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Sixth cranialnerve palsy and ipsilateral trigeminal neuralgia caused by vertebrobasilar dolichoectasia To report an unusual case of vertebrobasilar dolichoectasia causing both trigeminal neuralgia and ipsilateral sixth cranialnerve palsy.A patient had undergone surgical decompression of trigeminal neuralgia caused by dolichoectatic vertebral and basilar arteries years before presenting with ipsilateral sixth nerve palsy. Brain MRI showed deviant vertebrobasilar arteries that presumably now (...) compressed the sixth cranialnerve. The unaffected left sixth cranialnerve was visible on MRI, but the affected right sixth cranialnerve was not. The central spinal fluid space in Dorello's canal on the affected side was relatively ample, suggesting atrophy of the affected sixth cranialnerve. On follow-up examination one year after presentation, the patient's diplopia was palliated with spectacle prism.This is the tenth reported case of dolichoectasia causing sixth cranialnerve palsy, but only
Assessment of cranialnerve mononeuropathy Assessment of cranialnerve mononeuropathy - Differential diagnosis of symptoms | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search Assessment of cranialnerve mononeuropathy Last reviewed: February 2019 Last updated: June 2018 Summary There are 12 paired cranialnerves, named and numbered according to the rostral-caudal order of attachment to the brain. They serve a variety of functions and predominantly provide (...) the motor and sensory innervation to the head. The effects of a mononeuropathy depend on where in its pathway the nerve is affected and the aetiology. The signs and symptoms of a cranialnerve mononeuropathy vary depending on which nerve is affected. Olfactory (I) Anatomy Olfaction begins with transduction of odorants from the air into the nasal mucosa. These odorants diffuse or are transported to bipolar receptor cells located in the olfactory neuroepithelium in the roof of the nasal chamber. Action
CRACKCast E105 – Brain and CranialNerve Disorders CRACKCast E105 - Brain and CranialNerve Disorders - CanadiEM CRACKCast E105 – Brain and CranialNerve Disorders In by Chris Lipp August 31, 2017 This episode of CRACKCast covers Rosen’s Chapter 105, Brain and CranialNerve Disorders. These can be the weird and wonderful in the ED, but subtle hints can clue us in that further investigation is needed for our patients. Having a high suspicion for these diagnoses can help you make an appropriate (...) care plan and follow up for patients with neurological disease. Shownotes – Rosen’s in Perspective What are three things I can guarantee you feel a little queasy when pimped about? Well we’ve got you covered here for CranialNerve problems, Cerebral Venous Thrombosis and Multiple Sclerosis. When it comes to Cranialnerve deficits, remember to NOT MISS THE INTRACRANIAL CATASTROPHE! When deficits cannot be clearly attributed to lower motor neuron dysfunction, obtain definitive imaging (typically
Ocular cranialnerve palsies secondary to sphenoid sinusitis The clinical presentation of sphenoid sinusitis can be highly variable. Rarely, sphenoid sinusitis may present with cranialnerve complications due to the proximity of these structures to the sphenoid sinus.A case series from Rabin Medical Center and all cases of cranialnerves palsies secondary to sphenoid sinusitis that have been reported in the literature were reviewed.Seventeen patients were identified. The abducent nerve (...) was the most common cranialnerve affected (76%), followed by the oculomotor nerve (18%). One patient had combined oculomotor, trochlear and abducent palsies. The most common pathology was isolated purulent sphenoid sinusitis in 64% followed by allergic fungal sinusitis (AFS) in 18%, and fungal infection in 18%. 94% had an acute presentation. The majority (85%) received a combined intravenous antibiotics and surgical treatment. The remainder received conservative treatment alone. Complete recovery
Isolated unilateral sixth cranialnerve palsy: A rare presentation of dengue fever Dengue fever is a common mosquito-borne viral infection endemic in tropical and subtropical countries. Neurological manifestations in dengue infection are relatively uncommon, and include encephalitis, encephalopathy, neuromuscular disorders and neuro-ocular disorders. Cranial mononeuropathy is a rare manifestation of dengue infection. A 40-year-old man was diagnosed with isolated, unilateral sixth cranialnerve (...) palsy complicating dengue infection. The patient was managed accordingly, and full ocular recovery was observed. This was the first reported case of isolated sixth cranialnerve palsy associated with dengue fever in Malaysia. It is important for clinicians to consider dengue as a differential diagnosis in patients presenting with fever and sixth cranialnerve palsy.
31, 2014).12 children met the case definition (median age 11·5 years [IQR 6·75-15]). All had a prodromal febrile illness preceding neurological symptoms by a median of 7 days (IQR 5·75-8). Neurological deficits included flaccid limb weakness (n=10; asymmetric n=7), bulbar weakness (n=6), and cranialnerve VI (n=3) and VII (n=2) dysfunction. Ten (83%) children had confluent, longitudinally extensive spinal-cord lesions of the central grey matter, with predominant anterior horn-cell involvement (...) A cluster of acute flaccid paralysis and cranialnerve dysfunction temporally associated with an outbreak of enterovirus D68 in children in Colorado, USA. Clusters of acute flaccid paralysis or cranialnerve dysfunction in children are uncommon. We aimed to assess a cluster of children with acute flaccid paralysis and cranialnerve dysfunction geographically and temporally associated with an outbreak of enterovirus-D68 respiratory disease.We defined a case of neurological disease as any child
Nasal cause of sixth cranialnerve palsy 25893063 2015 04 20 2018 11 13 1985-207X 8 3 2013 Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia Malays Fam Physician Nasal cause of sixth cranialnerve palsy. 54 Mohamad I I Department of otorhinolaryngology-Head & Neck Surgery, School of Medical sciences, Universiti sains Malaysia Health Campus. eng Journal Article 2013 12 31 Malaysia Malays Fam Physician 101466855 1985-2274 2015 4 21 6 0 2013 1 1 0 0
A practice pathway for the initial diagnostic evaluation of isolated sixth cranialnerve palsies A practice pathway for the initial diagnostic evaluation of isolated sixth cranialnerve palsies A practice pathway for the initial diagnostic evaluation of isolated sixth cranialnerve palsies Miller R W, Lee A G, Schiffman J S, Prager T C, Garza R, Jenkins P F, Sforza P, Verm A, Kaufman D, Robinson W, Eggenberger E, Tang R A Record Status This is a critical abstract of an economic evaluation (...) the clinical certainty of the pathway recommendations". Source of funding Supported in part by an unrestricted grant from Research to Prevent Blindness, Inc, New York, NY and a grant from the Baylor Neuro- ophthalmology Academic Fund, Houston, Texas. Bibliographic details Miller R W, Lee A G, Schiffman J S, Prager T C, Garza R, Jenkins P F, Sforza P, Verm A, Kaufman D, Robinson W, Eggenberger E, Tang R A. A practice pathway for the initial diagnostic evaluation of isolated sixth cranialnerve palsies