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Cranial Nerve 10

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21. Cranial nerve injuries in Le Fort I osteotomy: a systematic review. (PubMed)

Cranial nerve injuries in Le Fort I osteotomy: a systematic review. The aim of this systematic review was to describe the anatomical and surgical factors related to cranial nerve injuries in Le Fort I osteotomy. The protocol of this systematic review was registered in the International Prospective Register of Systematic Reviews (PROSPERO). Two independent reviewers performed an unrestricted electronic database search in the MEDLINE/PubMed, LILACS, Scopus, Web of Science, and Cochrane databases (...) presented the highest incidence of cranial nerve damage. Cranial nerve damage after Le Fort I osteotomy is not rare. Anatomical and structural knowledge of the patient are necessary in order to minimize the risks of cranial nerve injury in Le Fort I osteotomy.Copyright © 2018. Published by Elsevier Ltd.

2018 International Journal of Oral and Maxillofacial Surgery

22. Multiple cranial nerve injuries and neck abscesses caused by a transorally penetrating organic stick (PubMed)

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

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2018 BMJ case reports

23. Vagus nerve stimulation modulates the cranial trigeminal autonomic reflex. (PubMed)

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

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

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

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

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

26. Does the surgical approach for treating mandibular condylar fractures affect the rate of seventh cranial nerve injuries? A systematic review and meta-analysis based on a new classification for surgical approaches.

Does the surgical approach for treating mandibular condylar fractures affect the rate of seventh cranial nerve injuries? A systematic review and meta-analysis based on a new classification for surgical approaches. The purpose of this study was to determine the rate of facial nerve injury (FNI) when performing (ORIF) of mandibular condylar fractures by different surgical approaches.A systematic review and meta-analysis were performed that included several databases with specific keywords (...) facial nerve preparation 19% (24.3% for CNFs and 10.5% for CBFs). F) For retromandibular transmassetric anteroparotid approach 3.4% in CNFs/CBFs. G) For retromandibular transmassetric anteroparotid approach with preauricular extension 2.3% for CNFs/CBFs. H) For preauricular approach a) deep subfascial dissection plane 0% in CHFs b) for subfascial approach using traditional preauricular incision 10% (8.5% in CHFs and 11.5% in CNFs). I) For retroauricular approach 3% for CHFs. PFNI rates reported

2018 Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery

27. Cranial Nerve Injury After Carotid Endarterectomy: Incidence, Risk Factors, and Time Trends.

Cranial Nerve Injury After Carotid Endarterectomy: Incidence, Risk Factors, and Time Trends. To review the incidence of post-carotid endarterectomy (CEA) cranial nerve injury (CNI), and to evaluate the risk factors associated with increased CNI risk.The study was a meta-analysis. Pooled rates with 95% confidence intervals (CIs) were calculated for CNIs after primary CEA. Odds ratios (ORs) were calculated for potential risk factors. A fixed-effects model or a random effects model (Mantel (...) -Haenszel method) was used for non-heterogeneous and heterogeneous data, respectively. Meta-regression analysis was performed to examine the influence of publication year upon CNI rate.Twenty-six articles, published between 1970 and 2015, were included in the meta-analysis, corresponding to 20,860 CEAs. Meta-analysis revealed that the vagus nerve was the most frequently injured cranial nerve (pooled injury rate 3.99%, 95% CI 2.56-5.70), followed by the hypoglossal nerve (3.79%, 95% CI 2.73-4.99). Fewer

2018 European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery

28. Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines on Intraoperative Cranial Nerve Monitoring in Vestibular Schwannoma Surgery.

Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines on Intraoperative Cranial Nerve Monitoring in Vestibular Schwannoma Surgery. Does intraoperative facial nerve monitoring during vestibular schwannoma surgery lead to better long-term facial nerve function?This recommendation applies to adult patients undergoing vestibular schwannoma surgery regardless of tumor characteristics.Level 3: It is recommended that intraoperative facial nerve monitoring be routinely (...) ?This recommendation applies to adult patients undergoing vestibular schwannoma surgery.Level 3: Poor intraoperative EMG electrical response of the facial nerve should not be used as a reliable predictor of poor long-term facial nerve function.Should intraoperative eighth cranial nerve monitoring be used during vestibular schwannoma surgery?This recommendation applies to adult patients undergoing vestibular schwannoma surgery with measurable preoperative hearing levels and tumors smaller than 1.5 cm.Level 3

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2018 Neurosurgery

29. Multiple Cranial Nerve Palsy Concomitant with Leptomeningeal Involvement in Multiple Myeloma: A Case Report and Review of Literature (PubMed)

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

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2018 International journal of hematology-oncology and stem cell research

30. Multiple Cranial-Nerve Palsies: An Unusual Culprit (PubMed)

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

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2018 Journal of clinical neurology (Seoul, Korea)

31. The Xomed Monopolar Cranial Nerve Stimulator Electrode: A Surprising Handy Tool for Deep Dissection of Epidermoid Tumors (PubMed)

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

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2018 Cureus

32. Clinical Course and Prognostic Factors of Acquired Third, Fourth, and Sixth Cranial Nerve Palsy in Korean Patients (PubMed)

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

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2018 Korean journal of ophthalmology : KJO

33. Samuel Thomas von Sömmerring’s Contributions on the Cranial Nerves and Vomeronasal Organ (PubMed)

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

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2018 Cureus

34. Macroprolactinoma causing VI, X, XII cranial nerve palsies nearly 30 years after initial treatment (PubMed)

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

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2018 Endocrinology, diabetes & metabolism case reports

35. Multiple cranial nerve palsies in immunodeficiency subtype of Burkitt lymphoma (PubMed)

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

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2018 Journal of community hospital internal medicine perspectives

36. Ruptured posterior cerebral artery aneurysm presenting with a contralateral cranial nerve III palsy: A case report (PubMed)

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

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2018 Surgical neurology international

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

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

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

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

39. Treatment of Ramsay-Hunt's syndrome with multiple cranial nerve involvement and severe dysphagia: A case report. (PubMed)

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

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2018 Medicine

40. Laryngeal manifestations of cranial nerve IX/X compression at the brainstem. (PubMed)

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

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