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Comprehensive Analysis of Garcin Syndrome: A Systematic Review of the Etiology, Diagnosis, and Treatment.
Cureus
September 2024
Department of Surgery, Baghdad Teaching Hospital, Medical City Complex, Baghdad, IRQ.
Garcin syndrome is a rare neurological condition characterized by progressive unilateral involvement of multiple cranial nerves, without typical intracranial hypertension. It is often linked with aggressive malignancies and invasive infections; hence, it presents significant diagnostic and therapeutic challenges. Despite the advances in medical technology, the prognosis still remains poor, and there is limited literature on comprehensive reviews regarding its etiology, diagnosis, and management.
View Article and Find Full Text PDFCranial nerve palsies following neuraxial blocks.
Agri
January 2024
Department of Anesthesiology and Reanimation, Koç University Hospital, İstanbul, Türkiye.
Spinal anesthesia is one of the most frequently performed regional anesthesia techniques for a variety of surgeries world-wide. Cranial nerve palsy is a rarely reported complication of central neuraxial block. The etiology varies; however, it is most often associated with nerve compression or traction due to intracranial hypotension.
View Article and Find Full Text PDFSymptomatic cerebral vasospasm after posterior fossa surgery in pediatric patients: single-center study and systematic literature review.
Childs Nerv Syst
December 2024
Department of Pediatric Neurosurgery, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital, Oxford, OX3 9DU, UK.
Article Synopsis
- The study investigates symptomatic vasospasm in pediatric patients who had surgery on the posterior fossa, noting that it’s a rare complication primarily linked to subarachnoid hemorrhage.
- One patient out of 178 developed symptomatic diffuse vasospasm post-surgery, and literature reviews found only 9 additional cases involving various intra- and extra-axial lesions.
- The findings suggest that while iatrogenic vasospasm in children post-surgery is uncommon, outcomes can vary widely, and more awareness is needed among medical professionals regarding this complication, though definitive risk factors remain unclear due to the limited number of cases.
V3 segment of the right vertebral artery taking an anomalous posterosuperior course and penetrating occipital bone (wall of the jugular foramen) diagnosed by magnetic resonance angiography.
Surg Radiol Anat
November 2024
Neuroscience Center, Suzuki Neurosurgical Clinic, 2082, Kasahata, Kawagoe, Saitama, 350- 1175, Japan.
Purpose: To describe a case of an anomalous posterosuperior course of the V3 segment of the right vertebral artery (VA) that penetrated the occipital bone (wall of the jugular foramen).
Methods: A 33-year-old healthy woman underwent cranial magnetic resonance (MR) imaging and MR angiography from the upper cervical to the intracranial region using a 3-Tesla scanner to screen for asymptomatic brain lesions, including cerebrovascular diseases.
Results: MR angiography showed no pathological arterial lesions such as aneurysms; however, there was an anomalous posterosuperior course of the V3 segment of the right VA.
An Unusual Case of Contralateral Hypoglossal and Recurrent Laryngeal Nerve Palsies Following Endotracheal Intubation.
Dysphagia
December 2024
Department of Neurology, Barts Health NHS Trust, London, UK.
We present an unusual case of a 62-year-old male presenting with contralateral hypoglossal and recurrent laryngeal nerve palsies following endotracheal intubation for emergency cardiac surgery. Postoperative, the patient was referred to Speech and Language Therapy due to concerns regarding the safety of his swallow. Oromotor assessment revealed left-sided tongue weakness and aphonia.
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