Background: This study was performed to reveal the incidence and the etiology of abducens nerve pareses associated with aneurysmal subarachnoid hemorrhage.
Methods: At the time of admission, CT scan was carried out, and the thickness of the prepontine subarachnoid clot was measured.
Results: In total 101 patients met the study requirements and abducens nerve pareses was apparent in 6 patients (5.9%). There were significant differences between the group with abducens nerve pareses and the group without in regard to the thickness of the prepontine subarachnoid clot on CT scan.
Conclusions: The prepontine subarachnoid clot seemed to be the factor inducing the abducens nerve pareses.
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http://dx.doi.org/10.1159/000110421 | DOI Listing |
J Neurosurg Case Lessons
January 2025
Department of Neurological Surgery, Mayo Clinic, Rochester, Minnesota.
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Department of Otorhinolaryngology-Head and Neck Surgery, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Republic of Korea.
Isolated sphenoid fungal sinusitis (ISFS) is a rare condition characterized by fungal infection of the sphenoid sinus. It often presents with non-specific symptoms, which can lead to misdiagnosis. This study presents two unique cases of ISFS with mucocele that were initially misdiagnosed as chordoma based on preoperative radiographic findings.
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Otolaryngology, Royal Surrey County Hospital, Guildford, GBR.
A 66-year-old woman with no prior medical history presented to the emergency department with diplopia and parosmia. The neurological examination identified an isolated left abducens nerve (CN VI) palsy. A head CT scan, followed by a brain MRI, showed a large, locally advanced tumour in the left sphenoid sinus with extensive skull base involvement and perineural extension into the left orbit.
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