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Cranial Nerve Palsies and Peri-Mesencephalic Subarachnoid Haemorrhage: A Case Report and Review of the Literature.
Cureus
December 2024
Neurosurgery, Southampton General Hospital NHS Foundation Trust, Southampton, GBR.
Peri-mesencephalic subarachnoid haemorrhage (PMSAH) is considered to be a clinically benign subset of subarachnoid haemorrhage (SAH). Cranial nerve palsies have been previously reported as rare sequelae of PMSAH. Herein, we report an unusual case of multiple cranial nerve palsies as a presenting feature of PMSAH and a review of the literature for cranial nerve palsies post-PMSAH.
View Article and Find Full Text PDF[Efficacy of modified nasal transposition of the split lateral rectus muscle for large-angle exotropia from oculomotor nerve palsy].
Zhonghua Yan Ke Za Zhi
January 2025
Tianjin Eye Hospital, Nankai University Affiliated Eye Hospital, Clinical College of Ophthalmology of Tianjin Medical University, Tianjin Eye Institute, Tianjin Key Laboratory of Ophthalmology and Visual Science, Tianjin300020, China.
To explore the efficacy of the modified lateral rectus muscle splitting and nasal transposition surgery in treating large-angle exotropia caused by oculomotor nerve palsy and its impact on ocular motility. Retrospective case series study. Data was collected from patients diagnosed with large-angle exotropia due to oculomotor nerve palsy and treated by modified lateral rectus muscle splitting and nasal transposition surgery at the Tianjin Eye Hospital from January 2020 to October 2023.
View Article and Find Full Text PDFPosterior Cortical Atrophy Due to Alzheimer Disease in a Person With Down Syndrome: A Case Report.
Neurology
January 2025
Sant Pau Memory Unit, Department of Neurology, Hospital de la Santa Creu i Sant Pau, Biomedical Research Institute Sant Pau (IIB Sant Pau), Universitat Autònoma de Barcelona.
Objectives: Atypical variants are rare in genetically determined Alzheimer disease (AD). This case describes a patient with Down syndrome-associated Alzheimer disease (DSAD) who presented with symptoms of posterior cortical atrophy (PCA).
Methods: We conducted a clinical and cognitive evaluation, genotyping, determination of AD biomarkers in CSF, structural MRI, [18F]FDG-PET, and tau-PET ([18F]PI2620) scans.
Isolated sphenoid sinus fungal mucoceles: A rare entity with a high propensity for causing neurological complications.
Surg Neurol Int
November 2024
Department of Neurosurgery, Ibn Sina Hospital, Al-Sabah Medical Area, Kuwait City, Kuwait.
Background: Isolated sphenoid sinus fungal mucoceles are extremely rare and potentially associated with visual disturbances, cranial nerve (CN) deficits, or pituitary dysfunction. Their initial symptoms are often absent or nonspecific, and routine examination offers little information, resulting in diagnostic and therapeutic delays. A high index of suspicion and a thorough understanding of their clinical presentation, neuroradiological features, microbiological implications, and complication profile are crucial for early diagnosis and prompt management.
View Article and Find Full Text PDFCombined recession-resection in the management of paralytic strabismus: simplification of the complex (a case report).
Pan Afr Med J
December 2024
Department of Ophthalmology, Faculty of Medicine Airlangga University, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.
Article Synopsis
- - Oculomotor nerve palsy poses significant treatment challenges for eye disorders, particularly causing paralytic exotropia, as seen in a 32-year-old male patient with severe squint due to partial nerve palsy.
- - Traditional surgical techniques, like periosteal fixation with Callahan suture, may be too complex; this case suggests a simpler approach using medial rectus resection and lateral rectus recession can be effective.
- - The patient underwent a successful eye surgery that improved his condition, showcasing that the combination of these surgical methods can lead to good outcomes and long-term stability in managing this type of strabismus.
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