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Cranial Nerve 10

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21. Nerves of Steel: a Low-Cost Method for 3D Printing the Cranial Nerves Full Text available with Trip Pro

Nerves of Steel: a Low-Cost Method for 3D Printing the Cranial Nerves Steady-state free precession (SSFP) magnetic resonance imaging (MRI) can demonstrate details down to the cranial nerve (CN) level. High-resolution three-dimensional (3D) visualization can now quickly be performed at the workstation. However, we are still limited by visualization on flat screens. The emerging technologies in rapid prototyping or 3D printing overcome this limitation. It comprises a variety of automated

2017 Journal of Digital Imaging

22. Recommendations for Prophylactic Cranial Irradiation and Consolidative Radiation for Patients with Small Cell Lung Cancer: Endorsement of the 2019 National Institute for Health and Care Excellence Guidance

prophylactic cranial irradiation at a dose of 25 Gy in 10 fractions to people with limited-stage disease SCLC and World Health Organization (WHO) performance status 0 to 2, if their disease has not progressed on first-line treatment. Extensive-stage disease SCLC Consider thoracic radiotherapy with prophylactic cranial irradiation for people with extensive-stage disease SCLC who have had a partial or complete response to chemotherapy within the thorax and at distant sites. Consider prophylactic cranial (...) irradiation at a dose of 25 Gy in 10 fractions for people with extensive-stage disease SCLC and WHO performance status 0 to 2, if their disease has responded to first-line treatment. The Lung Cancer Disease Site Group of CCO also endorses the following recommendation to support research in order to develop better evidence in future to inform care decisions for prophylactic cranial irradiation for patients with SCLC. Recommendation for Research What is the effectiveness and cost effectiveness

2019 Cancer Care Ontario

23. Laryngeal manifestations of cranial nerve IX/X compression at the brainstem. (Abstract)

Laryngeal manifestations of cranial nerve IX/X compression at the brainstem. We report an association between lower cranial nerve (CN IX/X) vascular compression at the brainstem with laryngeal symptoms utilizing a stepwise algorithm that systematically evaluates and eliminates all other common etiologies. Our experiences with retromastoid craniectomy with lower cranial nerve (LCN) decompression versus non-neurosurgical treatments are detailed.Retrospective chart review at a tertiary care (...) (2 of 25 patients, 8%) (P = 0.02). V-RQOL scores improved more in surgical patients [mean change score, 33.0 (standard deviation [SD], 31.2) than nonsurgical patients (mean change score 9.6, SD 20.9) (P = 0.03) (mean follow-up 3.0 years, SD 2.0).Lower cranial nerve compression at the brainstem should be considered when all other etiologies are excluded. Retromastoid craniectomy with LCN decompression demonstrates an acceptable safety profile.4. Laryngoscope, 1-7, 2018.© 2018 The American

2018 Laryngoscope

24. Cardiovascular endpoints for obstructive sleep apnea with twelfth cranial nerve stimulation (CARDIOSA-12): Rationale and methods. (Abstract)

Cardiovascular endpoints for obstructive sleep apnea with twelfth cranial nerve stimulation (CARDIOSA-12): Rationale and methods. To determine the effect of therapeutic levels of hypoglossal nerve stimulation therapy (HGNS), compared to subtherapeutic levels of HGNS, on 24-hour ambulatory blood pressure, sympathetic activity, and vascular function.Double-blind, sham-controlled, randomized crossover trial of 10-week duration at a university medical center METHODS: The target enrollment is 60 (...) randomly assigned subjects. Interventions are active versus sham (subtherapeutic) HGNS therapy.The primary outcome is 24-hour ambulatory systolic blood pressure. Secondary outcomes include 24-hour ambulatory diastolic blood pressure, nocturnal systolic and diastolic pressure, muscle sympathetic nerve activity, pre-ejection period, flow-mediated dilation, and pulse wave velocity.The Cardiovascular Endpoints for Obstructive Sleep Apnea With Twelfth Cranial Nerve Stimulation study is designed to examine

2018 Laryngoscope

25. Macroprolactinoma causing VI, X, XII cranial nerve palsies nearly 30 years after initial treatment Full Text available with Trip Pro

Macroprolactinoma causing VI, X, XII cranial nerve palsies nearly 30 years after initial treatment A 48-year-old man was diagnosed with a large macroprolactinoma in 1982 treated with surgery, adjuvant radiotherapy and bromocriptine. Normal prolactin was achieved in 2005 but in 2009 it started rising. Pituitary MRIs in 2009, 2012, 2014 and 2015 were reported as showing empty pituitary fossa. Prolactin continued to increase (despite increasing bromocriptine dose). Trialling cabergoline had (...) , there is significant tumour reduction with prolactin 1565 mU/L and cranial nerve deficits have remained stable. Prolactinomas can manifest aggressive behaviour even decades after initial treatment highlighting the unpredictable clinical course they can demonstrate and the need for careful imaging review.Aggressive behaviour of prolactinomas can manifest even decades after first treatment highlighting the unpredictable clinical course these tumours can demonstrate.Escape from control of hyperprolactinaemia

2018 Endocrinology, diabetes & metabolism case reports

26. Multiple cranial nerve injuries and neck abscesses caused by a transorally penetrating organic stick Full Text available with Trip Pro

Multiple cranial nerve injuries and neck abscesses caused by a transorally penetrating organic stick Foreign bodies cause a remarkable number of otolaryngological emergency visits and occasionally result in life-threatening conditions and later-emerging complications. Patient recovery depends on the detection and proper extraction of all foreign materials. Despite various obtainable diagnostic tools, adequate anamnesis forms the basis of clinical reasoning and should direct later examinations

2018 BMJ case reports

27. Multiple cranial nerve palsies in immunodeficiency subtype of Burkitt lymphoma Full Text available with Trip Pro

Multiple cranial nerve palsies in immunodeficiency subtype of Burkitt lymphoma Burkitt lymphoma is a late complication of HIV, and bilateral cranial nerve palsies are extremely rare in patients with AIDS. A twenty year old Caucasian male with known congenital HIV who had been non-adherent with anti-retroviral therapy presented with multiple cranial nerve palsies and was eventually diagnosed with Burkitt lymphoma. Before chemotherapy, he was started on radiation therapy to the brain, meninges (...) , and base of skull with the intent of improving cranial nerve palsies and preventing further neurological sequelae since the cranial nerve palsies were dense and there was concern that intrathecal chemotherapy would have less penetration than radiation. He eventually died due to overall disease burden. We hereby present what we believe is the first reported case of Burkitt lymphoma presenting with bilateral facial, vestibulocochlear, left abducens, and mandibular nerve palsies. Recognition of different

2018 Journal of community hospital internal medicine perspectives

28. Ruptured posterior cerebral artery aneurysm presenting with a contralateral cranial nerve III palsy: A case report Full Text available with Trip Pro

Ruptured posterior cerebral artery aneurysm presenting with a contralateral cranial nerve III palsy: A case report Posterior cerebral artery aneurysms can frequently present with an ipsilateral cranial nerve III palsy.We report the first case of a posterior cerebral artery aneurysm associated with a contralateral cranial nerve III palsy. A 64-year-old male presented with acute subarachnoid hemorrhage, Hunt and Hess grade 3, and a left-sided fixed and dilated pupil. Computed tomography scan

2018 Surgical neurology international

29. The combined effect of cranial-nerve non-invasive neuromodulation with high-intensity physiotherapy on gait and balance in a patient with cerebellar degeneration: a case report Full Text available with Trip Pro

The combined effect of cranial-nerve non-invasive neuromodulation with high-intensity physiotherapy on gait and balance in a patient with cerebellar degeneration: a case report Cranial-nerve non-invasive neuromodulation (CN-NINM) using the portable neuromodulation stimulator (PoNS™) device has been proposed as a novel adjuvant intervention to improve efficacy of gait and balance. This device modulates input and output signals during motor tasks which prompts neuroplastic changes. In this study

2018 Cerebellum & ataxias

30. The Xomed Monopolar Cranial Nerve Stimulator Electrode: A Surprising Handy Tool for Deep Dissection of Epidermoid Tumors Full Text available with Trip Pro

The Xomed Monopolar Cranial Nerve Stimulator Electrode: A Surprising Handy Tool for Deep Dissection of Epidermoid Tumors Epidermoid cysts are notorious for their propensity to sneak into deep recesses between cranial nerves in the posterior fossa. Attempts to achieve complete excision using ordinary instruments when tempted by the seeming ease of dissection is known to cause unacceptable deficits. The Xomed monopolar stimulator electrode probe of the nerve integrity electromyography monitor has (...) electrode aid the dissection. The monopolar electrode was used to tease and scoop out the flakes aided by a fine suction. An initial internal decompression allowed the capsule to be folded away and separated from neurovascular structures using the dissector. The thin profile of both the instruments allowed good visualization and delicate control over the dissection in depths of the resection cavity without undue traction or impacts on superficially dissected cranial nerves. This novel use

2018 Cureus

31. Multiple Cranial Nerve Palsy Concomitant with Leptomeningeal Involvement in Multiple Myeloma: A Case Report and Review of Literature Full Text available with Trip Pro

Multiple Cranial Nerve Palsy Concomitant with Leptomeningeal Involvement in Multiple Myeloma: A Case Report and Review of Literature Neurologic symptoms are quite common in multiple myeloma, but direct invasion of central nervous system is extremely rare. Leptomeningeal multiple myeloma, as a rare neurological manifestation of multiple myeloma, presents with impairment of consciousness, cranial nerve palsies and convulsions. Here, we describe a 52-year- old male patient, known case of multiple

2018 International journal of hematology-oncology and stem cell research

32. Clinical Course and Prognostic Factors of Acquired Third, Fourth, and Sixth Cranial Nerve Palsy in Korean Patients Full Text available with Trip Pro

Clinical Course and Prognostic Factors of Acquired Third, Fourth, and Sixth Cranial Nerve Palsy in Korean Patients This study aimed to evaluate the clinical course and prognostic factors of acquired third, fourth, and sixth cranial nerve (CN) palsy grouped according to etiology.This study involved a retrospective review of the medical records of 153 patients who were diagnosed with acquired paralytic strabismus from January 2004 to July 2015. Outcomes, recovery rates, and time to recovery were

2018 Korean journal of ophthalmology : KJO

33. Multiple Cranial-Nerve Palsies: An Unusual Culprit Full Text available with Trip Pro

Multiple Cranial-Nerve Palsies: An Unusual Culprit 29629534 2018 11 14 1738-6586 14 2 2018 Apr Journal of clinical neurology (Seoul, Korea) J Clin Neurol Multiple Cranial-Nerve Palsies: An Unusual Culprit. 257-258 10.3988/jcn.2018.14.2.257 Shashikala Turlapati Padmavathi TP Department of Neurology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India. Mehta Sahil S Department of Neurology, Postgraduate Institute of Medical Education and Research (PGIMER (...) ), Chandigarh, India. mehtasahilpgi@gmail.com. Sharma Aman A Department of Rheumatology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India. Rai Mittal Bhagwant B Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India. eng Case Reports Letter Korea (South) J Clin Neurol 101252374 1738-6586 The authors have no financial conflicts of interest. 2017 11 15 2018 01 10 2018 01 17 2018 4 10 6 0 2018 4 10 6 0 2018 4 10 6

2018 Journal of clinical neurology (Seoul, Korea)

34. Internal carotid artery aneurysm in skull base osteomyelitis: does the pattern of cranial nerve involvement matter? (Abstract)

Internal carotid artery aneurysm in skull base osteomyelitis: does the pattern of cranial nerve involvement matter? Carotid artery aneurysm is a potentially fatal complication of skull base osteomyelitis. It is important to know the warning signs for this complication, as early diagnosis is of great importance. This report aimed to determine whether the pattern of cranial nerve involvement may predict the occurrence of aneurysm involving the internal carotid artery in skull base (...) osteomyelitis.Two diabetic patients with skull base osteomyelitis were incidentally diagnosed with pseudo-aneurysm of the petrous internal carotid artery on follow-up magnetic resonance imaging. They presented with lower cranial nerve palsy; however, facial nerve function was almost preserved in both cases. Computed tomography angiography confirmed aneurysms at the junction of the horizontal and vertical segments of the petrous carotid artery.Internal carotid artery trapping was conducted using coil

2018 Journal of Laryngology & Otology

35. Treatment of Ramsay-Hunt's syndrome with multiple cranial nerve involvement and severe dysphagia: A case report. Full Text available with Trip Pro

Treatment of Ramsay-Hunt's syndrome with multiple cranial nerve involvement and severe dysphagia: A case report. Ramsay-Hunt's syndrome (RHS) is a disorder characterized by facial paralysis, herpetic eruptions on the auricle, and otic pain due to the reactivation of latent varicella zoster virus in the geniculate ganglion. A few cases of multiple cranial nerve invasion including the vestibulocochlear nerve, glossopharyngeal nerve and vagus nerve have been reported. However, there has been (...) no report about RHS with delayed onset multiple cranial nerve involvement causing severe aspiration, and a clinical course that improved after more than one year of dysphagia rehabilitation and percutaneous endoscopic gastrostomy (PEG). Here, we report on a 67-year old male with delayed onset swallowing difficulty after 16 days of RHS development.Severe aspiration during swallowing.Severe dysphagia caused by RHS with multiple cranial nerve involvement.Application of percutaneous endoscopic gastrostomy

2018 Medicine

36. Vagus nerve stimulation modulates the cranial trigeminal autonomic reflex. (Abstract)

Vagus nerve stimulation modulates the cranial trigeminal autonomic reflex. The trigeminal autonomic reflex plays an important role in primary headache syndromes. Noninvasive vagal nerve stimulation (nVNS) may be an effective modulator of this reflex.Twenty-two healthy volunteers underwent kinetic oscillation stimulation (KOS) of the left nostril as a reliable trigger of the trigeminal autonomic reflex. Previous to KOS, left cervical nVNS, sham simulation, or no stimulation was applied

2018 Annals of Neurology

37. Nationwide Shift From Percutaneous Rhizotomy to Microvascular Decompression for Treatment of Trigeminal and Other Cranial Nerve Neuralgias. (Abstract)

Nationwide Shift From Percutaneous Rhizotomy to Microvascular Decompression for Treatment of Trigeminal and Other Cranial Nerve Neuralgias. The aim of this study was to report the trends in the use of common surgical interventions over the past decade to treat cranial nerve neuralgias.The Centers for Medicare and Medicaid Services Part B National Summary Data File from 2000 to 2016 were studied.A total of 57.1 million persons were enrolled in 2016, up from 39.6 million persons in 2000 (...) . Suboccipital craniectomy done for cranial nerve decompressions (including cranial nerves V, VII, and IX) increased by 33.9 cases per year so that in 2016 the number of cases was 167% of what it was 17 years earlier (ie, from 655 cases in 2000 to 1096 cases in 2016). The less commonly used subtemporal approach craniectomy to treat trigeminal neuralgia (TN) increased by 1.13 cases per year (ie, from 25 cases in 2000 to 46 cases in 2016). The less invasive percutaneous rhizotomy procedures, including glycerol

2018 Headache

38. Cranial nerve palsies due to incidental durotomy in lumbar Spine surgery: a case report. (Abstract)

Cranial nerve palsies due to incidental durotomy in lumbar Spine surgery: a case report. We present a 65-year old man who underwent a partial laminectomy at L4. During surgery an incidental durotomy (ID) appeared. Postoperatively he developed cranial nerve palsies. Subsequent to surgical closure of the ID, symptoms completely resolved within three months.

2018 British Journal of Neurosurgery

39. Samuel Thomas von Sömmerring’s Contributions on the Cranial Nerves and Vomeronasal Organ Full Text available with Trip Pro

Samuel Thomas von Sömmerring’s Contributions on the Cranial Nerves and Vomeronasal Organ Samuel Thomas von Sömmerring (January 28th, 1755, Thorn, then Royal Prussia, now Torun Poland - March 2nd, 1830, Frankfurt am Main, then a free city, now Germany) was one of the most respected Germanic scientists of his time. Whilst working on his philosophy doctorate (Ph.D.) thesis, when he was only 23 years old (circa 1778), Sömmerring proposed a new classification for the arrangement of the cranial (...) nerves, based on the order in which they become visible on the surface of the brain. Amongst his many other anatomical studies worthy of notice, in 1809 Sömmerring began studying the human olfactory system. During this period, he published a detailed text with sketches, being the first to describe in detail the human vomeronasal organ (VNO), working in parallel with Jacobsen, whose name has been synonymous with the VNO, despite denying its existence in man. Nonetheless, Sömmerring's contributions

2018 Cureus

40. The Effectiveness and Risks of Cranial Electrical Stimulation

, PTSD, and insomnia? 9 Table 1. Risk of Bias Assessment for Included Studies 10 Table 2. GRADE Quality of Evidence Table 18 Key Question 2: Compared to usual care, what are the risks of cranial electrical stimulation (CES) for the following conditions: chronic pain, depression, anxiety, PTSD, and insomnia? 18 SUMMARY AND DISCUSSION 20 Summary of Evidence by Key Question 20 Limitations 20 Research Gaps/Future Research 20 Conclusions 21 REFERENCES 22 APPENDIX A. SEARCH STRATEGIES 25 APPENDIX B (...) on the responses from 152 subjects (a 10% response) rate, and found that 99% of respondents believed CES was effective and 99% considered CES to be safe. 5 Another VA study, that included CES among a number of alternative treatments for Veterans Cranial Electrical Stimulation Evidence-based Synthesis Program 3 with chronic pain, found a statistically significant decrease of 1.0 points (on a 0-10 point pain rating scale) in a pre/post study. 6 Anecdotal evidence suggests that the demand for CES devices among

2018 Veterans Affairs Evidence-based Synthesis Program Reports

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