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Cranial Nerve 10

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281. An Isolated Bee Sting Involving Multiple Cranial Nerves Full Text available with Trip Pro

An Isolated Bee Sting Involving Multiple Cranial Nerves Hymenoptera stings are self-limiting events or due to allergic reactions. Sometimes envenomation with Hymenoptera can cause rare complications such as acute encephalopathy, peripheral neuritis, acute renal failure, nephrotic syndrome, silent myocardial infarction, rhabdomyolysis, conjunctivitis, corneal infiltration, lens subluxation, and optic neuropathy. The mechanism of peripheral nervous system damage is not clearly known. In our (...) studied case after bee sting on face between the eyebrows with little erythema and 1 × 1 cm in size, bilateral blindness developed and gradually improved. Lateral movement of eyes was restricted with no pain. Involvement of cranial nerves including II, V, and VI was found. With conservative therapy after a year significant improvement has been achieved.

2013 Case Reports in Emergency Medicine

282. T4-Locally Advanced Nasopharyngeal Carcinoma: Prognostic Influence of Cranial Nerve Involvement in Different Radiotherapy Techniques Full Text available with Trip Pro

T4-Locally Advanced Nasopharyngeal Carcinoma: Prognostic Influence of Cranial Nerve Involvement in Different Radiotherapy Techniques Cranial nerve involvement at disease presentation of nasopharyngeal carcinoma was not uncommon. We investigated the prognosis of patients with T4-locally advanced NPC, with or without cranial nerve involvement, and compared the outcome of patients treated using different radiotherapy techniques.In this retrospective study, 83 T4-locally advanced NPC patients were (...) that in patients treated using 3D-CRT, with survival rates of 58.2%, 54.4%, and 47.2%, respectively. There was no significant difference in the 5-year overall, locoregional-free, and disease-free survival rates of the patients with (64.2%, 60.5%, and 53.5%, resp.) and without (76.9%, 63.6%, and 57.6%, resp.) cranial nerve involvement.Locally advanced NPC patients treated using IMRT had significantly better outcomes than patients treated using 3D-CRT. Our results showed that the outcome of T4 NPC patients

2013 The Scientific World Journal

283. Twelfth cranial nerve involvement in Guillian Barre syndrome Full Text available with Trip Pro

Twelfth cranial nerve involvement in Guillian Barre syndrome Guillian Barre Syndrome (GBS) is associated with cranial nerve involvement. Commonest cranial nerves involved were the facial and bulbar (IXth and Xth). Involvement of twelfth cranial nerve is rare in GBS. We present a case of GBS in a thirteen years old boy who developed severe tongue weakness and wasting at two weeks after the onset of GBS. The wasting and weakness of tongue improved at three months of follow up. Brief review (...) of the literature about XIIth cranial nerve involvement in GBS is discussed.

2013 Journal of neurosciences in rural practice

284. Optimal learning in a virtual patient simulation of cranial nerve palsies: the interaction between social learning context and student aptitude. Full Text available with Trip Pro

Optimal learning in a virtual patient simulation of cranial nerve palsies: the interaction between social learning context and student aptitude. Simulation in medical education provides students with opportunities to practice interviews, examinations, and diagnosis formulation related to complex conditions without risks to patients.To examine differences between individual and team participation on learning outcomes and student perspectives through use of virtual patients (VPs) for teaching (...) cranial nerve (CN) evaluation.Fifty-seven medical students were randomly assigned to complete simulation exercises either as individuals or as members of three-person teams. Students interviewed, examined, and diagnosed VPs with possible CN damage in the neurological exam rehearsal virtual environment (NERVE). Knowledge of CN abnormalities was assessed pre- and post-simulation. Student perspectives of system usability were evaluated post-simulation.An aptitude-treatment interaction (ATI) effect

2013 Medical teacher Controlled trial quality: uncertain

285. Isolated Third, Fourth, and Sixth Cranial Nerve Palsies from Presumed Microvascular versus Other Causes: A Prospective Study. Full Text available with Trip Pro

Isolated Third, Fourth, and Sixth Cranial Nerve Palsies from Presumed Microvascular versus Other Causes: A Prospective Study. To estimate the proportion of patients presenting with isolated third, fourth, or sixth cranial nerve palsy of presumed microvascular origin versus other causes.Prospective, multicenter, observational case series.A total of 109 patients aged 50 years or older with acute isolated ocular motor nerve palsy.Magnetic resonance imaging (MRI) of the brain.Causes of acute (...) isolated ocular motor nerve palsy (presumed microvascular or other) as determined with early MRI and clinical assessment.Among 109 patients enrolled in the study, 22 had cranial nerve III palsy, 25 had cranial nerve IV palsy, and 62 had cranial nerve VI palsy. A cause other than presumed microvascular ischemia was identified in 18 patients (16.5%; 95% confidence interval, 10.7-24.6). The presence of 1 or more vasculopathic risk factors (diabetes, hypertension, hypercholesterolemia, coronary artery

2013 Ophthalmology

286. Intracranial hypotension with a sixth cranial nerve palsy subsequent to massive thoracic CSF hygroma: a rare complication of thoracic disc excision. Full Text available with Trip Pro

Intracranial hypotension with a sixth cranial nerve palsy subsequent to massive thoracic CSF hygroma: a rare complication of thoracic disc excision. Thoracic cerebrospinal fluid (CSF) hygroma is a rare and potentially devastating complication of the anterior thoracic approach to the spine. We present two cases in which this complication resulted in acute cranial nerve palsy and discuss the pathoanatomy and management options in this scenario.Two male patients presented to our department (...) in the presence of an acute increase in CSF pressure, for example whilst sneezing. Intracranial hypotension can result in subsequent hygroma and possibly haematoma formation. The resultant cranial nerve palsy may be managed expectantly except in the setting of symptomatic subdural haematoma or compressive pneumocephaly.

2013 European Spine Journal

287. Hypertension in patients with cranial nerve vascular compression syndromes and comparison with a population-based cohort. (Abstract)

Hypertension in patients with cranial nerve vascular compression syndromes and comparison with a population-based cohort. Although essential arterial hypertension (AH) represents a major health issue, its underlying causes remain unknown. An intriguing hypothesis is that AH in some cases may be caused by vascular compression of the rostral ventrolateral medulla (RVLM). Because hemifacial spasms (HFSs) are caused by vascular compression of the seventh cranial nerve in close proximity to the RVLM (...) , one would, if this hypothesis is correct, expect to find a positive association between the occurrence of AH and chronic HFSs. Such a positive association would not be expected in patients with trigeminal neuralgia (TN), since TN is caused by vascular compression of the fifth cranial nerve, which is not close to the RVLM.In view of this background, the authors conducted a retrospective population-based study to investigate how the occurrence of AH in patients with either HFSs or TN compares

2013 Journal of Neurosurgery

288. Isolated III cranial nerve palsy: a surprising presentation of an acute on chronic subdural haematoma Full Text available with Trip Pro

Isolated III cranial nerve palsy: a surprising presentation of an acute on chronic subdural haematoma Many aetiologies have been associated with isolated oculomotor nerve palsies. They are ischaemic microangiopathy, posterior communicating artery aneurysm, uncal herniation, neoplasia, traumatic and inflammatory conditions. We report the case of a patient who presented with left oculomotor cranial nerve palsy with an associated large volume left acute on chronic subdural haematoma

2013 BMJ case reports

289. Expert’s comment concerning Grand Rounds case entitled ‘‘Intracranial hypotension with a sixth cranial nerve palsy subsequent to massive thoracic CSF hygroma: a rare complication of thoracic disc excision” (by A. Khurana, J. Brousil, A. Russo, A. Full Text available with Trip Pro

Expert’s comment concerning Grand Rounds case entitled ‘‘Intracranial hypotension with a sixth cranial nerve palsy subsequent to massive thoracic CSF hygroma: a rare complication of thoracic disc excision” (by A. Khurana, J. Brousil, A. Russo, A. 23728396 2014 04 28 2018 12 02 1432-0932 22 9 2013 Sep European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society Eur Spine (...) J Expert's comment concerning Grand Rounds case entitled ''Intracranial hypotension with a sixth cranial nerve palsy subsequent to massive thoracic CSF hygroma: a rare complication of thoracic disc excision" (by A. Khurana, J. Brousil, A. Russo, A. Evans, N. A. Quraishi, B. M. Boszczyk doi:10.1007/s00586-013-2818-1). 2055-6 10.1007/s00586-013-2820-7 Welch William C WC Department of Neurosurgery, University of Pennsylvania, Washington West Bldg. of the Pennsylvania Hospital, 235 South 8th St

2013 European Spine Journal

290. Middle cranial fossa facial nerve decompression before two years of age. (Abstract)

Middle cranial fossa facial nerve decompression before two years of age. We present a case report of a 17-month old patient who underwent serial bilateral total facial nerve decompression procedures for complete bilateral facial paralysis in the setting of craniometaphyseal dysplasia via combined middle cranial fossa and transmastoid approaches. The surgical decision-making process and procedures were reviewed. The patient recovered without complications from the staged surgical procedures (...) , and developed partial return of function of both facial nerves postoperatively, with symmetric House-Brackmann grades of II-III. Despite its technical difficulty in the setting of this particular disorder, facial nerve decompression may be appropriate in the setting of acute facial palsy in craniometaphyseal dysplasia, with the potential for return of function. Given the extremely rare nature of the disease process, variable surgical experience and the clinical condition of the patient remain our best

2013 International Journal of Pediatric Otorhinolaryngology

291. Teaching NeuroImages: Compression of the eighth cranial nerve causes vestibular paroxysmia. Full Text available with Trip Pro

Teaching NeuroImages: Compression of the eighth cranial nerve causes vestibular paroxysmia. 23400324 2013 04 08 2013 02 12 1526-632X 80 7 2013 Feb 12 Neurology Neurology Teaching neuroimages: Compression of the eighth cranial nerve causes vestibular paroxysmia. e77 10.1212/WNL.0b013e318281cc2c Strupp Michael M Department of Neurology, University Hospital Munich, Campus Grosshadern, Munich. von Stuckrad-Barre Sebastian S Brandt Thomas T Tonn Joerg Christian JC eng Case Reports Journal Article (...) Research Support, Non-U.S. Gov't United States Neurology 0401060 0028-3878 AIM IM Caloric Tests Female Humans Magnetic Resonance Imaging Middle Aged Vestibular Diseases etiology Vestibulocochlear Nerve pathology Vestibulocochlear Nerve Diseases complications 2013 2 13 6 0 2013 2 13 6 0 2013 4 9 6 0 ppublish 23400324 80/7/e77 10.1212/WNL.0b013e318281cc2c

2013 Neurology

292. Incidence of cranial nerve palsy after preoperative embolization of glomus jugulare tumors using Onyx. Full Text available with Trip Pro

Incidence of cranial nerve palsy after preoperative embolization of glomus jugulare tumors using Onyx. The resection of glomus jugulare tumors can be challenging because of their inherent vascularity. Preoperative embolization has been advocated as a means of reducing operative times, blood loss, and surgical complications. However, the incidence of cranial neuropathy associated with the embolization of these tumors has not been established. The authors of this study describe their experience (...) patients with glomus jugulare tumors underwent preoperative embolization with Onyx. All embolization procedures were completed in one session. The overall mean percent of tumor devascularization was 90.7%. No evidence of nontarget embolization was seen on postembolization angiograms. There were 2 cases (18%) of permanent cranial neuropathy attributed to the embolization procedures (facial nerve paralysis and lower cranial nerve dysfunction).Embolizing glomus jugulare tumors with Onyx can produce

2013 Journal of Neurosurgery

293. In vivo fluoroscopic kinematography of cranio-caudal stifle stability after tibial tuberosity advancement (TTA): a retrospective case series of 10 stifles Full Text available with Trip Pro

In vivo fluoroscopic kinematography of cranio-caudal stifle stability after tibial tuberosity advancement (TTA): a retrospective case series of 10 stifles It was the aim of the study to determine retrospectively cranio-caudal stifle instability following TTA (tibial tuberosity advancement) using fluoroscopic kinematography. Ten stifles (eight dogs, mean body weight 27.3 kg) with complete rupture of the cranial cruciate ligament and a mean follow-up of 12.8 weeks (5.4 - 28.4 weeks) after TTA (...) underwent latero-lateral, uniplanar fluoroscopic kinematography while walking on a treadmill. Immediately before TTA, each stifle was explored arthroscopically and in the case of a longitudinal or bucket-handle tear of the caudal horn of the medial meniscus the unstable axial portion was resected. The high-speed fluoroscopic video sequences obtained were inspected visually for femoro-tibial translation (cranial drawer). The influence of postoperative patellar tendong angle (PTA), cage size and meniscal

2018 Open veterinary journal

294. Adjacent Segment Disease after Single Segment Posterior Lumbar Interbody Fusion for Degenerative Spondylolisthesis: Minimum 10 Years Follow Up. (Abstract)

(S-ASD), a symptomatic condition due to neurological deterioration at the adjacent segment degeneration; and operative ASD (O-ASD), S-ASD requiring revision surgery.Incidences of each ASD at 2, 5, and 10 years after primary PLIF were 19%, 49%, and 75% for R-ASD, 6%, 14%, and 31% for S-ASD, and 5%, 9%, and 15% for O-ASD, respectively. O-ASD incidence was 24% at final follow-up. O-ASD peak was bimodal, at 2 and 10 years after primary PLIF. O-ASD was mainly observed at the cranial segment (77 (...) %), followed by the caudal segment (13%) and both cranial and caudal segments (10%). With respect to O-ASD pathology, degenerative spondylolisthesis was observed in 52%, spinal stenosis in 39%, and disc herniation in 10%.Incidences of R-ASD, S-ASD, and O-ASD at 10 years after primary PLIF were 75%, 31%, and 15%, respectively. With respect to O-ASD pathology, degenerative spondylolisthesis at the cranial segment was the most frequent.4.

2018 Spine

295. Endoscopic endonasal surgery for epidermoid and dermoid cysts: a 10-year experience. Full Text available with Trip Pro

Endoscopic endonasal surgery for epidermoid and dermoid cysts: a 10-year experience. OBJECTIVEEpidermoid and dermoid cysts may be found along the cranial base and are commonly resected via open transcranial approaches. The use of endoscopic endonasal approaches for resection of these tumors has been rarely reported.METHODSThe authors retrospectively reviewed the medical records of 21 patients who underwent endoscopic endonasal surgery for epidermoid and dermoid cyst resection at the University (...) were associated with intracranial infection (p = 0.012 and 0.028, respectively). Subtotal resection was marginally associated with intracranial infection when compared with total resection (p = 0.091). All patients with neurological symptoms improved postoperatively with the exception of 1 patient with unchanged abducens nerve palsy.CONCLUSIONSEndoscopic endonasal approaches may be effectively used for resection of epidermoid and dermoid cysts in carefully selected cases. These approaches

2018 Journal of Neurosurgery

296. Impact of obstructive sleep apnea on optic nerve function in patients with craniosynostosis and recurrent intracranial hypertension. (Abstract)

Impact of obstructive sleep apnea on optic nerve function in patients with craniosynostosis and recurrent intracranial hypertension. Assessment of combined impact of intracranial pressure (ICH) and obstructive sleep apnea (OSA) on optic nerve function in children with craniosynostosis (CS).Retrospective cross-sectional study METHODS: Patients treated at Boston Children's Hospital for CS who had an ophthalmic examination that included pattern reversal (pr)VEP (2013-2014) and history of ICH based (...) on direct measurement, papilledema, or classic features on neuroimaging and during cranial vault expansion were included. History of OSA was determined by polysomnography and associated conditions, including apnea and (adeno)tonsillectomy. Subjects were divided into four groups: (1) resolved ICH absent history of OSA; (2) resolved ICH with history of OSA; (3) recurrent ICH absent history of OSA; and (4) recurrent ICH with history of OSA. Predictor variables included latency of P100 component of prVEP

2019 American Journal of Ophthalmology

297. Are repetitive pericranial nerve blocks effective in the management of chronic paroxysmal hemicrania?: A case report. Full Text available with Trip Pro

Are repetitive pericranial nerve blocks effective in the management of chronic paroxysmal hemicrania?: A case report. Paroxysmal hemicrania (PH) is a chronic headache disorder characterized by unilateral pain attacks accompanied by cranial autonomic symptoms and responds to indomethacin completely. There are few alternative treatment options for the patients who cannot tolerate indomethacin. Studies exploring the effects of repetitive peripheral cranial nerve blocks in the management of chronic (...) PH are limited.A 34-year-old woman with a 4-year history of PH was evaluated. Her pain was prevented by indomethacin without side effects; however, she wanted to try to conceive.Repetitive pericranial nerve blocks, great occipital nerve, infraorbital nerve, supraorbital nerve, and sphenopalatine ganglion block, using local anesthetics and steroids were performed once a week for a 6 weeks period.A follow-up of 3 months showed that there was no pain relief following the injections and patient

2019 Medicine

298. Histological characteristics of intra-temporal facial nerve paralysis in temporal bone malignancies. (Abstract)

%) were of metastatic origin. Complete facial nerve paralysis (House-Brackmann [HB] grade VI), was the most common clinical presentation affecting nine patients (10 TBs, 56%). Neural involvement was multifocal in nature (16 of 18 TBs, 89%). The most commonly involved cranial nerve (CN) VII segment was the meatal segment (13 TBs, 72%), followed by the labyrinthine, tympanic, and vertical segments (nine, eight, and six TBs, respectively).PFnP can be the result of local, regional, or distant malignancy (...) Histological characteristics of intra-temporal facial nerve paralysis in temporal bone malignancies. To describe the histopathologic findings and clinical presentation of intra-temporal facial nerve invasion in primary and metastatic malignancies of the human temporal bone (TB).Retrospective analysis of all medical records of patients diagnosed with peripheral facial nerve palsy (PFnP) of a malignant origin was performed. Temporal bones underwent standard processing for histologic examination

2019 Laryngoscope

299. An Anatomic Variant of the Ansa Cervicalis Precluding Its Use as a Donor Nerve. (Abstract)

An Anatomic Variant of the Ansa Cervicalis Precluding Its Use as a Donor Nerve. The ansa cervicalis is useful for cranial nerve repair, and may be harvested without apparent morbidity. Herein we report an unusual and surgically relevant anatomic variant of the ansa cervicalis.An adult male with left parotid adenoid cystic carcinoma underwent parotidectomy with upper-division facial nerve resection and planned interposition repair using the ansa cervicalis. The ipsilateral hypoglossal nerve (...) was identified, together with a descending branch producing strap muscle contraction when stimulated. This presumed descendens hypoglossi was unusually large in caliber; further dissection revealed continuity with the vagus nerve.Ansa cervicalis harvest was aborted when its separation from vagus nerve epineurium was not possible. The sural nerve was alternatively harvested. The patient awoke with left vocal fold palsy, which completely resolved within 3 months.Anatomic variants of the ansa cervicalis exist

2019 Rhinology and Laryngology

300. Primary neurolymphomatosis of the trigeminal nerve. (Abstract)

practice. If symptoms do not improve, repeated imaging studies, including contrast MRI, is warranted. This is the first reported case of primary neurolymphomatosis (NL) of the trigeminal nerve associated with facial pain alone. Furthermore, HD-MTX and radiotherapy may be considered for the management of primary NL of a cranial nerve. (...) Primary neurolymphomatosis of the trigeminal nerve. We report a case of a primary malignant lymphoma of the trigeminal nerve that was associated with facial pain. A 65-year-old man was examined at another hospital for unilateral facial pain. Carbamazepine was prescribed, but his symptoms did not improve. Magnetic resonance imaging (MRI) revealed swelling of the trigeminal nerve and a mass lesion in Meckel's cave. The patient was referred to our hospital at this point. Gadolinium-enhanced MRI

2019 British Journal of Neurosurgery

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