A 36-year-old woman presented with glossopharyngeal and vagus nerve palsy, which proved to be herpes zoster based on the high titers of Varicella zoster virus antibody in her serum. Thin-section T1-weighted images with contrast media demonstrated swelling and distinct contrast enhancement of the glossopharyngeal and vagus complex, mimicking a tumor. Following MR imaging, the size of the nerve complex returned to normal; however, the contrast enhancement remained longer than the symptoms.
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http://dx.doi.org/10.3174/ajnr.A1141 | DOI Listing |
Cureus
November 2024
Otolaryngology, Oita University, Yufu, JPN.
We present a case of Ramsay Hunt syndrome in a previously healthy 49-year-old male, complicated by ipsilateral glossopharyngeal, vagus, accessory, and hypoglossal nerve palsies, along with meningitis. Despite a course of antiviral therapy and steroids for meningitis, the patient experienced a relapse, developing varicella-zoster virus (VZV) brainstem encephalitis after an initial period of stability. Hunt syndrome can be encountered in otolaryngology and internal medicine, dermatology, and other specialties.
View Article and Find Full Text PDFWest Afr J Med
November 2024
Paediatric Infectious Diseases Unit, Department of Paediatrics, Jos University Teaching Hospital/University of Jos, Jos, Plateau State, Nigeria.
Summary/introduction: Velopharyngeal incompetence(VPI) is the failure of closure of the velopharyngeal sphincter, which consists of the muscles of the soft palate and the superior pharyngeal constrictor, and functions to separate the nasopharynx and oropharynx during phonation and swallowing. VPI is most frequently congenital/syndromic (with structural deficit) but can be acquired. A subset of acquired VPI, occurring in structurally intact velopharynx, has been described in children, and these are isolated and acute-onset, with a substantial proportion thought to have an infectious origin.
View Article and Find Full Text PDFWest Afr J Med
November 2024
Paediatric Infectious Diseases Unit, Department of Paediatrics, Jos University Teaching Hospital/University of Jos, Jos, Plateau State, Nigeria.
Summary/introduction: Cephalic tetanus (CT) constitutes only 1-3% of total reported tetanus cases. It is marked by flaccid paralysis of one or more cranial nerves (CN) with or without spasticity, typically following craniofacial injuries. The facial nerve is the most frequently paralyzed.
View Article and Find Full Text PDFActa Neurol Belg
November 2024
Department of Neurology, The Second Affiliated Hospital of Chongqing Medical University, 74 Linjiang Road, Yuzhong District, Chongqing, 400010, China.
Cerebrospinal fluid (CSF) rhinorrhea causes the loss of CSF, resulting in a decrease in intracranial pressure and a lack of CSF protection in brain tissue. CSF rhinorrhea may cause impairment of posterior cranial nerves resulting in facial paralysis and vertigo. However, dysarthria caused by involvement of glossopharyngeal nerves and vagus nerves has seldom been reported.
View Article and Find Full Text PDFNeuroSci
March 2024
Instituto de Investigaciones Cerebrales, Universidad Veracruzana, Xalapa 91190, Mexico; (J.M.); (F.R.-D.); (G.E.A.-A.); (L.I.G.-H.); (G.A.C.-Á.); (D.H.-C.); (C.A.P.-E.); (M.R.T.-C.).
The twelve cranial nerves play a crucial role in the nervous system, orchestrating a myriad of functions vital for our everyday life. These nerves are each specialized for particular tasks. Cranial nerve I, known as the olfactory nerve, is responsible for our sense of smell, allowing us to perceive and distinguish various scents.
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