NBME 20 Answers : Block 1 : #16 = A 30-year-old woman with multiple sclerosis comes ...

nbme20/Block 1/Question#16

A 30-year-old woman with multiple sclerosis comes ...

Pons

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submitted by strugglebus(46),

The pons has nerves 5-8, so the trigeminal would be affected here

masonkingcobra Thalamic pain syndrome would involve dysesthesias on the entire contralateral body so more than just the face. Also it occurs often after post-stroke. Additoinally, these dysesthesias appear weeks/months later +1

+2 upvote downvote
submitted by sympathetikey(133),

Principle Sensory Nucleus of the Trigeminal is located in the Pons, as is the Motor Trigeminal Nucleus of the pons. This presentation is probably dealing more with the Principle Sensory Nucleus.

+0 upvote downvote
submitted by whossayin(1),

The mnemonic I like for remembering the locations of the cranial nerves is the "2,2,4,4 rule"

Above brainstem= CN I + II Midbrain= CN III, IV Pons= CN V, VI, VII, VIII Medulla= CN IX, X, XI, XII