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Abducens Nerve Palsy

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Bilateral Squamosal Suture Craniosynostosis Presenting with Abducens Nerve Palsy and Severe Papilledema.

Daniel Y Cho, Kelly N Evans, Matthew C Weed, Amy Lee, Srinivas M Susarla,

BACKGROUND:Patients with single-suture or minor suture craniosynostosis are typically asymptomatic at early presentation; intervention is aimed at reducing the risk of elevated intracranial pressure and associated developmental sequelae. Patients may be symptomatic in cases of major multi-suture syndromic synostoses or delayed diagnosis. Clinical presentation in this context may include headaches, ... Read more >>

World Neurosurg (World neurosurgery)
[2020, :]

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Unilateral Abducens Nerve Palsy Following Perinatal Stroke of the Middle Cerebral Artery.

Jeremy J Kudrna, Stephen C Dryden, Cody R Richardson, Asim F Choudhri, Natalie C Kerr,

The authors describe a case of unilateral abducens nerve palsy following perinatal stroke of the middle cerebral artery. A 1-year-old boy presented with left eye esotropia but no other ocular abnormalities. The patient's history, examination, and diagnostic tests were consistent with abducens nerve palsy. He underwent left medial rectus recession ... Read more >>

J Pediatr Ophthalmol Strabismus (Journal of pediatric ophthalmology and strabismus)
[2020, 57:e30-e33]

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Minimally Invasive Lateral Orbital Wall Approach for Sphenocavernous Meningioma Resection with Endoscope Assistance.

Ricky H Wong,

Sphenocavernous meningioma are technically challenging tumors that, in addition to cavernous sinus neurovascular involvement, frequently affect the optic nerve and carotid artery. The surgical goal generally consists of complete resection of the extracavernous portion of the tumor, while the cavernous sinus tumor can be treated with postoperative radiation if necessary. ... Read more >>

World Neurosurg (World neurosurgery)
[2020, :]

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Lyme disease with erythema migrans presenting concurrently with optic nerve perineuritis and abducens nerve palsy.

Michael S Lundin, Sherri L Sandel, Corina M Suciu, Debra A Spicehandler,

BMJ Case Rep (BMJ case reports)
[2020, 13(3):]

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Isolated Abducens Nerve Palsy as Manifestation of Diffuse Intracranial Dolichoectasia.

Jose I Benavides, Adalgisa Corona, Johanna I Aguilera, Jose M Paliza,

An 83-year-old man presented with a 1-year history of abducens palsy. Brain MRA revealed arterial dolichoectasia of most cerebral vessels, including the basilar, internal carotid, and middle cerebral arteries. Abducens nerve palsy as a sole manifestation of diffuse intracranial dolichoectasia is unusual but may occur in diffuse intracranial dolichoectasia. ... Read more >>

J Neuroophthalmol (Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society)
[2020, 40(1):107-109]

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Orbital pseudotumor as the presenting symptom of Crohn's disease in a male child.

Rhys Ishihara, Samiksha Fouzdar Jain, Deborah Perry, Adam Reinhardt, Donny Suh, Richard Legge,

Purpose:This report will describe a case of orbital pseudotumor that is associated with underlying Crohn's disease in a pediatric patient. Observations:An 8-year-old male with a past medical history of chronic constipation who presented to the ophthalmologist in July 2017 with a 7-month history double vision, left upper lid ptosis, left ... Read more >>

Am J Ophthalmol Case Rep (American journal of ophthalmology case reports)
[2020, 18:100669]

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[Ocular Motor Nerve Palsies Caused by Paragliding Accidents].

Fabian Lengwiler, Jan Heckmann, Veit Sturm,

BACKGROUND:Paragliding is a risk-taking adventure sport. It can be performed either individually or accompanied by a pilot in tandem formation. Paragliding, as well as other types of "extreme" sport, have gained popularity over the past few years. Injuries predominantly involve the lower extremities and the spinal column. Head injuries occur ... Read more >>

Klin Monbl Augenheilkd (Klinische Monatsblatter fur Augenheilkunde)
[2020, :]

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A clinical study of ocular motor nerve functions after petroclival meningioma resection.

Liang Wang, Qing Zhang, Jian-Cong Weng, Liang-Peng Chen, Da Li, Gui-Jun Jia, Li-Wei Zhang, Zhen Wu, Wang Jia, Jun-Ting Zhang,

BACKGROUND:Ocular motor dysfunction is one of the most common postoperative complications of petroclival meningioma. However, its incidence, recovery rate, and independent risk factors remain poorly explored. METHODS:A prospective analysis of 31 petroclival meningiomas was performed. Operative approaches were selected by utilizing a new 6-region classification of petroclival meningiomas we proposed. ... Read more >>

Acta Neurochir (Wien) (Acta neurochirurgica)
[2020, :]

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Clinical Presentations and Outcome Studies of Cranial Nerve Involvement in Herpes Zoster Infection: A Retrospective Single-Center Analysis.

Po-Wei Tsau, Ming-Feng Liao, Jung-Lung Hsu, Hui-Ching Hsu, Chi-Hao Peng, Yu-Ching Lin, Hung-Chou Kuo, Long-Sun Ro,

Varicella-zoster virus (VZV) infection can cause chickenpox and herpes zoster. It sometimes involves cranial nerves, and rarely, it can involve multiple cranial nerves. We aimed to study clinical presentations of cranial nerve involvement in herpes zoster infection. We included patients who had the diagnosis of herpes zoster infection and cranial ... Read more >>

J Clin Med (Journal of clinical medicine)
[2020, 9(4):]

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Gradenigo's Syndrome with Carotid Septic Stenosis.

Ana Sousa Menezes, Daniela Ribeiro, Filipa Balona, Ricardo Maré, Cátia Azevedo, Jaime Rocha, Luís Dias,

Gradenigo's syndrome was firstly described in 1907 by Giusseppe Gradenigo and is defined as the clinical triad of suppurative otitis media, ipsilateral abducens nerve palsy, and pain in the distribution of the first and the second branches of the trigeminal nerve. Since the advent of antibiotics, the incidence of this ... Read more >>

Case Rep Otolaryngol (Case reports in otolaryngology)
[2020, 2020:9439184]

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First Clinical Experience with Anti-myelin Oligodendrocyte Glycoprotein Antibody-Positive Optic Neuritis.

Jan Heckmann, Margarita Todorova, Stefanie Müller, Philip Julian Broser, Veit Sturm,

BACKGROUND:Antibodies against myelin oligodendrocyte glycoprotein (MOG-IgG) have been consistently found in a range of demyelinating disorders. In this context, MOG-IgG-associated optic neuritis (ON) has been suggested as a new subset of optic neuropathy. However, clinical manifestations and distinctive characteristics have only rarely been described. PATIENTS AND METHODS:A retrospective case series ... Read more >>

Klin Monbl Augenheilkd (Klinische Monatsblatter fur Augenheilkunde)
[2020, :]

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Inferior rectus belly transposition for residual esotropia after augmented superior rectus transposition and medial rectus recession in patients with chronic abducens nerve palsy: a case series.

Jing Yao, Weiyi Xia, Lianqun Wu, Xiying Wang, Chao Jiang, Chen Zhao,

We introduce a novel method for managing residual esotropia after vertical muscle transposition, with minimal risk of anterior segment ischemia, and report 3 patients with chronic abducens nerve palsy who underwent inferior rectus belly transposition subsequently or simultaneously after augmented superior rectus transposition and medial rectus recession. ... Read more >>

J AAPOS (Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus)
[2020, :]

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Transclival Approach for Resection of a Pontine Cavernous Malformation: 2-Dimensional Operative Video.

Dennis London, Seth Lieberman, Omar Tanweer, Donato Pacione,

Cerebral cavernous malformations are common vascular anomalies consisting of a cluster of capillaries without intervening brain tissue.1 A variety of approaches for resection have been undertaken,2 and a handful of case reports have described the endoscopic, endonasal, transclival approach.3 We present a case of a 51-yr-old woman with lupus and ... Read more >>

Oper Neurosurg (Hagerstown) (Operative neurosurgery (Hagerstown, Md.))
[2020, :]

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Expanded Endoscopic Endonasal Transtuberculum Approach for Tuberculum Sellae Meningioma: Operative Video With 360-Degree Fly-Through and Surgical Rehearsal in Virtual Reality: 2-Dimensional Operative Video.

Walter C Jean, Ameet Singh,

This video demonstrates the technique of the "Expanded Endoscopic Endonasal Transtuberculum Approach" and the utility of preoperative planning and surgical rehearsal in virtual reality (VR).  VR can be utilized to improve endoscopic skull base surgery in various ways. The patient is a 57-yr-old woman with sudden right abducens palsy. Transcranial ... Read more >>

Oper Neurosurg (Hagerstown) (Operative neurosurgery (Hagerstown, Md.))
[2020, :]

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Long-Term Efficacy and Complications of Radiofrequency Thermocoagulation at Different Temperatures for the Treatment of Trigeminal Neuralgia.

Tao Hong, Yuanyuan Ding, Peng Yao,

Trigeminal neuralgia (TN) is a common neuropathic pain that seriously affects the daily life of patients. Many invasive treatments are currently available for patients who respond poorly to oral carbamazepine or oxcarbazepine. Among them, radiofrequency (RF) treatment is a viable option with reliable initial and long-term clinical efficacy. The long-term ... Read more >>

Biochem Res Int (Biochemistry research international)
[2020, 2020:3854284]

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Idiopathic Intracranial Hypertension: The Monster Within.

Aastha Takkar, Vivek Lal,

Idiopathic intracranial hypertension (IIH) is defined as a syndrome of raised intracranial pressure with normal imaging of the brain and cerebrospinal fluid (CSF) composition. There are many controversies and myths that surround IIH. Although patients of IIH may present "typical" symptoms and signs of raised intracranial pressure, clinical scenarios often ... Read more >>

Ann Indian Acad Neurol (Annals of Indian Academy of Neurology)
[2020, 23(2):159-166]

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Endoscopic Endonasal Resection of Meckel's Cave Epidermoid Cysts: Case Discussion and Literature Review.

Jehad Zakaria, Pravesh Saini, Mariya Yanovskaya, John T Tsiang, Krishnan Ravindran, Stephen Johans, Chirag R Patel, Anand V Germanwala,

Meckel's cave (MC) epidermoid cysts are relatively uncommon lesions. In cases where surgical excision is indicated, resection is often carried out via a frontosphenotemporal craniotomy from an anterolateral approach or a temporal craniotomy with or without a petrosectomy for a lateral corridor; both of these routes are associated with brain ... Read more >>

Case Rep Neurol Med (Case reports in neurological medicine)
[2020, 2020:7853279]

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Case 278.

Felipe Alba Scortegagna, Felipe T Pacheco, Renato Hoffmann Nunes, Aline Serpa, Michele Patricia Migliavacca, Antonio José da Rocha,

HistoryA 13-year-old girl was born to consanguineous parents. She presented with mild intellectual impairment, convergent strabismus, horizontal gaze palsy, and bilateral abducens palsy. Vertical gaze was preserved, and no abnormalities suggesting facial paralysis were noted. In addition, she reported progressive back pain since she was 5 years old. Other symptoms ... Read more >>

Radiology (Radiology)
[2020, 294(2):476-477]

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"Sixteen syndrome"-a new pontine ophthalmo-neurological syndrome within the one-and-a-half syndrome spectrum of disorders: case report and literature review.

Baodong Li, Jia Song, Yuman Zhang, Ce Qi,

Quant Imaging Med Surg (Quantitative imaging in medicine and surgery)
[2020, 10(2):518-521]

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Iatrogenic Dural Puncture-induced Abducens Nerve Palsy: Treatment with Epidural Blood Patch.

Richa Wardhan, Shauna M Wrazidlo,

Iatrogenic dural puncture (IDP) is a known complication of epidural anesthesia. While operator experience is certainly critical in preventing inadvertent dural punctures, it can happen even in the hands of a skilled operator. Often, IDP presents as post-dural puncture headache (PDPH) without the involvement of cranial nerves; however, infrequent excessive ... Read more >>

Cureus (Cureus)
[2020, 12(1):e6622]

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Delayed and isolated abducens nerve palsy following minor head injury.

Jae Yeon Lee, Yung Ju Yoo,

Neurol. Sci. (Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology)
[2020, :]

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A Neuro-ontology for the neurological examination.

Daniel B Hier, Steven U Brint,

BACKGROUND:The use of clinical data in electronic health records for machine-learning or data analytics depends on the conversion of free text into machine-readable codes. We have examined the feasibility of capturing the neurological examination as machine-readable codes based on UMLS Metathesaurus concepts. METHODS:We created a target ontology for capturing the ... Read more >>

BMC Med Inform Decis Mak (BMC medical informatics and decision making)
[2020, 20(1):47]

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Medical management of acute loss of vision in tuberculous meningitis: A case report.

Maryam Amour, Sarah Shali Matuja, Jerome H Chin,

Blindness and vision impairment are unpredictable complications of tuberculous meningitis (TBM) that are often unrecognized in the acute stages of illness due to inability to assess vision in patients with depressed levels of consciousness or confusion. We present a patient with definite TBM confirmed by positive Xpert MTB/RIF assay of ... Read more >>

J Clin Tuberc Other Mycobact Dis (Journal of clinical tuberculosis and other mycobacterial diseases)
[2020, 19:100145]

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Chordoma with lung metastases at initial presentation of a pediatric patient.

Samiat Agunbiade, Ayman Nada, Sudhir Bhimaniya, Matthew T Whitehead, Eman S Mahdi,

Chordomas are rare, slow growing malignant tumors derived from notochord remnants that can arise anywhere along the neuronal axis. Chordomas are particularly rare in patients under 20 years of age and tend to be intracranial in location, as opposed to sacrococcygeal in adults. Metastasis at initial presentation is uncommon in ... Read more >>

Radiol Case Rep (Radiology Case Reports)
[2020, 15(4):382-386]

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Cavernous sinus thrombosis caused by Streptococcus constellatus-associated Lemierre syndrome presenting as an isolated abducens nerve palsy.

Landon J Rohowetz, Sean M Gratton, Daniel Dansdill, Cory J Miller, Sarah Dubin,

Purpose:To describe a patient with Streptococcus constellatus-associated Lemierre syndrome complicated by eventual cavernous sinus thrombosis (CST) that manifested as an isolated abducens nerve palsy. Observations:A patient with a history of heavy alcohol use presented with Lemierre syndrome caused by an odontogenic infection due to Streptococcus constellatus. Despite initiation of intravenous ... Read more >>

Am J Ophthalmol Case Rep (American journal of ophthalmology case reports)
[2020, 18:100592]

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