A 62-Year-Old Woman Presented to the Office Complaining of Abnormal

A 62-year-old woman presented to the office complaining of abnormal vision. The patient has been complaining of double vision for the last month. She has abnormality with walking downstairs, as she sees them duplicated. She used to read the newspaper every morning, but recently she can not read them due to the double vision exacerbated by reading. She has not had any recent trauma. She has a medical history of chronic hypertension and diabetes mellitus type 2. A lesion affecting which of the following structures would explain the patient's presentation?

A) Abducens nerve
B) Medial longitudinal fasciculus
C) Oculomotor nerve
D) Optic nerve
E) Trochlear nerve

Correct Answer:

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