2,246 results match your criteria Abducens Nerve Palsy


Endoscopic Transnasal Resection of Suprasellar Teratoma.

J Neurol Surg A Cent Eur Neurosurg 2019 Feb 1. Epub 2019 Feb 1.

Division of Neurosurgery, Department of Surgery, King Saud University, Riyadh, Riyadh Province, Saudi Arabia.

Background:  Intracranial teratomas are rare tumors that usually present during the second decade of life. Among intracranial teratomas, suprasellar germ cell tumors in particular are extremely rare. We present the case of an 18-year-old girl who underwent a successful endoscopic transnasal resection of a suprasellar teratoma with a mixed germ cell component. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1676624
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http://dx.doi.org/10.1055/s-0038-1676624DOI Listing
February 2019
3 Reads
0.493 Impact Factor

Sudden Diplopia at Pediatric Emergency Department: A Case of Gradenigo Syndrome in a Child.

Pediatr Emerg Care 2019 Jan 21. Epub 2019 Jan 21.

Emergency Medicine and Trauma Center, Meyer University Children's Hospital, Florence, Italy.

Objective: Otitis media, facial pain in trigeminal region, and ipsilateral abducens nerve palsy clinically define Gradenigo syndrome, a rare but serious complication of suppurative middle ear infection. Radiological investigation is required to confirm petrous apex involvement and to exclude further consequences as sinus thrombosis, meningitis, and intracranial abscess.

Methods/results: We report the case of an 8-year-old child referred to our emergency department for recurrent headache and sudden strabismus. Read More

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http://dx.doi.org/10.1097/PEC.0000000000001684DOI Listing
January 2019
3 Reads

Acute otitis media associated with Gradenigo syndrome and transverse sinus thrombosis: a case report.

J Int Med Res 2019 Jan 22:300060518823404. Epub 2019 Jan 22.

Kırşehir Ahi Evran University, Kırşehir, Turkey.

Gradenigo syndrome is associated with middle ear infection that extends to the petrous apex, leading to pain at the innervation site of the ophthalmic and maxillary branches of the trigeminal nerve and the development of abducens nerve palsy. Cerebral venous sinus thrombosis is a serious neurological complication of otitis media and occurs secondary to spread of the infection to the underlying bone. We herein report a pediatric case of otitis media associated with Gradenigo syndrome and ipsilateral sigmoid-transverse sinus thrombosis with magnetic resonance imaging findings. Read More

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http://dx.doi.org/10.1177/0300060518823404DOI Listing
January 2019
2 Reads

Vertebrobasilar artery dissection manifesting as Millard-Gubler syndrome in a young ischemic stroke patient: A case report.

World J Clin Cases 2019 Jan;7(1):73-78

Department of Neurology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China.

Background: Millard-Gubler syndrome (MGS) is caused by a lesion in the brainstem at the level of the facial nerve nucleus, and it is also a rare ventral pontine syndrome. Vertebrobasilar artery dissection (VAD) is an uncommon cause of ischemic stroke. To the best of our knowledge, this is the first case report on the coexistence of MGS and VAD in a young acute ischemic stroke patient. Read More

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http://dx.doi.org/10.12998/wjcc.v7.i1.73DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327127PMC
January 2019
2 Reads

Abducens nerve palsy as a sign of pre-eclampsia with severe features.

Eur J Obstet Gynecol Reprod Biol 2019 Feb 23;233:160. Epub 2018 Nov 23.

Department Gynaecology and Obstetrics, AZ Sint-Lucas Brugge, Belgium. Electronic address:

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http://dx.doi.org/10.1016/j.ejogrb.2018.11.018DOI Listing
February 2019
1 Read

Convergent strabismus fixus after bilateral abducens nerve palsies due to aneurysms: A case report.

Medicine (Baltimore) 2018 Dec;97(51):e13766

Rationale: Convergent strabismus fixus is an ocular motor abnormality in which the eye is fixed in adduction. This condition is mostly associated with high myopia and is caused by a displacement of the extraocular muscles. We report a nonmyopic woman with convergent strabismus fixus due to aneurysms. Read More

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http://dx.doi.org/10.1097/MD.0000000000013766DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320112PMC
December 2018

Will the real Moebius syndrome please stand up? A systematic review of the literature and statistical cluster analysis of clinical features.

Am J Med Genet A 2019 Feb 17;179(2):257-265. Epub 2018 Dec 17.

Facial Nerve Programme, Regional Paediatric Burns and Plastic Surgery Service, Alder Hey Children's Foundation Trust, Liverpool, United Kingdom.

Moebius syndrome is a highly variable syndrome with abducens and facial nerve palsy as core features. Strict diagnostic criteria do not exist and the inconsistency of the associated features makes determination difficult. To determine what features are associated with Moebius syndrome we performed a systematic literature review resulting in a composite case series of 449 individuals labeled with Moebius syndrome. Read More

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http://dx.doi.org/10.1002/ajmg.a.60683DOI Listing
February 2019

Characteristics of single ocular motor nerve palsy associated with anti-GQ1b antibody.

J Neurol 2019 Feb 17;266(2):476-479. Epub 2018 Dec 17.

Research Administration Team, Seoul National University Bundang Hospital, Seongnam, South Korea.

To define the prevalence and characteristics of single ocular motor nerve palsy (OMNP) associated with positive serum anti-GQ1b antibody. We performed a prospective multicenter study that recruited 82 patients with single OMNP without identifiable causes from the history and neuroimaging in six neurology clinics of university hospitals. We measured serum anti-GQ1b antibody in all participants. Read More

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http://link.springer.com/10.1007/s00415-018-9161-8
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http://dx.doi.org/10.1007/s00415-018-9161-8DOI Listing
February 2019
5 Reads

ABC om - Wernickes encefalopati.

Lakartidningen 2018 12 7;114. Epub 2018 Dec 7.

Umea Universitet Medicinska fakulteten - Institutionen för klinisk vetenskap - psykiatri, Sunderby Forskningsenhet Umea, Sweden Umea Universitet Medicinska fakulteten - Institutionen för klinisk vetenskap - psykiatri, Sunderby Forskningsenhet Umea, Sweden.

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December 2018

Vocal Cord Palsy as a Complication of Epidural Anaesthesia.

Case Rep Otolaryngol 2018 25;2018:6543656. Epub 2018 Oct 25.

Department of Otorhinolaryngology Head & Neck Surgery, Galway University Hospital, Galway, Ireland.

Cranial nerve palsy is a rare but recognised complication of epidural anaesthesia, most commonly presenting as diplopia secondary to abducens nerve palsy. While upper cranial nerve palsies have been documented on numerous occasions, lower cranial nerve palsies, including recurrent laryngeal nerve palsy, are exceedingly rare. This case describes a 37-year-old female who, following epidural anaesthesia for spontaneous vaginal delivery of her first child, presented with dysphonia. Read More

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https://www.hindawi.com/journals/criot/2018/6543656/
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http://dx.doi.org/10.1155/2018/6543656DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6222215PMC
October 2018
7 Reads

Chondrosarcoma in the Petrous Apex: Case Report and Review.

J Neurol Surg Rep 2018 Oct 18;79(4):e83-e87. Epub 2018 Oct 18.

Division of Neurosurgery, Department of Surgery, The Ottawa Hospital, Ottawa, Canada.

 Surgical treatment of petrous apex chondrosarcoma is challenging due to the location of the tumor. Using an endoscopic technique for tumor resection is favored since it provides a minimally invasive approach.  A 57 years old female was admitted for acute onset of left abducens nerve palsy and occasional headache mainly on the left side of the retro-orbital area with some radiation to the left occiput. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1673627
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http://dx.doi.org/10.1055/s-0038-1673627DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6193802PMC
October 2018
7 Reads

Retrosigmoid Approach to the Posterior Fossa Trigeminal Schwannoma.

J Neurol Surg B Skull Base 2018 Dec 25;79(Suppl 5):S393-S394. Epub 2018 Sep 25.

Department of Neurosurgery, University of Colorado, Aurora, Colorado, United States.

We present a case of a posterior fossa trigeminal schwannoma in a 31-year-old gentleman. Preoperative symptomatology included headaches and dizziness of 6 months in duration. Trigeminal schwannomas isolated to the posterior fossa, not extending into Meckel's Cave, may be adequately resected via a retrosigmoid approach. Read More

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http://dx.doi.org/10.1055/s-0038-1669976DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6240336PMC
December 2018
12 Reads

[Classification of Clinical Syndromes Associated with Skull-Base Metastasis in the MR Era].

No Shinkei Geka 2018 Oct;46(10):865-873

Division of Neurosurgery, Shizuoka Cancer Center.

Background: Skull-base metastases frequently cause progressive ipsilateral disturbances of cranial nerves or pain, resulting in poor quality of life in patients with cancer. Magnetic resonance(MR)imaging is the method to detect skull-base metastases, which demonstrates focal lesions of low-intensity signal and enhancement on T1-weighted MR images.

Methods: We reviewed clinical data and MR images from 127 patients with skull-base metastases diagnosed at Shizuoka Cancer Center Hospital between August 2012 and November 2017. Read More

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http://dx.doi.org/10.11477/mf.1436203829DOI Listing
October 2018
11 Reads

Tuberous sclerosis complex: a clinical case with multiple ophthalmological manifestations.

BMJ Case Rep 2018 Oct 25;2018. Epub 2018 Oct 25.

Ophthalmology, Hospital Pedro Hispano, Matosinhos, Portugal.

The tuberous sclerosis complex is a rare disease, with autosomal dominant transmission, with multisystemic involvement including ophthalmologic. Retinal hamartomas and retinal achromic patch are the most frequent ocular findings. Other ophthalmic signs and symptoms are relatively rare in this disease. Read More

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http://dx.doi.org/10.1136/bcr-2018-226662DOI Listing
October 2018
3 Reads

Bilateral optic perineuritis and left abducens nerve palsy in a toddler.

Can J Ophthalmol 2018 Oct 1;53(5):e211-e212. Epub 2018 Feb 1.

School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia. Electronic address:

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http://dx.doi.org/10.1016/j.jcjo.2017.11.011DOI Listing
October 2018
1 Read

Abducens nerve palsy in pre eclampsia : case report.

Tunis Med 2018 Jan;96(1):76-79

Cranial nerves palsy associated with preeclampsia is reported in literature. Facial and abducens palsies were the most nerve disorders described. Only eleven cases have been reported in the literature. Read More

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January 2018
2 Reads

Cranial nerve palsies due to incidental durotomy in lumbar Spine surgery: a case report.

Br J Neurosurg 2018 Oct 13:1-3. Epub 2018 Oct 13.

a CENSE-Spine, Department of Neurosurgery , Aarhus University Hospital , Aarhus , Denmark.

We present a 65-year old man who underwent a partial laminectomy at L4. During surgery an incidental durotomy (ID) appeared. Postoperatively he developed cranial nerve palsies. Read More

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https://www.tandfonline.com/doi/full/10.1080/02688697.2018.1
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http://dx.doi.org/10.1080/02688697.2018.1508642DOI Listing
October 2018
12 Reads

Meckel Cave Epidermoid Cyst Presenting as Multiple Cranial Nerve Deficits Due to Indirect Tumoral Compression of the Cavernous Sinus: A Case Report and Literature Review.

World Neurosurg 2019 Jan 9;121:88-94. Epub 2018 Oct 9.

Section of Neurosurgery, Carilion Clinic, Roanoke, Virginia, USA; Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA; Virginia Tech School of Neuroscience, Blacksburg, Virginia, USA. Electronic address:

Background: Epidermoid cysts in Meckel cave are exceedingly rare. Since 1971, only 17 cases have been reported in the literature, with most patients presenting with trigeminal hypesthesia. However, outgrowth of these lesions from Meckel cave can rarely lead to compression of the proximate cavernous sinus and the neurovascular structures contained within. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.09.206DOI Listing
January 2019
4 Reads

Dual-Augmented Transposition of Vertical Recti in Chronic Abducens Palsy.

Authors:
Mohamed F Farid

Am J Ophthalmol 2019 Jan 9;197:59-64. Epub 2018 Oct 9.

Department of Ophthalmology, Benha Faculty of Medicine, Benha University, Benha, Egypt; Department of Ophthalmology, Benha University Hospital, Benha, Egypt. Electronic address:

Purpose: To report the results of dual augmentation of vertical rectus muscle transposition (VRT) in the treatment of chronic sixth nerve palsy.

Design: Retrospective case series.

Methods: This is a retrospective review of medical records of patients with chronic sixth nerve palsy who underwent dual augmented VRT with or without medial rectus (MR) recession from 2013 to 2016. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00029394183057
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http://dx.doi.org/10.1016/j.ajo.2018.09.028DOI Listing
January 2019
12 Reads
3.871 Impact Factor

[Wernicke encephalopathy].

Lakartidningen 2017 09 12;114. Epub 2017 Sep 12.

Umea Universitet Medicinska fakulteten - Institutionen för klinisk vetenskap - psykiatri, Sunderby Forskningsenhet Umea, Sweden Umea Universitet Medicinska fakulteten - Institutionen för klinisk vetenskap - psykiatri, Sunderby Forskningsenhet Umea, Sweden.

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September 2017
2 Reads

Relationship between Abducens Nerve Palsy and Local Hematoma in a Case Series of Ruptured Vertebral Artery Dissecting Aneurysm.

Asian J Neurosurg 2018 Jul-Sep;13(3):572-576

Department of Neurosurgery, Kariya Toyota General Hospital, Kariya, Japan.

Background: Abducens nerve palsy associated with subarachnoid hemorrhage (SAH) has rarely been reported. Its frequency, mechanism of palsy, association with aneurysmal location, and clinical course are poorly described. The purpose of our study was to evaluate patients with abducens nerve palsy caused by SAH occurring from ruptured vertebral artery (VA) dissecting aneurysm and to find aneurysmal location using initial computed tomography (CT) and its association with clinically detected cranial nerve palsy. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_156_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159068PMC
October 2018
2 Reads

Isolated Abducens Nerve Palsy Associated with Ruptured Posterior Inferior Cerebellar Artery Aneurysm: Rare Neurologic Finding.

World Neurosurg 2019 Jan 26;121:97-99. Epub 2018 Sep 26.

Department of Neurosurgery, Rutgers, Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA. Electronic address:

Background: Isolated abducens nerve palsy can be the presenting sign of a ruptured PICA aneurysm. Few cases have been reported in the literature. In the majority of cases, cranial nerve VI resolved following microsurgical clipping. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.09.096DOI Listing
January 2019
6 Reads

Surgical Treatment of Cavernous Sinus Lesion in Patients with Nonfunctioning Pituitary Adenomas via the Endoscopic Endonasal Approach.

J Neurol Surg B Skull Base 2018 Oct 16;79(Suppl 4):S311-S315. Epub 2018 Jul 16.

Department of Neurosurgery, Keio University School of Medicine, Shinjuku-ku, Tokyo, Japan.

 The main purpose of this article is to assess the effectiveness and safety of surgery via the endoscopic endonasal approach (EEA) for cavernous sinus (CS) lesion in patients with nonfunctioning pituitary adenomas (NFPA).  Retrospective study.  Keio University Hospital. Read More

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http://dx.doi.org/10.1055/s-0038-1667123DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6133658PMC
October 2018
5 Reads

Supratotal Resection of Residual Clival Chordoma With Combined Endoscopic Endonasal and Contralateral Transmaxillary Approaches: 2-Dimensional Operative Video.

Oper Neurosurg (Hagerstown) 2019 Mar;16(3):E88-E89

Department of Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.

The optimal treatment for skull base chordomas is gross total resection followed by radiotherapy and not radiation of partially resected tumors. Supratotal resection, defined as removal beyond all involved bone and dura, is ideal but difficult to achieve.  In this video, we present the case of a 37-yr-old man with new onset of progressive cranial nerve sixth palsy and a skull base lesion compatible with clival chordoma. Read More

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http://dx.doi.org/10.1093/ons/opy220DOI Listing
March 2019
1 Read

Epidural blood patch treatment of diplopia that developed after headache resolution in a patient with spontaneous intracranial hypotension.

J Dent Anesth Pain Med 2018 Aug 28;18(4):255-259. Epub 2018 Aug 28.

Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Sudden headache onset may rarely be caused by spontaneous intracranial hypotension (SIH). Other associated symptoms in patients with SIH are nausea, vomiting, vertigo, hearing alteration, and visual disturbance. This case report describes a 43-year-old female diagnosed with SIH who developed diplopia after resolution of an abrupt-onset headache, which was managed with conservative treatments, including bed rest and hydration. Read More

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http://dx.doi.org/10.17245/jdapm.2018.18.4.255DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6115369PMC
August 2018
1 Read

Application of SRT plus MR recession in supra-maximal esotropia from chronic sixth nerve palsy.

Graefes Arch Clin Exp Ophthalmol 2019 Jan 4;257(1):199-205. Epub 2018 Sep 4.

Department of Ophthalmology & Visual Science, Eye & ENT Hospital, Shanghai Medical College, Fudan University, Shanghai, China.

Background: To investigate prognostic factors in patients with augmented superior rectus transposition (SRT) for sixth nerve palsy.

Methods: Thirteen patients who were diagnosed with sixth nerve palsy and underwent augmented SRT between January 2015 and February 2017 in EENT Hospital of Fudan University were reviewed retrospectively. Data including age, sex, etiology of the abducens nerve palsy, degree of pre- and postoperative deviation in the primary position, pre- and postoperative abduction deficit, any induced vertical or torsional deviations, reoperations, and other complications was collected. Read More

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http://link.springer.com/10.1007/s00417-018-4102-x
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http://dx.doi.org/10.1007/s00417-018-4102-xDOI Listing
January 2019
10 Reads
1.910 Impact Factor

Typhoid fever with isolated left lateral rectus palsy.

BMJ Case Rep 2018 Sep 4;2018. Epub 2018 Sep 4.

Oxford University Clinical Research Unit, Patan Hospital, Lalitpur, Province - 3, Nepal.

A 17-year-old young woman presented to Patan Hospital, Kathmandu, Nepal, with high-grade fever and headache for 4 days and non-projectile vomiting for 1 day. She also had blurred vision with dizziness on and off. There was no abnormal physical finding. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22574
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http://dx.doi.org/10.1136/bcr-2018-225746DOI Listing
September 2018
11 Reads

Acute Transient Sixth Nerve Palsy in Chediak-Higashi Syndrome.

J Pediatr Ophthalmol Strabismus 2018 Aug 29;55:e22-e25. Epub 2018 Aug 29.

Neurologic disorders in Chediak-Higashi syndrome are usually late presentations and also may manifest long after bone marrow stem cell transplantation. To the authors' knowledge, transient neurological deficit has not been reported yet. They describe a 6-year-old boy with Chediak-Higashi syndrome in the accelerated phase who presented with transient sixth nerve palsy. Read More

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https://www.healio.com/doiresolver?doi=10.3928/01913913-2018
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http://dx.doi.org/10.3928/01913913-20180806-02DOI Listing
August 2018
14 Reads

Abducens Nerve Palsy as Initial Presentation of Multiple Myeloma and Intracranial Plasmacytoma.

J Clin Med 2018 Sep 3;7(9). Epub 2018 Sep 3.

College of Medicine, University of Kentucky, Lexington, KY 40506, USA.

Central Nervous System (CNS) involvement in multiple myeloma and/or multifocal solitary plasmacytoma is rare. Although they are unique entities, multiple myeloma (MM) and plasmacytoma represent a spectrum of plasma cell neoplastic diseases that can sometimes occur concurrently. Plasmacytomas very often present as late-stage sequelae of MM. Read More

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http://dx.doi.org/10.3390/jcm7090253DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6162841PMC
September 2018
12 Reads

Murine typhus associated abducens nerve palsy.

Kaohsiung J Med Sci 2018 09 2;34(9):537-538. Epub 2018 Mar 2.

College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; Infection Control Office and Department of Internal Medicine, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan. Electronic address:

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https://linkinghub.elsevier.com/retrieve/pii/S1607551X173073
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http://dx.doi.org/10.1016/j.kjms.2018.02.006DOI Listing
September 2018
2 Reads

Persistent isolated abducens nerve palsy in a successfully embolized low-flow carotid cavernous fistula.

Clin Exp Ophthalmol 2018 Aug 31. Epub 2018 Aug 31.

South Australian Institute of Ophthalmology, Royal Adelaide Hospital, Adelaide, South Australia, Australia.

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http://dx.doi.org/10.1111/ceo.13384DOI Listing
August 2018
16 Reads
1.953 Impact Factor

Isolated Oculomotor and Abducens Nerve Palsies as Initial Presentation of Cavernous Sinus Tuberculoma: Case Report and Literature Review.

World Neurosurg 2018 Sep 2;117:413-418. Epub 2018 Jul 2.

Department of Neurology, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran. Electronic address:

Background: Central nervous system tuberculoma is the most severe manifestation of extrapulmonary tuberculosis with high mortality. Cavernous sinus tuberculoma (CST) is a very rare central nervous system tuberculoma with few cases reported in the literature.

Case Description: A 57-year-old woman was admitted to our clinic with acute diplopia and headache limited to the right side. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183141
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http://dx.doi.org/10.1016/j.wneu.2018.06.203DOI Listing
September 2018
15 Reads

High-Flow Bypass with Internal Carotid Artery to Middle Cerebral Artery Bypass Using Radial Artery Graft Through the Supramandibular-Subzygomatic Route for Giant Internal Carotid Aneurysm: Technical Case Report.

World Neurosurg 2018 Dec 24;120:138-142. Epub 2018 Aug 24.

Division of Neurosurgery, Department of Brain and Neurosciences, Faculty of Medicine, Tottori University, Yonago, Tottori, Japan.

Background: A unique case of an internal carotid artery (ICA) giant aneurysm treated by high-flow bypass is presented. This patient had some anatomic variations in the neck region that posed problems for the high-flow bypass, and a new approach to address them is presented.

Case Description: A 55-year woman presented with diplopia, abducens nerve palsy, severe headache, and disordered consciousness. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.08.117DOI Listing
December 2018
1 Read

Validity and reliability of the Ocular Motor Nerve Palsy Scale.

Neural Regen Res 2018 Oct;13(10):1851-1856

Ocular Motility Disorder Treatment & Rehabilitation Center, Department of Acupuncture, First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China.

Objective and accurate assessment of the degree of ocular motor nerve palsy is helpful not only in the evaluation of prognosis, but also for the screening of treatment methods. However, there is currently no comprehensive measure of its severity. In this study, we designed the Ocular Motor Nerve Palsy Scale and investigated its validity and reliability. Read More

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http://dx.doi.org/10.4103/1673-5374.238716DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6128053PMC
October 2018
13 Reads

Primary Sphenoidal Sinus Lymphoma with Initial Presentation as Unilateral Abducens Nerve Palsy Symptom.

Case Rep Neurol Med 2018 9;2018:5305963. Epub 2018 Jul 9.

Department of Neurology, The Second Hospital of Jilin University, China.

A 48-year-old man presented with 3 days of mild horizontal diplopia in the left direction, followed by the onset of headache 17 days later. A physical examination revealed isolated left abducens nerve palsy. Head computed tomography (CT) and magnetic resonance imaging (MRI) scans revealed soft-tissue density neoplasms that occupied the sphenoidal sinus and further invaded to destroy the clivus. Read More

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https://www.hindawi.com/journals/crinm/2018/5305963/
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http://dx.doi.org/10.1155/2018/5305963DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6077322PMC
July 2018
25 Reads

Magnetic resonance imaging of developmental facial paresis: a spectrum of complex anomalies.

Neuroradiology 2018 Oct 3;60(10):1053-1061. Epub 2018 Aug 3.

Clinical Genetics Department, Human Genetics and Genome Research Division, National Research Centre, Cairo, Egypt.

Purpose: Despite its clinical implications, the MRI features of developmental facial paresis (DFP) were described in a few case reports. This study aims to describe MRI features of DFP in relation to the embryological development with a proposed radiological new grading system.

Methods: The clinical records and MRI of the brain and internal auditory canal of 11 children with DFP were retrospectively reviewed. Read More

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http://dx.doi.org/10.1007/s00234-018-2063-8DOI Listing
October 2018
4 Reads

Möbius syndrome: clinico-radiologic correlation.

Graefes Arch Clin Exp Ophthalmol 2018 Nov 1;256(11):2219-2223. Epub 2018 Aug 1.

Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 173-82 Gumiro, Bundang-gu, Seongnam, Gyeonggi-do, 13620, South Korea.

Purpose: Möbius syndrome is characterized by abducens and facial nerve palsy. However, the presence/absence of corresponding cranial nerves on MRI was not fully evaluated. The purpose of this study was to investigate the mechanism of Möbius syndrome by associating the presence of abducens and facial nerves on MR imagings with clinical features. Read More

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http://dx.doi.org/10.1007/s00417-018-4089-3DOI Listing
November 2018
2 Reads

Temporal Arteritis Presenting as an Isolated Bilateral Abducens Nerve Palsy: A Rare Case of a 65-year-old Male.

Cureus 2018 May 22;10(5):e2667. Epub 2018 May 22.

Department of Neurology, University Of Kentucky College of Medicine.

Giant cell arteritis (GCA) or temporal arteritis (TA) is a granulomatous inflammation of medium to large-sized arteries. It may have a diverse presentation. The most common presenting symptoms of GCA are fever, malaise, unilateral headache, jaw claudication, polymyalgia rheumatica (PMR) and ophthalmoplegia. Read More

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http://dx.doi.org/10.7759/cureus.2667DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6054368PMC
May 2018
6 Reads

An Incidental Finding of Ecchordosis Physaliphora in a Case of Abducens Nerve Palsy: Case Report.

Neuroophthalmology 2018 Aug 6;42(4):233-236. Epub 2017 Oct 6.

Department of Neurology, University of Illinois College of Medicine at Peoria, Peoria, Illinois, USA.

Ecchordosis physaliphora (EP) is a rare non-malignant mass that originates from remains of the notochord and is typically asymptomatic. A 42-year-old man presented with sudden onset of painless horizontal diplopia and his neurological exam showed sixth cranial nerve palsy. Magnetic resonance imaging (MRI) identified a non-enhanced retroclival mass (EP) with increased signal intensity on T2 and decreased signal intensity on T1-weighted sequences. Read More

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http://dx.doi.org/10.1080/01658107.2017.1381853DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6056206PMC
August 2018
6 Reads

Adenoid cystic carcinoma of the hard palate presenting as ipsilateral sixth nerve palsy.

Indian J Ophthalmol 2018 08;66(8):1218-1220

Department of Radiation Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India.

Adenoid cystic carcinoma (ACC) is an uncommon malignant neoplasm composed of basaloid epithelial and myoepithelial cells. The palate is the most commonly involved intraoral site for ACC. Here, we document the case of an advanced ACC arising from the hard palate that presented with right-sided sixth nerve palsy in a 75-year-old male with no other systemic illnesses. Read More

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http://dx.doi.org/10.4103/ijo.IJO_21_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6080447PMC
August 2018
2 Reads

Macroprolactinoma causing VI, X, XII cranial nerve palsies nearly 30 years after initial treatment.

Endocrinol Diabetes Metab Case Rep 2018 6;2018. Epub 2018 Jul 6.

Department of Endocrinology, Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.

A 48-year-old man was diagnosed with a large macroprolactinoma in 1982 treated with surgery, adjuvant radiotherapy and bromocriptine. Normal prolactin was achieved in 2005 but in 2009 it started rising. Pituitary MRIs in 2009, 2012, 2014 and 2015 were reported as showing empty pituitary fossa. Read More

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http://dx.doi.org/10.1530/EDM-18-0053DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6038010PMC
July 2018
7 Reads

A modified vertical muscle transposition for the treatment of large-angle esotropia due to sixth nerve palsy.

Strabismus 2018 09 9;26(3):145-149. Epub 2018 Jul 9.

b Department of Ophthalmology, Mashhad University of Medical Sciences , Mashhad , Iran.

Introduction: Multiple different procedures have been proposed to address complete sixth nerve palsy with severe abduction limitation. In this study, we report a modification of the Hummelsheim's procedure. It is in fact muscle pulley transposition that obviates the need for tenotomy or muscle splitting. Read More

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http://dx.doi.org/10.1080/09273972.2018.1492621DOI Listing
September 2018
4 Reads

Gradenigo Syndrome Induced by Suppurative Otitis Media.

J Craniofac Surg 2018 Oct;29(7):e645-e646

Department of Otorhinolaryngology.

Gradenigo syndrome was defined as a clinical triad of otitis media, severe orbito-facial pain, and ipsilateral sixth cranial nerve palsy. It may occur as a complication of either acute or chronic otitis media. Herein, we will report a case of Gradenigo syndrome induced by suppurative chronic otitis media that was promptly diagnosed and aggressively treated. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004660DOI Listing
October 2018
5 Reads

Complications of Listeria meningitis in two immunocompetent children.

Pediatr Int 2018 May;60(5):491-492

Department of Pediatrics, Kawaguchi Municipal Medical Center, Kawaguchi, Japan.

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http://dx.doi.org/10.1111/ped.13550DOI Listing
May 2018
5 Reads

Combined Abducens and Peripheral Facial Nerve Palsy.

Intern Med 2018 Nov 6;57(21):3223-3224. Epub 2018 Jun 6.

Department of Neurology, Tenri Hospital, Japan.

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http://dx.doi.org/10.2169/internalmedicine.1139-18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262706PMC
November 2018

Severe unilateral abducens nerve palsy from cavernous sinus carotid vascular ectasia.

Am J Ophthalmol Case Rep 2018 Jun 14;10:285-287. Epub 2018 Apr 14.

West Virginia University, 1 Stadium Drive, Morgantown, WV, USA.

Purpose: Carotid cavernous sinus ectasia is a rare cause of abducens nerve palsy.

Observation: We present a case of severe unilateral progressive esotropia resulting from cavernous sinus carotid vascular ectasia in a 67 y/o female. She had progressive esotropia over the years with no neuroimaging despite having regular ophthalmic care. Read More

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http://dx.doi.org/10.1016/j.ajoc.2018.04.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5956740PMC
June 2018
1 Read

Moebius Syndrome with Hypoglossal Palsy, Syndactyly, Brachydactyly, and Anisometropic Amblyopia.

Cureus 2018 Mar 16;10(3):e2334. Epub 2018 Mar 16.

Ophthalmology, Jinnah Hospital Lahore (JHL)/Allama Iqbal Medical College (AIMC), Lahore, Pakistan.

Moebius syndrome is a rare cause of congenital facial and abducens palsy.It is sometimes associated with musculoskeletal abnormalities and other cranial nerve palsies. Genetics and ischemic insults to the fetus are considered to be the cause of this syndrome. Read More

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http://dx.doi.org/10.7759/cureus.2334DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5955715PMC
March 2018
2 Reads

Clinical Course and Prognostic Factors of Acquired Third, Fourth, and Sixth Cranial Nerve Palsy in Korean Patients.

Korean J Ophthalmol 2018 06 20;32(3):221-227. Epub 2018 Mar 20.

Department of Ophthalmology, Kyung Hee University Medical Center, Kyung Hee University School of Medicine, Seoul, Korea.

Purpose: This study aimed to evaluate the clinical course and prognostic factors of acquired third, fourth, and sixth cranial nerve (CN) palsy grouped according to etiology.

Methods: This study involved a retrospective review of the medical records of 153 patients who were diagnosed with acquired paralytic strabismus from January 2004 to July 2015. Outcomes, recovery rates, and time to recovery were investigated according to the affected CN: CN3, CN4, and CN6 palsies. Read More

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http://dx.doi.org/10.3341/kjo.2017.0051DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5990641PMC
June 2018
7 Reads