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Ophthalmology General 8440f493

A patient has a right homonymous hemianopia with saccadic pursuit movements and defective optokinetic nystagmus. The lesion is most likely to be in the

A
Frontal lobe
B
Occipital lobe
C
Parietal lobe
D
Temporal lobe
High-Yield Explanation
Right nomonymous hemianopia with saccadic pursuit movements and detective optokinetic nystagmus confirms the diagnosis of perietal lobe lesion. Optokinetic Nystagmus: - It can be elicited in all normal individuals. Defect in optokinetic nystagmus and lesions of brain associated with it. In a case of hemianopia due to lesions of the parietal lobe optokinetic nystagmus is absent. Other lesions where optokinetic Nystagmus is defective:- Frontal lobe lesions - it inhibits this response only temporarily. Brainstem lesions - it results in asymmetry of this response in vertical plane.

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