Hypertrophic pachymeningitis with cranial nerve palsy as the initial symptom: A case report.

Rationale: Hypertrophic pachymeningitis (HP) is a rare and complex condition marked by inflammation and thickening of the dura mater. It can occur either on its own or as a result of various underlying medical issues. This type of granulomatous meningitis is extremely rare and poorly understood, making diagnosis and treatment particularly challenging.

Primary Skull Base Lymphoma Presenting With Ipsilateral Abducens Nerve Palsy: A Case Report.

A 66-year-old woman with no prior medical history presented to the emergency department with diplopia and parosmia. The neurological examination identified an isolated left abducens nerve (CN VI) palsy. A head CT scan, followed by a brain MRI, showed a large, locally advanced tumour in the left sphenoid sinus with extensive skull base involvement and perineural extension into the left orbit.

Abducens nerve palsy: a rare copresenting sign of incomplete Kawasaki Disease.

A 21-month-old girl presented with acute-onset esotropia with unexplained fever, conjunctivitis, and rash. Sensorimotor examination revealed the presence of a left abducens nerve palsy. After cardiogenic shock, she was found to have multiple large coronary artery aneurysms and was diagnosed with incomplete Kawasaki disease.

[Clinical analysis of endoscopic transnasal resection of skull base chondrosarcoma].

To explore the surgical techniques and clinical outcomes of endoscopic transnasal approaches in the treatment of skull base chondrosarcomas. Data from patients diagnosed with skull base chondrosarcomas and treated via endoscopic transnasal surgery at the Department of Otorhinolaryngology and Head and Neck Surgery, Xuanwu Hospital, Capital Medical University, from 2013 to 2022 were collected. This retrospective study analyzed the patients' clinical presentations, histopathological grading, involved sites and extents, and complications following the endoscopic transnasal surgery.

Ceftazidime-Cefazolin Empiric Therapy for Pediatric Gradenigo Syndrome.

Objective: Gradenigo Syndrome (GS), a rare complication of petrous apicitis secondary to acute otitis media, is characterized by (an often incomplete) triad of otorrhea, abducens nerve palsy, and facial pain along the trigeminal nerve distribution. There are several causative pathogens of petrous apicitis, including and species, while is the most common. However, the case report literature often describes antibiotic management of GS with antibiotics that do not cover , potentially predisposing to further intracranial complications or mortality.

Radiologic Clue to Cavernous Sinus Hemangioma Diagnosis.

We describe a case of a 57-year-old woman presenting initially with diplopia who later developed retro-orbital and retroauricular pain. Examination showed right abducens nerve palsy and subsequent right trigeminal nerve hyperesthesia. Neuroimaging revealed a well-defined mass confined to the right cavernous sinus, with high T2 signal intensity and homogeneous enhancement on postgadolinium T1-weighted images.

Microvascular decompression for abducens nerve palsy associate with neurovascular conflict.

Abducens nerve palsy caused by neurovascular conflicts is rare and requires further exploration. This study aimed to investigate the clinical features and surgical outcomes of abducens palsy caused by neurovascular conflict. Twenty-six patients with abducens palsy caused by neurovascular conflict were included in present study.

An evaluation of 30 years' experience in the use of botulinum toxin injections in the management of sixth nerve palsies.

Intrroduction: 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.

Cranial neuropathy following coronavirus disease 2019 vaccination in kidney transplant recipients.

Introduction: Understanding of adverse reactions to coronavirus disease 2019 vaccines remains limited.

Case Presentation: Case 1: A 52-year-old woman, post-kidney transplantation, experienced sudden vision loss in her left eye after receiving a second dose of coronavirus disease 2019 vaccine. She was diagnosed with ischemic optic neuropathy.

Scrub Typhus and Bilateral Lateral Rectus Palsy: An Uncommon Manifestation.

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.

Cranial nerve palsies following neuraxial blocks.

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.

Recurrent VI cranial nerve paralysis secondary to idiopathic cavernous sinus pachymeningitis: a case report.

A 55-year-old woman with a history of severe endometriosis, followed at our center for 16 years due to multiple episodes of horizontal binocular diplopia, was diagnosed with recurrent paresis of the VI cranial nerve of her right eye. Magnetic resonance imaging revealed localized pachymeningitis in her right cavernous sinus. Initial episodes were treated with botulinum toxin.

Embolization of posterior fossa meningiomas supplied with meningohypophyseal trunk by using BCA and dual balloon protection.

Background And Purpose: Efficacy of tumor embolization for posterior fossa meningioma is controversial due to the lack of adequate embolization for dangerous feeders. Of these, a meningohypophyseal trunk (MHT) has high therapeutic value despite the high risks associated with embolization.

Materials And Methods: To analyze the utility of preoperative MHT embolization for posterior fossa meningiomas using BCA with dual balloon protection, a single center retrospective record review was performed on eight consecutive patients who underwent preoperative tumor embolization via the MHT for posterior fossa meningiomas between 2020 and 2024.

Delayed Pontomesencephalic and Cervical Cord Venous Drainage Followed by Contralateral Carotid-Cavernous Fistula after Craniofacial Fractures: A Case Report.

A 24-year-old male was admitted with progressive cervical hypesthesia, tetraparesis, dyspnea, and a history of craniofacial fracture. Spinal magnetic resonance imaging (MRI) showed brainstem edema extending to the thoracic spine with multiple prominent perimedullary vascular structures. Cerebral digital-substraction angiography revealed Barrow type A carotid-cavernous fistula.

Clinical profile and outcomes in Tolosa-Hunt Syndrome; a systematic review.

Introduction: Tolosa-Hunt Syndrome (THS) stands as a rare headache disorder distinguished by painful ophthalmoplegia, accompanied by headaches and cranial nerve palsies. The syndrome was initially identified by Eduardo Tolosa in Spain in 1954. He observed granulomatous inflammation surrounding a carotid siphon in a patient with an intracavernous carotid aneurysm.