A 62-year-old man with long-standing hypertension presents to the ED with sudden-onset diplopia and unsteady gait. Neurologic examination shows impaired adduction of the left eye on rightward gaze with abducting nystagmus of the right eye. Pupils are equal and reactive. He also has decreased vibration and proprioception in the right arm and right leg. Pain and temperature sensation are intact in all extremities. Which structure is most likely involved in this patient’s brainstem lesion?
(Assume a focal brainstem lesion localized by the “Rules of 4.”)
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