of the iris) are damaged. So the pupil remains small in a dimly lit room. Other nerves mentioned contain no sympathetic fibers, but the oculomotor nerve contains preganglionic parasympathetic fibers.

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