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Dr. Mark
Dr. Mark, Neurologist (MD)
Category: Neurology
Satisfied Customers: 1985
Experience:  Neurosurgeon - Brain, spine, and peripheral nerve surgery
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My eyes won't turn to the right. I have Babinski reflex on

Customer Question

My eyes won't turn to the right. I have Babinski reflex on my left side. My MRI is clear. No sign of tumors, lesions, or bleeds. The visual issue began suddenly, about a week ago. My PCP and neuro are at a loss. Suggestions? No one had done any labs.
Submitted: 9 months ago.
Category: Neurology
Customer: replied 9 months ago.
52 yr old male, truck driver, after heart attack 3 years ago, quit smoking, started working out twice a week. Avid golfer. No trouble looking left. Eyes very slow to turn, focus to right. Not sixth nerve palsy.
Expert:  Dr. David replied 9 months ago.

This is Dr. David

was the MRI scan done with IV gadolinium contrast?

to look right, you need the abducens or 6th cranial nerve in the right eye to work and the 4th cranial work to work on the left eye.

if no contrast was given, small lesions in the brain can be missed.

if open MRI scan, then image quality could be poor as well.