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Anatomy General 0ff97119

A patient presents with hyperacusis, loss of lacrimation and loss of taste sensation in the anterior 2/3rd of the tongue. Inflammation extends up to which level of facial nerve

A
Vertical part
B
Vertical part proximal to nerve to stapedius
C
Vertical part and beyond nerve to stapedius
D
Proximal to geniculate ganglion
High-Yield Explanation
• If facial nerve inflammation extends proximal to geniculate ganglion, the clinical features are: Loss of lacrimation (later may present with crocodile syndrome); hyperacusis (loss of stapedial reflex); decreased salivation and loss of taste sensation on anterior 2/3rd tongue; paralysis of muscles of facial expression.

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