Clinical Reasoning: Multiple cranial neuropathies in a young man

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Clinical reasoning: Multiple cranial neuropathies in a young man.

SECTION 1 A 19-year-old man with no significant medical history noted 3 weeks of right facial numbness and slurred speech. On examination, he had decreased sensation in the rightmiddle and lower trigeminal nerve distributions, right tongue deviation, and bilateral facial weakness. A lumbar puncture yielded CSF with a lymphocytic predominant pleocytosis (50 leukocytes/mm, 95% lymphocytes), eleva...

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Clinical Reasoning: A 37-year-old man with multiple cranial neuropathies.

SECTION 1 A 37-year-old man presented with a 7-month history of vertigo, nausea, dysphagia, right-sided tinnitus, and hearing loss. He denied headache, paresthesias, change in vision, or problems with cognition. He endorsed a history of progressive fatigue, generalized weakness, and poor libido. His symptoms left him functionally impaired and bedridden. His medical history was remarkable for dy...

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Multiple cranial neuropathies.

Patients presenting with multiple cranial neuropathies are not uncommon in neurologic clinical practice. The evaluation of these patients can often be overwhelming due to the vast and complicated etiologies as well as the potential for devastating neurologic outcomes. Dysfunction of the cranial nerves can occur anywhere in their course from intrinsic brainstem dysfunction to their peripheral co...

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Multiple cranial neuropathies

There are several syndromes of multiple cranial nerve involvement. One syndrome described by Garcin was a step-b-step ipsilateral involvement of all 12 cranial nerves unilaterally. This term is now used for multiple cranial nerve palsies that do not fit into any of the other named syndromes. This article describes the various pathologies associated with multiple cranial nerve palsies and their ...

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ژورنال

عنوان ژورنال: Neurology

سال: 2013

ISSN: 0028-3878,1526-632X

DOI: 10.1212/wnl.0b013e3182815441