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Oculomotor Nerve Palsy

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Isolated pituitary fossa metastasis from a primary tonsillar squamous cell carcinoma: case report.

H Merchant, D S Rye, J A Smith,

OBJECTIVE:This paper presents a case of an isolated pituitary fossa metastasis on a background of a previously treated tonsillar squamous cell carcinoma. CASE REPORT:A 64-year-old male, diagnosed with a primary p16-negative squamous cell carcinoma in the right tonsil, was treated with a course of chemoradiotherapy with curative intent. Positron emission ... Read more >>

J Laryngol Otol (The Journal of laryngology and otology)
[2020, :1-3]

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Neuroimaging of septo-optic dysplasia-plus with midbrain hypoplasia and ophthalmoplegia.

Colin Y Wang, Daniel T Ginat,

Septo-optic dysplasia is a rare brain malformation that can be associated with anomalous cortical development, such as schizencephaly, which is referred to as septo-optic dysplasia plus. This report describes septo-optic dysplasia-plus associated with unilateral atrophy of the midbrain and oculomotor nerve deficiency, which was diagnosed on MRI in a teenage ... Read more >>

eNeurologicalSci (eNeurologicalSci)
[2020, 19:100235]

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Lessons of the month 4: Giant cell arteritis with normal inflammatory markers and isolated oculomotor nerve palsy.

Benjamin Walters, Darko Lazic, Azeem Ahmed, Gabriel Yiin,

Giant cell arteritis (GCA) is an important condition to suspect and treat early, as failure to do so can result in anterior ischaemic optic neuropathy and subsequent permanent visual loss.A 71-year-old woman presented to her local emergency department with a 1-week history of constant, moderate-severe global headache associated with intermittent ... Read more >>

Clin Med (Lond) (Clinical medicine (London, England))
[2020, 20(2):224-226]

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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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Pearls & Oy-sters: Isolated oculomotor nerve palsy due to pituitary apoplexy missed on CT scan.

Sina Marzoughi, Aravind Ganesh, Amro Qaddoura, Pouya Motazedian, Simerpreet S Bal,

Neurology (Neurology)
[2020, :]

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Isolated Oculomotor Nerve Palsy: A Unique Presentation of Haemophilus influenzae Type A Meningitis.

Richard F Latuska, Jaime K Otillio,

In this case report, we describe a unique case of Haemophilus influenzae type A meningitis in a 7-month-old previously healthy girl that presented with an isolated cranial nerve (oculomotor) palsy without other signs and symptoms classically associated with this entity such as fever, meningismus, or a generally ill appearance. Oculomotor ... Read more >>

Pediatr Emerg Care (Pediatric emergency care)
[2020, 36(3):e172-e174]

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Endovascular versus surgical treatment for improvement of oculomotor nerve palsy caused by unruptured posterior communicating artery aneurysms.

Francesco Signorelli, Raoul Pop, Mario Ganau, Helene Cebula, Antonino Scibilia, Paolo Gallinaro, Ismail Zaed, Julien Todeschi, Etienne Lefevre, Beniamino Nannavecchia, Francois Severac, Hugo Andres Coca, Francis Turjman, Rodolfo Maduri, Rémy Beaujeux, Francois Proust, Salvatore Chibarro,

BACKGROUND:There is no consensus regarding the best treatment option for unruptured aneurysms of the posterior communicating artery (PCom) presenting with oculomotor nerve palsy (ONP). We aimed to assess predictors of ONP recovery in a multicenter series of consecutive patients. MATERIALS AND METHODS:A retrospective review of prospective databases in three tertiary ... Read more >>

J Neurointerv Surg (Journal of neurointerventional surgery)
[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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Pituitary metastasis in breast cancer: case report and literature review

Guodong Huang, Xiaosong Sha, Xiejun Zhang, Lei Chen, Jihu Yang,

<title>Abstract</title> <p> Background: Breast cancer commonly metastasizes to the lung, vertebrae or liver but rarely to the pituitary gland. The majority of cases have been reported during autopsy; however, with the improvements in diagnostic methods, there has been an increasing number of cases reported in the clinical setting. ... Read more >>

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Third Nerve Palsy Due to a Malignant Oculomotor Nerve Sheath Tumor.

Jonathan A Micieli, Hui-Kuo G Shu, Nancy J Newman,

J Neuroophthalmol (Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society)
[2020, 40(1):100-103]

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Acute diabetic neuropathy following improved glycaemic control: a case series and review.

N Siddique, R Durcan, S Smyth, T Kyaw Tun, S Sreenan, J H McDermott,

Summary:We present three cases of acute diabetic neuropathy and highlight a potentially underappreciated link between tightening of glycaemic control and acute neuropathies in patients with diabetes. Case 1: A 56-year-old male with poorly controlled type 2 diabetes (T2DM) was commenced on basal-bolus insulin. He presented 6 weeks later with a ... Read more >>

Endocrinol Diabetes Metab Case Rep (Endocrinology, diabetes & metabolism case reports)
[2020, 2020:]

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Diagnosis and surgical management of isolated inferior oblique palsy.

Xiao-Fei Wu, Jian-Hua Yan,

AIM:To describe the etiology, clinical characteristics, surgical options and surgical outcomes of isolated inferior oblique palsy (IOP). METHODS:A retrospective review was performed on patients with isolated IOP who were seen between January 2010 and June 2017. The following clinical data were obtained from the patients' charts: visual acuity, ocular alignment, ... Read more >>

Int J Ophthalmol (International journal of ophthalmology)
[2020, 13(2):349-355]

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The 2019 novel cornoavirus pneumonia with onset of oculomotor nerve palsy: a case study.

Heng Wei, Hongxiang Yin, Min Huang, Zhenli Guo,

J. Neurol. (Journal of Neurology)
[2020, :]

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[Ocular movement and nystagmus: basics and clinical diagnosis].

T J Müller,

BACKGROUND:Eye movements are one of the most complex motor functions of the central nervous system (CNS). Eye movement disorders including nystagmus occur in diseases of the CNS and the vestibular system. A systematic clinical examination often allows a topodiagnostic classification of the lesion. OBJECTIVE:The basics of eye movements, the role of the ... Read more >>

HNO (HNO)
[2020, :]

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Tolosa-Hunt Syndrome: Long-Term Outcome and Role of Steroid-Sparing Agents.

Anupriya Arthur, Ajith Sivadasan, Pavitra Mannam, A T Prabakhar, Sanjith Aaron, Vivek Mathew, M Karthik, Rohith Ninan Benjamin, Shaikh Atif Iqbalahmed, Gideon Lyngsyun Rynjah, Mathew Alexander,

Background:Tolosa-Hunt Syndrome (THS) is one of the causes of cavernous sinus syndrome causing painful ophthalmoplegia. Literature on long-term outcome of this rare condition is scarce. Aims and Objectives:The aim is to study the recurrence and role of steroid-sparing agents in THS. Methodology:All cases of THS treated at a tertiary-level teaching ... Read more >>

Ann Indian Acad Neurol (Annals of Indian Academy of Neurology)
[2020, 23(2):201-205]

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Thyroid carcinoma with atypical metastasis to the pituitary gland and unexpected postmortal diagnosis.

Anna Popławska-Kita, Marta Wielogórska, Łukasz Poplawski, Katarzyna Siewko, Agnieszka Adamska, Piotr Szumowski, Piotr Myśliwiec, Janusz Myśliwiec, Joanna Reszeć, Grzegorz Kamiński, Janusz Dzięcioł, Dorota Tobiaszewska, Małgorzata Szelachowska, Adam Jacek Krętowski,

Summary:Papillary thyroid gland carcinoma is the most common type of malignancy of the endocrine system. Metastases to the pituitary gland have been described as a complication of papillary thyroid cancer in few reported cases since 1965. We report the case of a 68-year-old female patient with a well-differentiated form of ... Read more >>

Endocrinol Diabetes Metab Case Rep (Endocrinology, diabetes & metabolism case reports)
[2020, 2020:]

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[Paying attention to the application of imaging examination in strabismus].

W Zhang, R Hao,

There are many pathogenic factors of strabismus. In addition to the changes of alignment and ocular movement, there may be abnormal pathways and development of extraocular muscles, abnormalities of orbital and intraorbital connective tissue, paralysis of cranial nerves (oculomotor nerve, trochlear nerve, and abductor nerve), and nuclear and supranuclear lesions, ... Read more >>

Zhonghua Yan Ke Za Zhi ([Zhonghua yan ke za zhi] Chinese journal of ophthalmology)
[2020, 56(3):166-170]

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Thyroid autoantibodies in adults with acquired binocular diplopia of unknown origin.

Haeng-Jin Lee, Seong-Joon Kim,

Patients with acquired adult-onset strabismus mainly present with binocular diplopia. Although cranial nerve palsies are reportedly the most common cause of binocular diplopia in adults, thyroid disease can also cause diplopia. In patients with thyroid-associated ophthalmopathy, upper lid retraction and proptosis are the most common initial findings, but diplopia could ... Read more >>

Sci Rep (Scientific reports)
[2020, 10(1):5399]

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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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Anterior choroidal artery aneurysms could have different symptoms, and outcomes: a report of 3 cases treated endovascularly.

Yasar Turk, Atakan Kuskun,

Anterior choroidal artery (AChoA) aneurysms are rare intracranial aneurysms, which are treated with endovascular techniques or surgical clipping procedures. AChoA aneurysm may have variable symptomatologies, clinical courses, and outcomes due to the eloquent territory of the artery. We have presented 3 cases of AChoA aneurysms, which differ from each other ... Read more >>

Clin Imaging (Clinical imaging)
[2020, 61:11-14]

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Diagnostic challenges in a case of an isolated third nerve palsy.

Priya Sivakumar, Savithri Palanive, Debasis Gochait, Olivia Hess,

Purpose:Neuro-ophthalmic manifestations may be the first and sole presenting feature of a nasopharyngeal carcinoma. Peri-neural spread is an emerging phenomenon that explains the distant spread of tumour cells well beyond the local extent of invasion. This under recognized route of tumour spread often results in delayed diagnosis and reduced life ... Read more >>

Am J Ophthalmol Case Rep (American journal of ophthalmology case reports)
[2020, 18:100585]

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Surgical Management of Extraocular Muscle Cysticercosis Causing Optic Foramen Syndrome.

Rajnish Kumar Patidar, Suryanarayanan Bhaskar, Jaskaran Singh Gosal, Mayank Garg, Deepak Kumar Jha, Poonam Elhence,

Extraocular muscle cysticercosis usually presents with proptosis and restriction of eyeball movements. However, it can cause vision loss by compression of the optic nerve at the optic foramen in infrequent circumstances. We report a rare case with an unusual manifestation of ptosis, proptosis, lateral rectus palsy, and acute vision loss ... Read more >>

Asian J Neurosurg (Asian journal of neurosurgery)
[2020, 15(1):165-167]

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Teaching NeuroImages: Stroke presenting with isolated superior branch of cranial nerve III palsy.

Gaurav Kapoor, Yash D Shah, Richard Libman,

Neurology (Neurology)
[2020, 94(5):e562-e563]

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Pupil-Involving Oculomotor Nerve Palsy Following Tonsillectomy and Adenoidectomy.

Seung Ah Chung, Mi Ran Han,

Ocular complications of adenotonsillectomy are rare. The authors describe a 6-year-old boy who developed mydrasis and limitations of supraduction and infraduction after adenotonsillectomy. This was attributed to the hemorrhagic compression of the nerve in the cavernous sinus. This is the first report of pupil-involving oculomotor nerve palsy following adenotonsillectomy. [J ... Read more >>

J Pediatr Ophthalmol Strabismus (Journal of pediatric ophthalmology and strabismus)
[2019, 56:e76-e78]

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