2,636 results match your criteria Abducens Nerve Palsy

Recurrent Abducens Nerve Palsy Due to Hidden Clival Meningioma in Dorello's Canal.

J Clin Neurol 2022 May;18(3):370-372

Dizziness Center, Clinical Neuroscience Center, Department of Neurology, Seoul National University Bundang Hospital, Seongnam, Korea.

View Article and Full-Text PDF

A Rare Side Effect of COVID-19 Vaccination: Abducens Nerve Palsy.

Klin Monbl Augenheilkd 2022 May 18. Epub 2022 May 18.

Ophthalmology, Ankara Diskapi Yildirim Beyzat Training and Research Hospital, Ankara, Turkey.

View Article and Full-Text PDF

Intracranial necrotising sarcoid granulomatosis mimicking petroclival meningioma.

BMJ Case Rep 2022 May 17;15(5). Epub 2022 May 17.

Neurology, Meitra Hospital, Calicut, India.

We present a unique case of biopsy-proven necrotising sarcoidosis involving the central nervous system in a man in his 40s. The patient presented with a 2-week history of right-sided headache and diplopia. He had right trochlear and abducens nerve palsy, sensory blunting over V1 and V2 segment of right trigeminal sensory nerve and right sensory neural hearing loss. Read More

View Article and Full-Text PDF

Facial and Abducens Nerve Palsies Following COVID-19 Vaccination: Report of Two Cases.

Neuroophthalmology 2022 15;46(3):203-206. Epub 2022 Feb 15.

Ophthalmic Research Center, Research Institute for Ophthalmology and Vision Science, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

A broad spectrum of neurological side effects has been reported after immunisation for COVID-19, including functional neurological disorders, cerebral vascular events, cerebral venous thrombosis, intracerebral haemorrhage, neuroleptic malignant syndrome, cranial nerve palsies, and otologic manifestations. Multiple cranial neuropathies have also been reported following vaccination in which involvement of VII nerve is the most prevalent, followed by the VI, III, and IV nerves. We describe two male patients, one with with facial nerve palsy and the other with abducens nerve palsy following COVID-19 vaccination. Read More

View Article and Full-Text PDF
February 2022

The 'muscle wonton' repair - A case series of internal carotid artery injuries at a single Centre during its 10-year experience in endoscopic transsphenoidal pituitary surgery.

Br J Neurosurg 2022 May 13:1-5. Epub 2022 May 13.

Otolaryngology Department, Queen Elizabeth Hospital, Birmingham, UK.

Introduction: Although rare, injury to the internal carotid artery (ICA) during pituitary surgery may result in serious morbidity such as stroke or death. This case series explores a single centre's incidence and outcomes of ICA injury during endoscopic transsphenoidal pituitary surgery, discusses the current management options, and introduces the 'muscle wonton' (morcellised muscle wrapped in a single sheet of Surgicel) as being a viable repair option.

Methods: All patients undergoing pituitary operations from January 2010 to December 2019 at the Queen Elizabeth Hospital, Birmingham, UK were included. Read More

View Article and Full-Text PDF

Rapid-Growing Intracranial Immature Teratoma Presenting Obstructive Hydrocephalus and Abducens Nerve Palsy: A Case Report and Literature Review.

Brain Tumor Res Treat 2022 Apr;10(2):117-122

Department of Neurosurgery, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.

Intracranial immature teratoma is an extremely rare disease with poor prognosis and requires complicated treatment. Owing to the deep midline location of the tumor, total surgical resection of the tumor is challenging. We present our experience with a fast-growing pineal gland immature teratoma in a 4-year-old boy, who presented with obstructive hydrocephalus and abducens nerve palsy, which was treated with total surgical resection of the tumor. Read More

View Article and Full-Text PDF

Isolated sixth nerve palsy: a rare first presentation in multiple sclerosis.

BMJ Case Rep 2022 May 11;15(5). Epub 2022 May 11.

Ophthalmology, NHS Tayside, Dundee, UK.

True isolated sixth nerve palsy as the initial presentation of multiple sclerosis (MS) is rare. MS is a chronic inflammatory, immune-mediated disease of the central nervous system. This is the most common cause of neurological disability in young adults. Read More

View Article and Full-Text PDF

Sphenoid sinus cholesterol granulomas presenting with abducens nerve palsy.

BMJ Case Rep 2022 May 10;15(5). Epub 2022 May 10.

Otolaryngology, LSU Health Shreveport, Shreveport, Louisiana, USA

We discuss two patients who presented with sphenoid sinus cholesterol granulomas and associated unilateral abducens nerve palsies. Two case reports from our institution are reported. A literature review of available articles is presented, discussing both cholesterol granulomas of the sphenoid sinus and sphenoid sinus lesions that present with unilateral abducens palsy. Read More

View Article and Full-Text PDF

Diplopia due to a neurovascular compression.

Rom J Ophthalmol 2022 Jan-Mar;66(1):75-78

Clinical Emergency Hospital Bucharest, Romania.

A 36-year-old female patient presented to our clinic with a two months history of diplopia and dizziness. The symptoms appeared gradually and increased in frequency and intensity. She had no significant medical history and she did not take any medication. Read More

View Article and Full-Text PDF

Internal Carotid Artery Pseudoaneurysm Causing an Abducens Nerve Palsy: A Case Report.

J Neuroophthalmol 2021 Aug 18. Epub 2021 Aug 18.

School of Medicine (ASH), University of California, Irvine, California; Department of Ophthalmology (KG, LSE), Gavin Herbert Eye Institute, University of California, Irvine, California; and Department of Radiological Sciences (ANH), University of California, Irvine, California.

View Article and Full-Text PDF

Lateral rectus muscle palsy secondary to sphenoid sinusitis.

W S Leong O Mulla

Ann R Coll Surg Engl 2022 Apr 21. Epub 2022 Apr 21.

Doncaster and Bassetlaw Hospitals NHS Foundation Trust, UK.

Isolated sphenoid sinus disease is a rare, often misdiagnosed condition of the paranasal sinus. If left untreated, it can lead to complications involving pituitary gland, cavernous sinus, neurological and vascular structures nearby. Early recognition and treatment are critical to prevent the progression of the disease. Read More

View Article and Full-Text PDF

Neuro-Ophthalmological Complications of the COVID-19 Vaccines: A Systematic Review.

J Neuroophthalmol 2022 Jun 25;42(2):154-162. Epub 2022 Mar 25.

Department of Neurology (IL, ML), Division of Neuroimmunology and Neuroinfectious Disease, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts; and Treadwell Virtual Library for the Massachusetts General Hospital (ML), Boston, Massachusetts.

Background: A worldwide mass vaccination campaign against the coronavirus disease 2019 (COVID-19) pandemic is currently underway. Although the safety data of the clinical trials did not report specific concerns regarding neuro-ophthalmological adverse events, they involved a limited number of individuals and were conducted over a relatively short time. The aim of the current review is to summarize the available postmarketing data regarding the occurrence of neuro-ophthalmological and other ocular complications of the COVID-19 vaccines. Read More

View Article and Full-Text PDF

Space occupying lesion presenting as Millard-Gubler syndrome.

BMJ Case Rep 2022 Apr 12;15(4). Epub 2022 Apr 12.

Department of Internal Medicine, RG Kar Medical College and Hospital, Kolkata, West Bengal, India

Millard-Gubler syndrome (MGS) is a ventral pontine syndrome due to an ipsilateral involvement of abducens and facial nerve with a contralateral hemiparesis or hemiplegia. Although classically described as a vascular brainstem syndrome, various other aetiologies such as infection or demyelination may lead to MGS. In this case, a young female presented with MGS, which was attributed to a strategically located infective granuloma of the brainstem. Read More

View Article and Full-Text PDF

Godtfredsen syndrome - recurrent clival chondrosarcoma with 6 years follow up: a case report and literature review.

BMC Neurol 2022 Apr 11;22(1):134. Epub 2022 Apr 11.

Universiti Malaysia Sarawak (UNIMAS), Kota Samarahan, Sarawak, Malaysia.

Background: We report a rare case of Godtfredsen syndrome caused by clival chondrosarcoma and perform a review of literatures. This article also explains the clinico-anatomical correlation of this rare neurological syndrome.

Case Presentation: A 22-year-old gentleman presented with binocular diplopia. Read More

View Article and Full-Text PDF

Abducens Nerve Palsy as a Complication of Herpes Zoster Ophthalmicus: A Case Report.

Cureus 2022 Mar 7;14(3):e22920. Epub 2022 Mar 7.

Radiology, Hamad General Hospital, Doha, QAT.

Herpes zoster (shingles) is a common viral infection that results from the reactivation of varicella-zoster virus (VZV), which remains dormant in sensory ganglia after initial infection. The usual presentation is radicular pain followed by eruption of vesicular rash. herpes zoster ophthalmicus (HZO) is defined as the involvement of ophthalmic division (V1) of the trigeminal nerve (V). Read More

View Article and Full-Text PDF

Clinical outcomes and etiology of acquired sixth cranial nerve palsy.

Shin Yeop Oh

Medicine (Baltimore) 2022 Mar;101(11)

Department of Ophthalmology, Samsung Changwon Hospital, SungkyunkwanUniversity School of Medicine, Changwon, Korea.

Abstract: The objective of this study was to investigate the difference in clinical features according to age and factors affecting recovery of acquired sixth cranial nerve (CN6) palsy.A total of 156 patients with acute CN6 palsy between March 2016 and August 2021 who were followed up for at least 3 months were included in this study. Etiology, rate of recovery, and factors associated with recovery were retrospectively investigated. Read More

View Article and Full-Text PDF

Cavernous sinus dural arteriovenous fistula accessed through a straightened superficial temporal vein.

Surg Neurol Int 2021 30;12:634. Epub 2021 Dec 30.

Department of Neurosurgery, Nagoya City University Graduate School of Medical Sciences and Medical School, Nagoya, Aichi, Japan.

Background: Transvenous embolization through the inferior petrosal sinus (IPS) is the most common treatment procedure for cavernous sinus dural arteriovenous fistula (CSDAVF). When the IPS is inaccessible or the CSDAVF cannot be treated with transvenous embolization through the IPS, the superficial temporal vein (STV) is used as an alternative access route. However, the approach through the STV is often challenging because of its tortuous and abruptly angulated course. Read More

View Article and Full-Text PDF
December 2021

Isolated Unilateral Abducens Nerve Palsy Manifesting as a Rare Complication of Idiopathic Pituitary Apoplexy: A Case Report.

Cureus 2022 Feb 20;14(2):e22408. Epub 2022 Feb 20.

Internal Medicine, University of Illinois College of Medicine at Peoria, Peoria, USA.

Pituitary apoplexy (PA) is an expansion of a pituitary adenoma due to infarction or hemorrhage of the gland. The term apoplexy usually describes larger bleeds leading to a sudden onset of symptoms. Although it is a rare condition, it can be a life-threatening emergency. Read More

View Article and Full-Text PDF
February 2022

Gradenigo's syndrome presenting as IX and X cranial nerve palsy without clinically apparent ear infection: A case report and review of literature.

eNeurologicalSci 2022 Jun 17;27:100397. Epub 2022 Mar 17.

Department of Neurology, Medical University of South Carolina, United States.

Gradenigo's syndrome (GS) is a triad (otorrhea, abducens nerve palsy, and pain in the trigeminal nerve distribution) of clinical findings that are caused by contiguous spread of petrous apicitis to the nearby neurovascular structures. Petrous apicitis is usually secondary to otitis media but atypical etiologies and absence of the classical triad pose a diagnostic challenge for physicians. We report a rare case of GS in an afebrile 55-year-old male who presented with unilateral headache, dysphagia and hoarseness (IX and X cranial nerve involvement), and diplopia with lateral gaze palsy (VI nerve involvement) in the absence of trigeminal neuralgia or a history of otitis media. Read More

View Article and Full-Text PDF

[A Case of Recurrent Breast Cancer Detected with Diplopia Caused by Sphenoid Bone Metastasis].

Gan To Kagaku Ryoho 2022 Mar;49(3):324-326

Dept. of Breast Surgery, Kansai Rosai Hospital.

We report a case of sphenoid bone metastasis from breast cancer detected with diplopia, as first site of recurrence. Forty- year-old woman with left breast cancer underwent breast-conserving surgery and sentinel lymph node biopsy. The diagnosis was papillotubular carcinoma, pT1pN0, ER(+), PgR(+), HER2(-). Read More

View Article and Full-Text PDF

Surgical resection of petroclival meningiomas of the cerebellopontine angle and/or diaphragma sellae extension via an extended intradural anterior transpetrous approach.

Br J Neurosurg 2022 Mar 12:1-8. Epub 2022 Mar 12.

Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.

Objective: This study aimed to describe the extended intradural anterior transpetrous approach (ATPA) and its usefulness for the surgical resection of petroclival meningiomas (PCMs) of the cerebellopontine angle (CPA) and/or diaphragma sellae (DS) extension.

Methods: Between January 2017 and December 2019, a total of 22 patients with PCMs extending to the CPA/or DS underwent surgery via extended intradural ATPA by the senior author (Xr.X. Read More

View Article and Full-Text PDF

Supramaximal Horizontal Rectus Recession-Resection Surgery for Complete Unilateral Abducens Nerve Palsy.

Front Med (Lausanne) 2021 22;8:795665. Epub 2022 Feb 22.

State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China.

Purpose: To review the surgical procedures and outcomes of supramaximal horizontal rectus recession-resection surgery for abduction deficiency and esotropia resulting from complete unilateral abducens nerve palsy.

Methods: A total of 36 consecutive cases diagnosed as complete abducens nerve palsy, receiving supramaximal medial rectus recession (8.5 ± 1. Read More

View Article and Full-Text PDF
February 2022

Scrub Typhus Presenting as Unilateral Abducens Nerve Palsy.

Neuroophthalmology 2022 4;46(2):99-103. Epub 2021 Jun 4.

Department of Neurology, University Hospital "12 de Octubre", Spain.

Scrub typhus, an acute febrile infectious disease prevalent in the "Tsutsugamushi Triangle", is a mite-born rickettsial zoonosis, caused by . Although the clinical presentation is protean, it rarely causes abducens nerve palsy. We report a 14-year-old previously healthy Indian girl who presented with a recent onset right abducens nerve palsy and headache, but without fever and without the classic dermatological manifestation ("eschar") of the disease. Read More

View Article and Full-Text PDF

Isolated Abducens Nerve Palsy Caused by Anterior Inferior Cerebellar Artery Compression.

Intern Med 2022 Mar 5. Epub 2022 Mar 5.

Department of Neurology, Graduate School of Medicine, The University of Tokyo, Japan.

View Article and Full-Text PDF

Intraoperative localization and "snowman" muscle pledget repair for ventral dural defect in a case of spontaneous intracranial hypotension.

Surg Neurol Int 2022 4;13:39. Epub 2022 Feb 4.

Department of Neurosurgery, Redlands Community Hospital, Redlands, California, United States.

Background: This image report with technical notes is the first to illustrate and describe the technique used to treat spinal cerebrospinal fluid (CSF) leaks with the "snowman" muscle pledget. A 49-year-old male presented with orthostatic headaches as well as the left abducens nerve palsy. Patient's workup including findings of diffuse meningeal enhancement on magnetic resonance imaging, lumbar puncture opening pressure of 4 cm H2O, and CT myelogram demonstrating evidence of ventral spinal thoracic CSF leak. Read More

View Article and Full-Text PDF
February 2022

Clinical profile and management of sixth nerve palsy in pediatric patients (0-15 years) in Southern India - A hospital-based study.

Indian J Ophthalmol 2022 Mar;70(3):952-957

Vitreo-retina Services, Aravind Eye Hospital, Pondicherry, India.

Purpose: This study was done to evaluate the clinical profile in pediatric patients (0-16 years) presenting with acute onset esotropia due to sixth nerve palsy and its management options in a tertiary care set up of Southern India.

Methods: A total of 12 patients presenting to our OPD with acute onset esotropia due to sixth nerve palsies were included in this retrospective study. All patients were observed for 6 months and managed with prism and/or patching while waiting for spontaneous resolution and later managed surgically. Read More

View Article and Full-Text PDF

Isolated Bilateral Abducens Palsy as a Presenting Feature of Multi-Infarct State: A Case Report.

Cureus 2022 Jan 16;14(1):e21286. Epub 2022 Jan 16.

Internal Medicine, All India Institute of Medical Sciences, Jodhpur, IND.

Isolated abducens palsy is a rare clinical entity. The usual causes of bilateral sixth nerve palsy are head trauma, tumor (skull base), aneurysm, and ischemic stroke. Bilateral abducens palsy without any other neurological deficit secondary to ischemic stroke is a rare clinical presentation. Read More

View Article and Full-Text PDF
January 2022

Relapsing Extramedullary Multiple Myeloma Presenting As Acute Liver Failure.

Cureus 2021 Dec 28;13(12):e20786. Epub 2021 Dec 28.

Infectious Disease, University of Louisville, Louisville, USA.

Extramedullary spread of multiple myeloma was thought to be uncommon but with recent advancements in imaging and increased patient survival, the incidence of the extraosseous disease has risen in living individuals. Despite this, the extraosseous spread of multiple myeloma has been under-diagnosed and under-reported. Timely diagnosis of this extraosseous disease is clinically important, as it indicates a more aggressive disease variant and carries a poor prognosis. Read More

View Article and Full-Text PDF
December 2021

Delayed onset sequential bilateral abducens nerve palsies secondary to traumatic CSF leak.

Trauma Case Rep 2022 Apr 4;38:100602. Epub 2022 Jan 4.

Trauma Service, The Alfred Hospital, Melbourne, Victoria, Australia.

Abducens nerve palsy via direct or indirect injury is well described following head trauma likely due to its long anatomical course with several vulnerable segments. However, bilateral abducens palsies due to non-iatrogenic intracranial hypotension is unique. This report describes the case of a male with sequential delayed onset abducens nerve palsies following head and neck trauma due to intracranial hypotension secondary to cerebrospinal fluid (CSF) leak from a dural tear at the C6/7 level. Read More

View Article and Full-Text PDF

Concomitant completeley ossified trigeminal pore and Dorello's canal.

Folia Morphol (Warsz) 2022 Jan 31. Epub 2022 Jan 31.

Faculty of General Medicine, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.

Commonly, the trigeminal and abducens nerve course to the middle cranial fossa, beneath the tentorial border (posterior petroclinoid dural ligament) and, respectively, beneath Grüber's petrosphenoidal ligament, in Dorello's canal. It is hereby reported a rare unilateral association of anatomic variants which was found when the brain computed tomography angiography of a 56 y.o. Read More

View Article and Full-Text PDF
January 2022