4,039 results match your criteria Oculomotor Nerve Palsy


Usefulness of Neuromelanin Sensitive MRI for En Plaque Meningeal Melanocytoma Involving the Cavernous Sinus: A Case Report.

NMC Case Rep J 2019 Apr 21;6(2):43-46. Epub 2019 Mar 21.

Department of Neurosurgery, Japanese Red Cross Nagoya Daini Hospital, Nagoya, Aichi, Japan.

Intracranial meningeal melanocytoma is a rare tumor. Here, we report a case of pathologically diagnosed en plaque meningeal melanocytoma involving the cavernous sinus along with a review of the pertinent literature. A 35-year-old female presented with progressing left oculomotor nerve palsy and melanosis oculi. Read More

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http://dx.doi.org/10.2176/nmccrj.cr.2018-0211DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6476814PMC

Resection of Pediatric Trigeminal Schwannoma Using Minimally Invasive Approach: Case Report, Literature Review, and Video Submission.

World Neurosurg 2019 Apr 19. Epub 2019 Apr 19.

Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma. Electronic address:

We report the case of a 14-year-old male who presented with an isolated sixth nerve palsy manifested by diplopia. The patient was found to have a trigeminal schwannoma involving the ophthalmic and maxillary branches of the trigeminal nerve. A modified mini-pterional craniotomy was performed for an extended middle fossa approach with an anterior petrosectomy to gain access to the inferior aspect of the posterior fossa tumor component. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750193110
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http://dx.doi.org/10.1016/j.wneu.2019.04.113DOI Listing
April 2019
2 Reads

Magnetic Resonance Imaging in 14 Patients with Congenital Oculomotor Nerve Palsy.

Clin Neuroradiol 2019 Apr 17. Epub 2019 Apr 17.

Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea (Republic of).

Purpose: To elucidate the imaging findings of congenital oculomotor nerve palsy by evaluating the oculomotor nerve and extraocular muscles on magnetic resonance (MR) imaging in a relatively large series of 14 patients with congenital oculomotor nerve palsy.

Methods: Ophthalmologic examination of 14 consecutive patients diagnosed with congenital oculomotor nerve palsy, and MR imaging of the orbit and oculomotor nerves were performed.

Results: Of the 14 patients with congenital oculomotor nerve palsy, 13 patients (93%) were unilateral and 12 patients (86%) had incomplete palsy. Read More

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http://link.springer.com/10.1007/s00062-019-00781-5
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http://dx.doi.org/10.1007/s00062-019-00781-5DOI Listing
April 2019
1 Read

[A Case of Contralateral Oculomotor Nerve Palsy due to Internal Carotid Artery-Anterior Choroidal Artery Ruptured Aneurysm].

No Shinkei Geka 2019 Mar;47(3):343-348

Department of Neurosurgery, Higashi Saitama General Hospital.

Sudden oculomotor palsy with severe headache is known to suggest a ruptured ipsilateral internal carotid artery aneurysm. We encountered a case of contralateral oculomotor nerve palsy due to internal carotid artery-anterior choroidal artery ruptured aneurysm. A 63-year-old woman presented with severe headache and sudden right oculomotor palsy. Read More

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http://dx.doi.org/10.11477/mf.1436203941DOI Listing

Acquired Ocular Motor Nerve Palsy in Neurology Clinics: A Prospective Multicenter Study.

J Clin Neurol 2019 Apr;15(2):221-227

Department of Neurology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.

Background And Purpose: This study aimed to determine the patterns and etiologies of acquired ocular motor nerve palsy (OMNP) diagnosed in neurology clinics. We also investigated the clinical features that may predict the causes other than microvascular ischemia in isolated OMNP.

Methods: We performed a prospective multicenter study that had recruited 298 patients with acquired OMNP from the neurology clinics of referral-based 9 university hospitals in Korea. Read More

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http://dx.doi.org/10.3988/jcn.2019.15.2.221DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444141PMC
April 2019
1 Read

Loss of Contralateral Upper Limb Motor Evoked Potential Due to Occlusion of the Internal Carotid Artery in Microsurgical Clipping of Basilar Tip Aneurysm.

Asian J Neurosurg 2019 Jan-Mar;14(1):295-299

Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya, Japan.

The motor evoked potential (MEP) monitoring is routinely used as an adjunct in the microsurgical clipping of anterior circulation. We describe a case of unruptured basilar tip aneurysm treated with microsurgical clipping developed loss in MEP recording of the left abductor pollicis brevis (APB) following clipping of basilar tip aneurysm. A 58-year-old man was referred to the Fujita Health University Banbuntane-Hotokukai Hospital, Nagoya, Aichi, Japan, with incidental finding of unruptured 6. Read More

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http://www.asianjns.org/text.asp?2019/14/1/295/249996
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http://dx.doi.org/10.4103/ajns.AJNS_157_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417339PMC
April 2019
12 Reads

Acute Oculomotor Nerve Palsy Caused by Compression from an Aberrant Posterior Communicating Artery.

Cureus 2019 Jan 19;11(1):e3920. Epub 2019 Jan 19.

Neurosurgery, Baylor University Medical Center, Dallas, USA.

Oculomotor nerve palsy (ONP) is a rare neurological deficit associated with numerous underlying pathologies. Of these, aneurysm of the posterior communicating artery (PCOM) has been described due to the intimate association with the third cranial nerve in the basal cistern. Less described are other vascular abnormalities and their contribution to ONP. Read More

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http://dx.doi.org/10.7759/cureus.3920DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426569PMC
January 2019

Microsurgical Management of Midbrain Cavernous Malformations: Predictors of Outcome and Lesion Classification in 72 Patients.

Oper Neurosurg (Hagerstown) 2019 Mar 19. Epub 2019 Mar 19.

International Neuroscience Institute (INI), Hannover, Germany.

Background: Due to the complex segmental organization of the brainstem, it is preferable to study midbrain cavernous malformations (MCMs) separately from pontine and medullary lesions.

Objective: To evaluate clinical results after microsurgical removal of MCMs, assess predictors for outcome and introduce a topographical classification of MCMs.

Methods: A retrospective study was conducted on consecutive patients who underwent MCM resection. Read More

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http://dx.doi.org/10.1093/ons/opz026DOI Listing

Transient Complete Unilateral Oculomotor Nerve Palsy following Clipping of Ruptured Anterior Communicating Artery Aneurysm: An Abstruse Phenomenon.

Case Rep Vasc Med 2019 5;2019:3185023. Epub 2019 Feb 5.

Medical Officer, Department of Neurosurgery, College of Medical Sciences-Teaching Hospital, Bharatpur-10, Chitwan, Nepal.

Background: Aneurysmal subarachnoid hemorrhage may be associated with different cranial nerve palsies, with oculomotor nerve palsy (ONP) being the most common. ONP is especially associated with posterior communicating artery aneurysms, due to the anatomical proximity of the nerve to the aneurysmal wall. Anterior communicating artery (Acom) aneurysms are very unlikely to produce ONP due to the widely separated anatomical locations of Acom and oculomotor nerve. Read More

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http://dx.doi.org/10.1155/2019/3185023DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6379881PMC
February 2019
2 Reads

Resection of Mesencephalic Cavernoma Using the "Half-and-Half" Approach: 2-Dimensional Operative Video.

Oper Neurosurg (Hagerstown) 2019 Mar 11. Epub 2019 Mar 11.

University of Miami, Department of Neurosurgery, Miami, Florida.

Brainstem cavernous malformations present a particular challenge to neurosurgeons. Their deep location and proximity to critical brainstem nuclei and fiber tracts make surgical access challenging. Despite this, microsurgical resection of brainstem cavernomas has been associated with good long-term neurological outcome, albeit with notable (but temporary) perioperative morbidity. Read More

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http://dx.doi.org/10.1093/ons/opz024DOI Listing

Oculomotor Nerve Palsy After Influenza Vaccine in Inflammatory Bowel Disease.

Cureus 2018 Dec 21;10(12):e3759. Epub 2018 Dec 21.

Internal Medicine, Geisinger Medical Center, Danville, USA.

Influenza and pneumococcal vaccines are recommended in inflammatory bowel disease patients. Several neurologic complications have been reported after influenza vaccines, such as Guillain-Barre syndrome, chronic inflammatory demyelinating polyneuropathy, and acute disseminated encephalomyelitis; however, rarely, oculomotor palsy will occur. We report the case of a 23-year-old male with a past medical history of ulcerative colitis on sulfasalazine who presented to the hospital with a complaint of blurry vision five days after an influenza vaccine. Read More

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https://www.cureus.com/articles/16667-oculomotor-nerve-palsy
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http://dx.doi.org/10.7759/cureus.3759DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6389033PMC
December 2018
6 Reads

Ischemic Stroke Incidence in Patients With Microvascular Ocular Motor Palsy Versus Patients With Lacunar Ischemic Stroke.

Neurologist 2019 Mar;24(2):50-52

Neurology Department, Coimbra University Hospital Centre.

Objective: Presumed microvascular ischemia is the most frequent cause of ocular motor palsy (OMP). Ischemic stroke incidence after an episode of microvascular OMP (mOMP) is not established, contrasting with other common vascular conditions, such as lacunar ischemic stroke (LS). We sought to compare the incidence of subsequent ischemic stroke between mOMP and LS populations. Read More

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http://dx.doi.org/10.1097/NRL.0000000000000213DOI Listing
March 2019
1 Read

Congenital Ocular Neuromyotonia with Partial Third Nerve Palsy.

J Binocul Vis Ocul Motil 2019 Jan-Mar;69(1):13-17. Epub 2019 Feb 26.

a College of Medicine , University of Tennessee Health Science Center , Memphis , Tennessee.

Purpose: We report the first case of congenital ocular neuromyotonia (ONM) and the results of strabismus surgery for this patient's co-existing cranial nerve (CN) III palsy.

Patients And Method: The patient presented at 18 months with strabismus that had reportedly been present since the time of birth. On exam, she had persistent exotropia (RXT) and hypertropia (RHT) with episodes of esotropia in the right eye that could be evoked by sustained left gaze. Read More

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http://dx.doi.org/10.1080/2576117X.2018.1563451DOI Listing
February 2019
2 Reads

Cranial nerve involvement in patients with MOG antibody-associated disease.

Neurol Neuroimmunol Neuroinflamm 2019 Mar 1;6(2):e543. Epub 2019 Feb 1.

Service de neurologie (A.C.-C., S.V., R.M.), sclérose en plaques, pathologies de la myéline et neuroinflammation and Centre de référence pour les maladies inflammatoires rares du cerveau et de la moelle (MIRCEM)- Hôpital Neurologique Pierre Wertheimer Hospices Civils de Lyon, France; Lyon Neuroscience Research Center (A.C.-C., R.M.), U1028 INSERM, UMR5292 CNRS, FLUID Team, Lyon, France; Service de sclérose en plaques (X.A., P.L.), Hôpital Universitaire de Montpellier, France; Service de Neurologie (P.K.), Centre hospitalier de Luxembourg; Inserm (P.H.), U 1184, Center for Immunology of Viral Infections and Autoimmune Diseases, Université Paris-Sud 11, CEA, DSV/iMETI, Division of Immuno-Virology, IDMIT, Faculté de médecine, Le Kremlin-Bicêtre Cedex, France; Service de Radiologie (F.C.), Centre Hospitalier Lyon-Sud, Hospices Civils de Lyon, Pierre-Bénite, France; Université Claude Bernard Lyon 1 (F.C., S.V., R.M.), F-69100 Villeurbanne, France; Lyon's Neuroscience Research Center (S.V.), Observatoire Français de la Sclérose en Plaques, INSERM 1028 et CNRS UMR5292, Lyon, France; Service de neurologie pédiatrique (K.D.), Centre de référence pour les maladies inflammatoires rares du cerveau et de la moelle, Le Kremlin-Bicêtre, France; and INSERM US27 MIRCen (C.S.), CEA, Fontenay-aux-Roses, France.

Objective: To describe clinical and radiologic features of cranial nerve (CN) involvement in patients with myelin oligodendrocyte glycoprotein antibodies (MOG-IgG) and to assess the potential underlying mechanism of CN involvement using a nonhuman primate (NHP) model.

Methods: Epidemiologic, clinical, and radiologic features from a national cohort of 273 MOG-IgG-positive patients were retrospectively reviewed for CN involvement between January 2014 and January 2018. MOG-IgG binding was evaluated in CNS, CN, and peripheral nerve tissues from NHP. Read More

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http://dx.doi.org/10.1212/NXI.0000000000000543DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6384017PMC
March 2019
1 Read

Efficacy of endovascular intervention in patients with unruptured posterior communicating artery aneurysm-related oculomotor nerve palsy.

Neuro Endocrinol Lett 2019 Jan;39(6):459-464

Department of Interventional Neuroradiology, Beijing Neurosurgical Institute and Beijing Tiantan Hospital, Capital Medical University, Beijing, China.

Objectives: Oculomotor nerve palsy (ONP) is commonly encountered in daily neurosurgical activities. The ONP secondary to un-ruptured PComA aneurysm might be a unique entity that was different in diagnosis, treatment and prognosis from its ruptured counterparts. Perhaps as a result of the limitation in sample size, studies that solely focused on factors affecting recovery of ONP in patients with unruptured corresponding PComA aneurysms were scarce. Read More

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January 2019
2 Reads

Bilateral Third Nerve Palsy in Mirror Aneurysms of the Posterior Communicating Arteries.

Eur J Case Rep Intern Med 2018 28;5(8):000912. Epub 2018 Aug 28.

Vascular Neurology Department, Instituto Nacional de Neurologia y Neurocirugia, Mexico City, Mexico.

Background: Bilateral third cranial nerve palsy has only been reported in a handful of conditions including some with inflammatory, tumoural and vascular causes. An urgent imaging study is mandatory to rule out vascular aetiology, mainly aneurysmal subarachnoid haemorrhage (aSAH).

Case Presentation: A 28-year-old Hispanic woman presented to the emergency department with a 21-day history of a sudden-onset and severe headache that on three occasions was accompanied by transient loss of awareness, the last episode occurring a week previously. Read More

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http://dx.doi.org/10.12890/2018_000912DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346830PMC
August 2018
8 Reads

Neuroradiological and clinical features in ophthalmoplegia.

Neuroradiology 2019 Apr 12;61(4):365-387. Epub 2019 Feb 12.

Institute of Neuroradiology, Goethe University, Frankfurt am Main, Germany.

Purpose: Especially in acute onset of ophthalmoplegia, efficient neuroradiological evaluation is necessary to assist differential diagnosis, clinical course, and treatment options.

Methods: Different manifestations of ophthalmoplegia are explained and illustrated by characteristic neuroradiological and clinical findings.

Results: To present those ophthalmoplegic disorders in a clear manner, this review refers to different neuroanatomical structures and compartments. Read More

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http://link.springer.com/10.1007/s00234-019-02183-3
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http://dx.doi.org/10.1007/s00234-019-02183-3DOI Listing
April 2019
11 Reads
2.485 Impact Factor

Sellar Metastasis of Cervical Adenocarcinoma.

Case Rep Neurol Med 2019 10;2019:9769657. Epub 2019 Jan 10.

Department of Neurological Surgery, Loyola University Medical Center, Maywood, Illinois, USA.

Background: Pituitary metastasis of cervical adenocarcinoma is an exceedingly rare phenomenon.

Case Description: The authors present a case of a 66-year-old female with cervical adenocarcinoma who was discovered to have a rapidly growing intrasellar mass in the work-up of adrenal insufficiency and hypothyroidism. The patient underwent subsequent endoscopic endonasal subtotal resection of the mass. Read More

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http://dx.doi.org/10.1155/2019/9769657DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348813PMC
January 2019
3 Reads

Isolated third nerve palsy with pupillary involvement resulting from carotid-cavernous sinus fistula: A case report.

Medicine (Baltimore) 2019 Feb;98(6):e14472

Department of Ophthalmology, Taipei City Hospital, Renai Branch, Taipei, Taiwan.

Rationale: Isolated third nerve palsy with pupillary involvement caused by a posterior drainage carotid-cavernous sinus fistula (CCF) is relatively rare. Diagnosis of a posterior drainage CCF can often be delayed due to its unapparent congestive signs.

Patient Concerns: Here, we present the case of a young male patient with right-sided CCF, who presented with right-side headache and partial third nerve palsy with pupillary involvement. Read More

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http://dx.doi.org/10.1097/MD.0000000000014472DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380736PMC
February 2019
1 Read

[Giant cell arteritis of the vertebrobasilar system, posterior ischemia and palsy of the third nerve. Report of one case].

Rev Med Chil 2018 Nov;146(11):1356-1360

Departamento de Ciencias Neurológicas Oriente, Facultad de Medicina, Universidad de Chile, Santiago, Chile.

Giant cell arteritis is the most common vasculitis in patients aged over 50 years. We report an 89-year-old woman with significant weight loss and persistent frontal-occipital headaches lasting two months. The neurological examination at admission identified a decrease in visual acuity of the left eye, paralysis of the third cranial nerve of the right eye and alterations of body motility without objective signs of damage of the motor or sensitive pathways. Read More

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http://dx.doi.org/10.4067/S0034-98872018001101356DOI Listing
November 2018
11 Reads

Ptosis and Elevation Paresis Due to Mesencephalic Infarction.

Neuroophthalmology 2019 Feb 23;43(1):56-57. Epub 2018 May 23.

Medical School Department of Neurology, Ege University, Bornova, Izmir, Turkey.

Lesions located in the anterior cavernous sinus or posterior orbit are known to cause divisional oculomotor palsy. We herein report a patient with fascicular infarction causing superior division paresis of the nerve. Read More

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http://dx.doi.org/10.1080/01658107.2018.1458887DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6351018PMC
February 2019

Oculomotor Nerve Palsy Associated with Duplication of Middle Cerebral Artery, Anterior Communicating Artery Aneurysm, and Parietal Meningioma.

Neuroophthalmology 2019 Feb 25;43(1):53-55. Epub 2018 Apr 25.

Department of Ophthalmology, Faculty of Medicine, Cairo University, Cairo, Egypt.

A 61-year-old male presents with diplopia of acute onset and progressive course. He has a history of previous intracranial haemorrhage that was surgically evacuated 7 years ago and was also associated with diplopia. Examination revealed left complete oculomotor nerve paralysis with a fixed and dilated left pupil. Read More

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http://dx.doi.org/10.1080/01658107.2018.1451902DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6351017PMC
February 2019
3 Reads

Acute Bilateral Oculomotor Nerve Palsy in an Adult Patient with Neisseria meningitidis.

Intern Med 2019 Feb 1. Epub 2019 Feb 1.

Department of Cardiology, Komaki City Hospital, Japan.

A 69-year-old woman was admitted to our hospital with a fever, dizziness, and headache caused by Neisseria meningitidis. After ceftriaxone was administered, she suddenly developed bilateral oculomotor nerve palsy. Intra-orbital magnetic resonance imaging using appropriate sequences revealed that her bilateral third intracranial nerves were enlarged and enhanced. Read More

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http://dx.doi.org/10.2169/internalmedicine.2098-18DOI Listing
February 2019
10 Reads

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
Publisher Site
http://dx.doi.org/10.1055/s-0038-1676624DOI Listing
February 2019
10 Reads
0.493 Impact Factor

A Surgical Option for Complete Third Nerve Palsy.

Authors:
Leonard B Nelson

J Pediatr Ophthalmol Strabismus 2019 Jan;56(1)

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http://dx.doi.org/10.3928/01913913-20181212-01DOI Listing
January 2019

Transsylvian, Carotid-Oculomotor Triangle Approach for Resection of a Rapidly Enlarging Midbrain-Pontine Cavernous Malformation: 3-Dimensional Operative Video.

Oper Neurosurg (Hagerstown) 2019 Jan 11. Epub 2019 Jan 11.

Department of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota.

Cavernous malformations (CM) of the anterior midbrain are best reached through an orbitozygomatic (OZ) approach with removal of the orbital rim and wide Sylvian fissure dissection. Our surgical video demonstrates this approach to resect a ruptured CM in a 36-yr-old woman who presented with headaches, left face and left arm paresthesias/weakness, and right-sided partial oculomotor nerve (CN III) palsy. Initial magnetic resonance imaging (MRI) showed a midbrain CM, and the patient was managed conservatively. Read More

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http://dx.doi.org/10.1093/ons/opy390DOI Listing
January 2019

Internal Carotid Artery Occlusion Causing Acute Cranial Neuropathies.

J Stroke Cerebrovasc Dis 2019 Apr 9;28(4):e5-e6. Epub 2019 Jan 9.

Department of Neurology, Westmead Hospital, Sydney, New South Wales, Australia; Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia.

A 54-year-old male with a history of left posterior parietal ischemic stroke, epilepsy, tobacco and marijuana smoking, and alcohol abuse, presented with acute left visual loss and diplopia. On examination, he had reduced left visual acuity and a left oculomotor nerve palsy. CT angiogram from aortic arch to circle of Willis identified extensive thrombus occluding the left common and internal carotid arteries, extending to the left ophthalmic artery. Read More

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http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2018.12.017DOI Listing
April 2019
1 Read

The aetiologies of the unilateral oculomotor nerve palsy: a review of the literature.

Somatosens Mot Res 2018 Sep - Dec;35(3-4):229-239. Epub 2018 Dec 28.

b Department of Neurology , The Affiliated Hospital of Xuzhou Medical University , Xuzhou , China.

Oculomotor nerve palsy (ONP) is an important and common clinical diagnosis. Its main features are diplopia and ptosis. Its aetiologies are various and complex. Read More

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http://dx.doi.org/10.1080/08990220.2018.1547697DOI Listing

Causes and surgical treatment of diplopia and strabismus secondary to myasthenia gravis.

Arch Soc Esp Oftalmol 2019 Mar 20;94(3):107-113. Epub 2018 Dec 20.

Sección de Motilidad Ocular, Departamento de Oftalmología, HGU Gregorio Marañón, Madrid, España.

Objective: To present a report of the ocular motility disorders, treatment and outcomes of myasthenia gravis (MG).

Material And Method: A retrospective study was performed on the data of patients with MG. An evaluation was made using mean age, gender, initial diagnosis, ocular deviation, time of onset of clinical characteristics, treatment and results. Read More

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http://dx.doi.org/10.1016/j.oftal.2018.11.007DOI Listing
March 2019
1 Read

Marcus Gunn (jaw-winking) phenomenon in pediatric otorhinolaryngology practice.

Int J Pediatr Otorhinolaryngol 2019 Feb 30;117:153-156. Epub 2018 Nov 30.

Department of Otolaryngology, Centre of Postgraduate Medical Education, 8 Kondratowicza St., 03-242, Warsaw, Poland.

Marcus Gunn phenomenon (MGP) is a rare form of congenital facial synkinesis known as jaw-winking or pterygoid-levator synkinesis. The MGP is the raising of the affected eyelid is synchronous and proportionate to the opening of the mouth. The etiology is unclear. Read More

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http://dx.doi.org/10.1016/j.ijporl.2018.11.035DOI Listing
February 2019
12 Reads

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

Clinical characteristics according to the laterality of ocular torsion in unilateral superior oblique palsy.

BMC Ophthalmol 2018 Dec 17;18(1):325. Epub 2018 Dec 17.

Department of Ophthalmology, Samsung Medical Centre, Sungkyunkwan University School of Medicine, #81 Irwon-ro, Gangnam-gu, Seoul, 06351, South Korea.

Background: To compare clinical characteristics according to the laterality of objective ocular torsion in patients with unilateral superior oblique palsy (SOP).

Methods: This retrospective study included all patients with a diagnosis of unilateral SOP. They were classified into subgroups according to correspondence between the paretic eye and the extorted eye using fundus photography. Read More

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http://dx.doi.org/10.1186/s12886-018-0977-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6296155PMC
December 2018
5 Reads

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
11 Reads

Pupil-sparing third cranial nerve palsy with aberrant regeneration secondary to cavernous sinus arachnoid cyst.

eNeurologicalSci 2019 Mar 19;14:28-30. Epub 2018 Nov 19.

Salus University, Neuro-ophthalmic Disease Department, 8360 Old York Rd, Elkins Park, PA 19027, United States.

A 66 year-old woman presented with a pupil-sparing partial third cranial nerve palsy with aberrant regeneration. Imaging revealed a cystic lesion in the right cavernous sinus, demonstrating signal characteristics consistent with arachnoid cyst. Oculomotor synkinesis and a pupil-sparing third cranial nerve palsy from an arachnoid cyst of the cavernous sinus have not been previously reported. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S24056502183004
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http://dx.doi.org/10.1016/j.ensci.2018.11.017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6276728PMC
March 2019
4 Reads

Horizontal Effects of 10-mm Inferior Oblique Recession versus 14-mm Inferior Oblique Recession.

Korean J Ophthalmol 2018 Dec;32(6):478-482

Kim's Eye Hospital, Seoul, Korea.

Purpose: The aim of this study was to investigate the quantitative effect of inferior oblique (IO) 10- and 14-mm recession on postoperative horizontal deviation.

Methods: Patients (22 men and 18 women) who underwent IO recession were divided into two groups for comparison studies: group 1 (10-mm IO recession, 15 patients) and group 2 (14-mm IO recession, 25 patients). Preoperative and postoperative horizontal deviations were measured, and the resulting horizontal deviations from the 10- and 14-mm IO recession surgeries were compared. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.3341/kjo.2018.00
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http://dx.doi.org/10.3341/kjo.2018.0040DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6288027PMC
December 2018
23 Reads

The Eye Opener: Finding and Targeting the Midbrain Lesion.

Neuroophthalmology 2018 Oct 9;42(5):316-317. Epub 2018 Jan 9.

Department of Neurology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Lesions of the central nucleus of the third cranial nerve in midbrain leads to bilateral ptosis. We present a case of a 14 year old boy, who was found to have B/L non-correctable ptosis and medial rectus palsy. There was a ring enhancing lesion in the midbrain in contrast MRI which resolved with treatment. Read More

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https://www.tandfonline.com/doi/full/10.1080/01658107.2017.1
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http://dx.doi.org/10.1080/01658107.2017.1404113DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6261474PMC
October 2018
14 Reads

Riskier-than-expected occlusive treatment of ruptured posterior communicating artery aneurysms: treatment and outcome of 620 consecutive patients.

J Neurosurg 2018 10 1:1-9. Epub 2018 Oct 1.

OBJECTIVE: Occlusive treatment of posterior communicating artery (PCoA) aneurysms has been seen as a fairly uncomplicated procedure. The objective here was to determine the radiological and clinical outcome of patients after PCoA aneurysm rupture and treatment and to evaluate the risk factors for impaired outcome. METHODS: In a retrospective clinical follow-up study, data were collected from 620 consecutive patients who had been treated for ruptured PCoA aneurysms at a single center between 1980 and 2014. Read More

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http://dx.doi.org/10.3171/2018.4.JNS18145DOI Listing
October 2018
3 Reads

Clinical-radiographic correlates of Artery of Percheron infarcts in a case series of 6 patients.

J Clin Neurosci 2019 Mar 22;61:266-268. Epub 2018 Nov 22.

Department of Neurology, NYU Langone Medical Center, NY, United States.

Bilateral thalamic strokes due to Artery of Percheron (AOP) occlusion are rare but have been previously reported in the literature. It is due to a rare anatomic variant where a solitary arterial trunk from the proximal segment of either posterior cerebral artery (PCA) supplies bilateral thalami and midbrain. Despite its description in the literature, these strokes are usually missed and patient's symptoms are not thought to be secondary to a vascular etiology. Read More

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http://dx.doi.org/10.1016/j.jocn.2018.11.030DOI Listing
March 2019
337 Reads
1.320 Impact Factor

Sporadic Cisternal Oculomotor Nerve Schwannoma: A Rare Case with Review of Literature.

Asian J Neurosurg 2018 Oct-Dec;13(4):1269-1272

Department of Neurosurgery, SGPGIMS, Lucknow, Uttar Pradesh, India.

Cranial nerve schwannomas usually arise from sensory nerve and the occurrence of schwannoma in a motor nerve is rare, especially in sporadic cases. Oculomotor nerve schwannomas (ONS) are rare and they are unique as they arise from motor nerve. ONS palsy may or may not be the presenting feature of oculomotor schwannoma. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_104_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6208203PMC
November 2018

Multimodality Techniques in Microsurgical Clipping as the Gold Standard Treatment in the Management of Basilar Tip Aneurysm: A Case Series.

Asian J Neurosurg 2018 Oct-Dec;13(4):1148-1157

Department of Neurosurgery, Fujita Health University, Banbuntane Hotokukai Hospital, Nagoya, Japan.

Introduction: Basilar aneurysms represent 5%-7% of all intracranial aneurysms. The main goal of open surgery is to achieve complete obliteration of the aneurysmal sac using minimal invasive technique while emphasizing on avoidance of complication.

Materials And Methods: We performed a retrospective cohort study of nine cases of unruptured basilar tip aneurysm referred to the Fujita Health University Banbuntane-Hotokukai Hospital, Japan. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_159_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6208256PMC
November 2018
17 Reads

Prion Seeds Distribute throughout the Eyes of Sporadic Creutzfeldt-Jakob Disease Patients.

MBio 2018 11 20;9(6). Epub 2018 Nov 20.

Department of Pathology, University of California, San Diego, La Jolla, California, USA

Sporadic Creutzfeldt-Jakob disease (sCJD) is the most common prion disease in humans and has been iatrogenically transmitted through corneal graft transplantation. Approximately 40% of sCJD patients develop visual or oculomotor symptoms and may seek ophthalmological consultation. Here we used the highly sensitive real-time quaking-induced conversion (RT-QuIC) assay to measure postmortem prion seeding activities in cornea, lens, ocular fluid, retina, choroid, sclera, optic nerve, and extraocular muscle in the largest series of sCJD patient eyes studied by any assay to date. Read More

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http://dx.doi.org/10.1128/mBio.02095-18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247090PMC
November 2018
24 Reads

[Benedikt Syndrome Associated with Neck Clipping of Ruptured Basilar-Superior Cerebellar Artery Aneurysm:A Case Report].

No Shinkei Geka 2018 Nov;46(11):1007-1012

Department of Neurosurgery, Odawara Municipal Hospital.

Benedikt syndrome is caused by a rare type of brain damage to the red nucleus and nearby locations. Clinically, it presents as ipsilateral oculomotor palsy and specific contralateral involuntary movement. These involuntary movements may affect activities of daily living(ADLs)in affected patients. Read More

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http://dx.doi.org/10.11477/mf.1436203855DOI Listing
November 2018
18 Reads

Posterior communicating aneurysm with oculomotor nerve palsy: Predictors of nerve recovery.

J Clin Neurosci 2019 Jan 16;59:62-67. Epub 2018 Nov 16.

Department of Neurosurgery, Qilu Hospital of Shandong University and Institute of Brain and Brain-Inspired Science, Shandong University, Jinan, China; Shandong Key Laboratory of Brain Function Remodeling, China. Electronic address:

The recovery of oculomotor nerve palsy (ONP) due to posterior communicating aneurysm (PComAA) remains largely undefined. This retrospective study was undertaken to investigate predictors of nerve recovery in patients with ONP due to PComAA. A total of 102 patients with ONP due to PComAA who had undergone either endovascular coiling (63 cases) or surgical clipping (39 cases) between 2012 and 2017 were retrospectively analyzed. Read More

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http://dx.doi.org/10.1016/j.jocn.2018.11.006DOI Listing
January 2019
24 Reads

Transclinoid-Transcavernous Approach to a Giant Cavernous Sinus Hemangioma: 2-Dimensional Operative Video.

World Neurosurg 2019 Feb 15;122:453. Epub 2018 Nov 15.

Department of Neurosurgery, Changzheng Hospital, Naval Medical University, Neurosurgical Institute of Shanghai, Neurosurgical Institute of PLA, Shanghai, China. Electronic address:

This surgical video demonstrates a transclinoid-transcavernous approach for the resection of a cavernous sinus hemangioma (Video 1). The patient is a 42-year-old woman who presented with headache and blurred vision. Magnetic resonance imaging (MRI) demonstrated an enhancing mass in the right-side cavernous sinus and sella. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183260
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http://dx.doi.org/10.1016/j.wneu.2018.11.053DOI Listing
February 2019
15 Reads

Teaching Images in Headache: Thrombosis of Posterior Communicating Artery Aneurysm.

Headache 2019 Apr 15;59(4):630-631. Epub 2018 Nov 15.

Neurology Clinic, University of Perugia, S. Maria della Misericordia Hospital, Perugia, Italy.

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http://dx.doi.org/10.1111/head.13448DOI Listing
April 2019
3 Reads

Usefulness of MR Imaging in Idiopathic Oculomotor Nerve Palsy Cases: T-weighted IDEAL.

Magn Reson Med Sci 2018 Nov 9. Epub 2018 Nov 9.

Department of Neurology and Strokology, Nagasaki University Hospital.

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http://dx.doi.org/10.2463/mrms.ci.2018-0070DOI Listing
November 2018
1 Read

Endovascular Coil Embolization with Low-Profile Visualized Intraluminal Support Junior Stent for Ruptured Dissecting Aneurysm of Proximal Superior Cerebellar Artery-Case Report and Literature Review.

World Neurosurg 2019 Feb 1;122:102-105. Epub 2018 Nov 1.

Department of Neurosurgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima-city, Hiroshima, Japan.

Background: Superior cerebellar artery (SCA) aneurysm arising from the SCA itself is rare, and treatment of this aneurysm is challenging because of the important anatomic structures, such as the perforating arteries to the brainstem and cranial nerves. We describe a successful coil embolization with a Low-profile Visualized Intraluminal Support Junior (LVIS Jr.) stent for the proximal SCA dissecting aneurysm. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183243
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http://dx.doi.org/10.1016/j.wneu.2018.10.137DOI Listing
February 2019
21 Reads