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    Subjects/Anatomy/Brainstem Cranial Nerve Origins
    Brainstem Cranial Nerve Origins
    hard
    bone Anatomy

    A 45-year-old man presents with vertical diplopia that worsens when looking downward, particularly when reading or descending stairs. Examination reveals a head tilt away from the right side. The structure marked **A** in the diagram shows the midbrain with the trochlear nerve emerging from its dorsal aspect. Which of the following best explains why CN IV is uniquely vulnerable to injury in closed-head trauma compared to other cranial nerves?

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