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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 PDFImprovement of Isolated Abducens Nerve Palsy with Hydrocephalus after CSF Diversion: A Possible Evaluative Role of Retroclival-pontomedullary Distance.
NMC Case Rep J
November 2024
Department of Neurosurgery, Yokohama City University, School of Medicine, Yokohama, Kanagawa, Japan.
Isolated abducens nerve palsy (IANP), caused by secondary communicating hydrocephalus, has been rarely documented; in addition, its mechanism and appropriate treatment are not understood well. This study presents a case of bilateral IANP with hydrocephalus in a 62-year-old man who was successfully treated with cerebrospinal fluid (CSF) diversion to correct an enlarged retroclival space during the follow-up of recurrent brain tumor in the right parieto-occipital lobe. The patient was treated with three resections, temozolomide, and irradiation before developing IANP.
View Article and Find Full Text PDFIsolated 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 PDFIntrroduction: Sixth nerve palsy is the most common type of extraocular muscle palsy. The therapy options in sixth nerve palsies include monitoring with or without conservative treatment, botulinum toxin injections or strabismus surgery. The aim of this retrospective study was to compare botulinum toxin (BT) injections into the medial rectus to conservative treatment in sixth nerve palsies.
View Article and Find Full Text PDFScrub Typhus and Bilateral Lateral Rectus Palsy: An Uncommon Manifestation.
Cureus
September 2024
Medicine, Murshidabad Medical College and Hospital, Berhampore, IND.
Scrub typhus is a zoonotic disease that typically presents as an acute febrile illness. It is caused by the rickettsial organism , which is prevalent in the Asian region. The clinical manifestations of scrub typhus can vary significantly, ranging from mild febrile illness to severe multiorgan dysfunction syndrome.
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