This request is not common possibly because of time constraint. However, some examiners may ask you to perform this examination just to see how fluent you are with this technique. Theconditions where you may find multiple cranial nerve palsies involving the eyes and extraocular structures are

• cerebello-pontine angle lesion
• Wallenberg's syndorme
•  some brainstem sydrome such as Millar-Gubler (sixth ane seventh nerve palsies)

 Most of these cases have associated eye signs and are therefore likely to be either upper motor neurone lesions (with visual field defects) or cerebellar signs (with optic atrophy, central scotoma and ocular motility problems secondary to multiple sclerosis)

• hemiplegia
• cerebellar signs
• spastic paresis
• wasting of the muscles of the hands (with Horner's syndrome)