
The rule of 4 of the brainstem illustrated in a single diagram…why and how?
Life in the Fast Lane Medical Blog
Emergency Medicine education blog
Some fun figures well worth engraving on the surface of your encephalon if you’re an emergency or critical care doc in this week’s FFFF.
Neurological Mind-boggler 004 Even more scenarios designed to test drive Gates’ Brainstem Rules of 4 (helpful figures here): Scenario 5 You are examining a patient with sudden onset right-sided weakness. These are your clinical examination findings: weakness of the right face, upper and lower limbs. failure of abduction of the left eye. loss of vibration [...]

References Gates, P. The rule of 4 of the brainstem: a simplified method for understanding brainstem anatomy and brainstem vascular syndromes for the non-neurologist. Internal Medicine Journal 2005; 35: 263-266 [pubmed] Goldberg, S. Clinical Neuroanatomy Made Ridiculously Simple. MedMaster Series, 2000 Edition. [betterworldbooks] ‘Life in the Fast Lane’ links The ultimate Brainstem Rule diagram Brainstem [...]
aka Neurological Mind-boggler 003 As promised here are some scenarios to try out Gates’ Brainstem Rules of 4 (helpful figures here): Scenario 1 You are examining a patient with sudden onset left-sided weakness. These are your clinical examination findings: weakness of the left upper and lower limbs, with sparing of the face. tongue deviation to [...]
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