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Pseudoperipheral palsy has been used to characterize isolated monoparesis secondary to stroke. Isolated hand nerve palsy is a rare presentation for acute cerebral stroke. Our patient presented with clinical features of typical peripheral radial nerve palsy and a normal computed tomography scan of the head, which, without a detailed history and neurological examination, could have been easily misdiagnosed as a peripheral nerve lesion deferring further investigation for a stroke. We stress the importance of including cerebral infarction as a critical differential diagnosis in patients presenting with sensory-motor deficit in an isolated peripheral nerve pattern. A good history and physical exam can differentiate stroke from peripheral neuropathy as the cause of radial nerve palsy.
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http://dx.doi.org/10.1177/2324709616658310 | DOI Listing |
J Stomatol Oral Maxillofac Surg
March 2025
Maxillofacial Surgery Department, Hôpital de la Croix Rousse, 103 grande rue de la Croix Rousse, 69004 Lyon, France; Maxillofacial Surgery Department, Hôpital Nord, Avenue Albert Raimond, 42000 Saint-Priest-en-Jarez, France.
Purpose: New-generation total temporomandibular joint prostheses have demonstrated their efficacy and low morbidity. However, their implantation requires a dual external approach, which can result in significant aesthetic and functional sequelae. The authors have therefore developed an alternative technique that avoids the cervical route.
View Article and Find Full Text PDFSurv Ophthalmol
March 2025
Corneoplastic Unit, Queen Victoria Hospital NHS Foundation Trust, East Grinstead, United Kingdom.
Dynamic reconstructive techniques of the eyelid in facial nerve palsy aim to restore or replace spontaneous and voluntary movement. These may include transfer and graft techniques of nerve and muscle. The role of these procedures from an ophthalmic and oculoplastic perspective is yet to be established.
View Article and Find Full Text PDFGlobal Spine J
March 2025
Atlantic Brain and Spine, Wilmington, NC, USA.
Study DesignRetrospective Cohort Study.ObjectiveLateral lumbar interbody fusion (LLIF) is a treatment option for correcting lumbar degenerative pathologies that uses a retroperitoneal, transpsoas corridor to the disc space. Conventional teaching of the LLIF technique has been to perform the procedure 'as efficiently as possible', with a goal of keeping the total retractor time to less than 20 minutes to prevent injuries.
View Article and Find Full Text PDFLaryngoscope
March 2025
Department of Otolaryngology-Head and Neck Surgery, University of Virginia, Charlottesville, Virginia, USA.
Objective: Occult lesions involving the facial nerve can be misdiagnosed as idiopathic facial paralysis, also known as Bell's palsy. Our goal was to compare the clinical features of patients with idiopathic/viral versus non-idiopathic facial paralysis and identify predictors of malignant etiologies.
Methods: Retrospective chart review of 276 patients referred for surgical management of facial paralysis at two large facial nerve tertiary care centers.
J Assoc Physicians India
March 2025
Resident, Department of Neurology, St. Joseph's Mission Hospital, Anchal, Kerala, India.
Isolated hand weakness due to stroke is rare and is often misdiagnosed as a peripheral lesion. Isolated central hand and finger weakness can present as pseudomedian, pseudoulnar, and/or pseudoradial nerve palsy. Here, we describe a patient who presented with a median claw hand due to cortical infarct.
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