Birth Palsies

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چکیده

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Brachial Plexus Birth Palsies

We reviewed 19 children who had undergone a new modification of the L’Episcopo procedure for obstetric brachial plexus palsy. Through an axillary approach the latissimus dorsi tendon was re-routed anteriorly to the humerus and then anastomosed to the teres major tendon routed posteriorly. At an average follow-up of four years two months, the mean increase in shoulder abduction was 26 and the me...

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Diplopia, Third Nerve Palsies, and Sixth Nerve Palsies

Ocular motor defi cits are common clinical manifestations of neurological emergencies, with third (oculomotor) and sixth (abducens) paresis among the most frequent. This chapter focuses on recognition, diagnosis, and treatment of these cranial neuropathies in true neurological emergencies that carry a high risk of major morbidity or mortality if left undiagnosed. Emergencies discussed include a...

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Lower cranial nerve palsies.

A 70 year old diabetic male presented with a three weeks history of left temporal pain radiating to the left eye and left side of the neck without any symptoms relating to the ear or nose. Two days later, the patient developed difficulty in swallowing and speaking with nasal regurgitation of fluids. Clinical examination revealed bilateral palatal weakness (more marked on the left side), bilater...

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Bilateral superior oblique palsies.

Eighteen consecutive cases of bilateral superior oblique palsy have been studied retrospectively. The patients were typically adults with a history of severe head trauma. All patients complained of diplopia, either vertical, torsional, or both. Other neurological sequelae were common. Central disruption of fusion was seen in three patients. Eight patients underwent surgery for torsional or vert...

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Ocular palsies with nasal sinusitis.

The diagnosis of nasal sinusitis as a cause of ocular palsy has recently fallen into disfavour, particularly since the importance of congenital aneurysm as a cause of third nerve palsy has been recognized. It is the purpose of this communication to record a series of fully investigated cases of ocular palsy observed over some years, in which the palsies were associated with the presence of a ch...

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ژورنال

عنوان ژورنال: The Journal of Nervous and Mental Disease

سال: 1904

ISSN: 0022-3018

DOI: 10.1097/00005053-190404000-00014