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Third nerve palsy

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https://www.readbyqxmd.com/read/28214652/unilateral-oculomotor-palsy-in-charcot-marie-tooth-disease-1a-cmt-1a
#1
A Posa, A Emmer, M E Kornhuber
BACKGROUND: Charcot-Marie-Tooth disease (CMT) type 1A is the most common form of CMT 1 and one of the autosomal dominant demyelinating hereditary motor and sensory neuropathies (HMSN). Cranial nerves may be frequently subclinically affected in CMT disease. However manifest clinical signs of cranial nerve involvement are rare. METHODS: This case comprise neurological, ophthalmological, internal medicine and ear-nose-throat investigation, motor and sensory nerve conduction velocity, auditory evoked potentials and orbicularis-oculi reflex measurements, lumbar puncture and blood examination, inclusive molecular genetic testing, as well as electrocardiogram and cranial imaging such as computer tomography and magnetic resonance imaging RESULTS: The present case shows a Charcot-Marie-Tooth (CMT) 1A patient with complete unilateral oculomotor palsy in combination with predominant ipsilateral subclinical trigeminal demyelination...
February 13, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28210639/an-interesting-case-of-tolosa-hunt-syndrome-in-a-young-male
#2
Ghulam Murtaza, Nicholas Konowitz, Hannah Lu, Anadil Faqah, Aneesh Kuruvilla
Tolosa-Hunt syndrome is a rare disease with a limited number of cases reported in the literature. It typically presents with orbital pain associated with palsy of the third, fourth, or sixth cranial nerve. We present an interesting case of Tolosa-Hunt syndrome in a young male who responded well to high-dose steroids and in a few days had significant improvement in his retro-orbital pain and ocular movements.
January 2017: Journal of Investigative Medicine High Impact Case Reports
https://www.readbyqxmd.com/read/28210514/hemorrhagic-colloid-cyst-presenting-with-acute-hydrocephaly
#3
Reza Akhavan, Behrouz Zandi, Masoud Pezeshki-Rad, Donya Farrokh, Bita Abbasi
Colloid cysts are benign slow-growing cystic lesions located on the roof of the third ventricle that usually present with symptoms related to gradual rise of intracranial pressure. They mostly remain asymptomatic and sometimes grow progressively and cause diverse symptoms associated with increased intracranial pressure such as headache, diplopia, and sixth cranial nerve palsy. Here we report a 47-year-old female who presented to the emergency department with acute severe headache and nausea/vomiting. On MRI examination acute hydrocephaly due to hemorrhagic colloid cyst was detected...
2017: Case Reports in Neurological Medicine
https://www.readbyqxmd.com/read/28152321/a-case-report-of-rim-enhancing-lesion-at-the-orbital-apex
#4
Rachna Agarwal, Vikas Kanaujia, Priyadarshini Mishra, R V Phadke, Kumudini Sharma
We report a case of partial third nerve palsy resulting from a cystic lesion located at the orbital apex. Imaging was suggestive of cystic schwanomma but histopathology of the lesion confirmed epidermoid cyst, which is a rare tumour of the orbit.
February 2, 2017: Orbit
https://www.readbyqxmd.com/read/28124515/anatomic-criteria-determining-high-risk-carotid-surgery-patients
#5
Pavlos Tsantilas, Andreas Kuehnl, Erich Brenner, Hans H Eckstein
BACKGROUND: Based on randomized trials, carotid endarterectomy (CEA) is the standard procedure for patients with a 50-99% symptomatic carotid stenosis and carefully selected patients with an asymptomatic high-grade carotid stenosis. Carotid artery stenting (CAS) is a technical alternative for patients with a high surgical risk or difficult anatomic conditions (e.g., recurrent stenosis). This study aims to provide an overview of anatomic factors associated with a higher risk of CEA complications...
January 25, 2017: Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/28099983/-the-relevance-of-abducent-nerve-palsy-in-ent
#6
Veit Maria Hofmann, Stephan M Niehues, Annett Pudszuhn
Patients suffering from abducent nerve palsy are usually primary seen by a conservative medical Specialist. In most cases the ENT specialist is secondary involved for treatment. In the majority of cases abducent nerve palsy is a temporary symptom associated with neurologic or vascular diseases. Rarely inflammation, neoplasm or fracture of the skull base cause this symptom and lead to an intervention done by the ENT surgeon. This case series describes retrospectively the abducent palsy seen through the eyes of an ENT surgeon...
January 18, 2017: Laryngo- Rhino- Otologie
https://www.readbyqxmd.com/read/28042017/-the-extended-lateral-supraorbital-approach-and-extradural-anterior-clinoidectomy-through-a-fronto-pterio-orbital-window-technical-note-and-pilot-surgical-series
#7
Hugo Andrade-Barazarte, Max Jägersberg, Sirajeddin Belkhair, Rachel Tymianski, Mazda K Turel, Karl Schaller, Juha A Hernesniemi, Michael Tymianski, Ivan Radovanovic
BACKGROUND: Lateral approaches to treat anterior cranial fossa lesions have evolved since the first frontotemporal approach described by Dandy in 1918 OBJECTIVE: To describe a less invasive approach to perform an extradural anterior clinoidectomy (EAC) through a lateral supraorbital approach (LSO) for anterior circulation aneurysms and antero-lateral skull base lesions METHODS: The extended LSO involves performing a standard lateral supraorbital craniotomy, followed by drilling of the sphenoid wing and the lateral wall of the orbit through the frontal bony opening of the LSO without any temporal extension of the craniotomy...
December 29, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/28041767/-nerve-transfer-between-the-intercostal-nerves-and-the-motor-component-of-the-musculocutaneous-nerve-anatomical-study-of-feasibility
#8
M Fleury, D Lepage, I Pluvy, J Pauchot
INTRODUCTION: The intercostal nerves (ICN) transfer to the musculocutaneous nerve (MCN) can restore elbow flexion in complete brachial plexus palsy. The last cases our service dealt with, allowed our staff to observe two different situations. In the 2 first patients, we were able to proceed with an intraneurodissection of the MCN motor component up to the axillary cavity level, while on the third case such dissection could not be performed as high. The aim of this work is to assess the feasibility of a transfer on the MCN's motor component...
December 29, 2016: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/28013254/stroke-in-pediatric-diabetic-ketoacidosis-case-series
#9
Chandrika Azad, Ravinder Kaur, Dharmendra Kumar Singh, Adhi Arya
Diabetic ketoacidosis (DKA) can present with various neurological complications, but stroke is rare. Here, we present three children with recent-onset diabetes with DKA, two of them had deep coma not responding to standard DKA regimen and the third one had seventh nerve palsy noted after recovering from coma. Computed tomography scan of head showed hemorrhage in the area of midbrain in one patient and infarcts in two patients. In any child of DKA with severe neurological impairment, possibility of stroke should be entertained...
December 24, 2016: Journal of Tropical Pediatrics
https://www.readbyqxmd.com/read/28006728/is-clipping-better-than-coiling-in-the-treatment-of-patients-with-oculomotor-nerve-palsies-induced-by-posterior-communicating-artery-aneurysms-a-systematic-review-and-meta-analysis
#10
REVIEW
Feng Zheng, Ying Dong, Peng Xia, Anastasios Mpotsaris, Pantelis Stavrinou, Gerrit Brinker, Roland Goldbrunner, Boris Krischek
OBJECTIVE: Posterior communicating artery aneurysms (PcomAAs) are the second most common aneurysm, accounting for 25% of all aneurysms and 50% of internal carotid artery aneurysms. It has been estimated that oculomotor nerve palsy (ONP) occurs in up to one-third of patients with posterior communicating artery (PcomA) aneurysms. Recent research showed a better outcome of ONP in patients with PcomAA after surgical clipping when compared to endovascular coiling. We compared the effect of clipping and coiling on recovery of ONP in the management of patients with PcomAAs...
February 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27977849/conservative-interventions-for-treating-middle-third-clavicle-fractures-in-adolescents-and-adults
#11
REVIEW
Mário Lenza, Flávio Faloppa
BACKGROUND: Clavicle (collarbone) fractures account for around 4% of all fractures. Most (76%) clavicle fractures involve the middle-third section of the clavicle. Treatment of these fractures is usually non-surgical (conservative). Commonly used treatments are arm slings, strapping and figure-of-eight bandages.This is an update of a Cochrane review first published in 2009 and updated in 2014. OBJECTIVES: To evaluate the effects (benefits and harms) of different methods for conservative (non-operative) treatment for acute (treated soon after injury) middle third clavicle fractures in adolescents and adults...
15, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27965263/primary-intravenous-chemotherapy-for-group-d-retinoblastoma-a-13-year-retrospective-analysis
#12
Ido D Fabian, Andrew W Stacey, Kenneth P Johnson, Zerrin Onadim, Tanzina Chowdhury, Catriona Duncan, M Ashwin Reddy, Mandeep S Sagoo
BACKGROUND: Eye salvage rate for group D retinoblastoma using intravenous chemotherapy (IVC) as a primary modality is <50%. To report on 13 years' experience with the use of primary IVC for group D retinoblastoma. METHODS: A retrospective analysis of 64 group D eyes (52 patients) treated with primary IVC, from 2002 to 2014. RESULTS: The median age at presentation was 11.0 months (mean: 18.6, range: 0.6-144.0), 35 (67%) patients had bilateral disease, 38 (73%) germline disease and 8 (15%) cases were familial...
January 2017: British Journal of Ophthalmology
https://www.readbyqxmd.com/read/27935468/interdural-cavernous-sinus-dermoid-cyst-in-a-child-case-report
#13
Flavio Giordano, Giacomo Peri, Giacomo M Bacci, Massimo Basile, Azzurra Guerra, Patrizia Bergonzini, Anna Maria Buccoliero, Barbara Spacca, Lorenzo Iughetti, PierArturo Donati, Lorenzo Genitori
Interdural dermoid cysts (DCs) of the cavernous sinus (CS), located between the outer (dural) and inner layer (membranous) of the CS lateral wall, are rare lesions in children. The authors report on a 5-year-old boy with third cranial nerve palsy and exophthalmos who underwent gross-total removal of an interdural DC of the right CS via a frontotemporal approach. The patient had a good outcome and no recurrence at the 12-month follow-up. To the best of the authors' knowledge this is the second pediatric case of interdural DC described in the literature...
December 9, 2016: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/27932433/acute-hypertensive-encephalopathy-presenting-with-a-partial-third-nerve-palsy-image-findings
#14
James W Ryan, Christine McCarthy, Sean Murphy, Eoin Kavanagh
No abstract text is available yet for this article.
December 8, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27928379/a-rare-case-of-penetrating-trauma-resulting-in-isolated-third-nerve-palsy
#15
Caleb Story, Michael Patterson, Wilson McWilliams, Bethany Bray Markowitz
A 23-year-old male presented to the emergency department with right eye pain, right upper eyelid ptosis, blurry vision, and binocular diplopia that developed immediately after he bent over in a parking lot and the antenna of a car penetrated his right upper eyelid. An extensive workup was performed, and he was found to have an isolated traumatic oculomotor nerve palsy with pupil involvement. No other ocular findings of a traumatic injury were present. The patient was observed for 14 months, during which he continually improved, with almost complete resolution of his diplopia, anisocoria, and ptosis...
February 2016: Neuro-ophthalmology
https://www.readbyqxmd.com/read/27923759/de-novo-intraneural-arachnoid-cyst-presenting-with-complete-third-nerve-palsy-case-report-and-literature-review
#16
Danielle Brewington, Dmitriy Petrov, Robert Whitmore, Grant Liu, Ronald Wolf, Eric L Zager
BACKGROUND: Intraneural arachnoid cyst is an extremely rare etiology of isolated cranial nerve palsy. Although seldom encountered in clinical practice, this pathology is amenable to surgical intervention. Correct identification and treatment of the cyst are required to prevent permanent nerve damage and potentially reverse the deficits. We describe a rare case of isolated third nerve palsy caused by an intraneural arachnoid cyst. CASE DESCRIPTION: A 49-year-old woman with a recent history of headaches experienced acute onset of painless left-sided third nerve palsy...
December 3, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27900703/the-treatment-of-distal-third-humeral-diaphyseal-fractures-is-there-still-a-place-for-the-external-fixation
#17
N Tartaglia, G Vicenti, M Carrozzo, A Abate, F Rifino, G Picca, G Solarino, B Moretti
INTRODUCTION: The treatment for humeral diaphyseal fractures is still controversial. The purpose of this study was to evaluate the clinical and radiographic outcomes of treating humeral distal third diaphyseal fractures by using external fixation technique. MATERIALS AND METHODS: We retrospectively review 65 cases of diaphyseal humeral fractures (31 type A, 23 type B and 11 type C of the AO/OTA classification) treated with external fixation (Orthofix FAD small) between 2008 and 2013...
December 2016: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/27893002/incidence-and-etiologies-of-acquired-third-nerve-palsy-using-a-population-based-method
#18
Chengbo Fang, Jacqueline A Leavitt, David O Hodge, Jonathan M Holmes, Brian G Mohney, John J Chen
Importance: Among cranial nerve palsies, a third nerve palsy is important because a subset is caused by life-threatening aneurysms. However, there is significant disagreement regarding its incidence and the reported etiologies. Objective: To determine the incidence and etiologies of acquired third nerve palsy using a population-based method. Design, Setting, and Participants: All newly diagnosed cases of acquired third nerve palsy from January 1, 1978, through December 31, 2014, in Olmsted County, Minnesota, were identified using the Rochester Epidemiology Project, a record-linkage system of medical records for all patient-physician encounters among Olmsted County residents...
January 1, 2017: JAMA Ophthalmology
https://www.readbyqxmd.com/read/27892993/third-nerve-palsies-less-frequent-but-just-as-concerning
#19
Nancy J Newman, Valerie Biousse
No abstract text is available yet for this article.
January 1, 2017: JAMA Ophthalmology
https://www.readbyqxmd.com/read/27886888/imaging-of-oculomotor-third-cranial-nerve-palsy
#20
REVIEW
Michael S Vaphiades, Glenn H Roberson
When evaluating a patient with an oculomotor cranial nerve palsy it may be unclear which neuroimaging modality is optimal; MRI, MR angiography, computed tomography, computed tomography angiography, or intraarterial digital subtraction angiography. We discuss the clinical guidelines in the evaluation of such patients and review neuroimaging techniques, outlining the advantages and disadvantages of each.
February 2017: Neurologic Clinics
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