Palsies of cranial nerves are well-known complications after lumbar puncture. Sixth nerve palsies are the most common. They normally occur 4 to 14 days after the lumbar puncture and spontaneously recover in a few weeks or months. The occurrence of a fourth nerve palsy following lumbar puncture however is extremely rare. We report on a patient who developed a combined contralateral fourth and si...

The prevalence of syphilis increased for several decades before the mid-1990s in the United States, particularly in the southern states. We report a case of neurosyphilis causing bilateral facial and vestibulocochlear nerve dysfunction in which the diagnosis was not initially suspected based on the patient's demographics and history. The MR imaging features helped to make the diagnosis in this ...

By the term Peripheral or Multiple Neuritis is meant an inflammation of the nerve-trunks after their exit from the cranial and intervertebral foramina. I propose to confine myself to those cases only in which many nerve-trunks are invaded progressively, and to the varieties of this large group of diseases of which I have here some instances. Excluding, then, altogether cases of neuritis limited...

Lyme disease is a tickborne illness caused primarily by Borrelia burgdorferi in the United States. CNS involvement typically manifests as 1 or a combination of 3 classic syndromes: meningitis, radiculoneuritis, and cranial neuritis. While facial nerve involvement represents about 80% of cranial neuritis in Lyme neuroborreliosis (LNB), other cranial nerves may also be individually involved; howe...

A 54-year-old man presented with nonprogressive dysarthria due to isolated right hypoglossal nerve (HN) palsy. The cranial MRI reveals an ectatic right vertebral artery impinging on the cisternal segment of HN (figure). The hypoglossal-vertebral entrapment syndrome1 occurs as the hypoglossal rootlets converge directly over the distorted vessel with resultant mechanical compression and direct ne...

syringobulbiais very rare condition defined as slit-like fluid cavity in the brain stem. several conditions have been reported to be associated with syringobulbia including neoplasms, spinal cord traumas or lesions such as tethered cord, hind-brain herniation, infections such as meningitis and in isolation.although post-traumatic syringomyelia has been wieldy described previously, traumatic bra...

Hepatocellular carcinoma (HCC) is the most common type of primary liver cancer. It mainly occurs in patients with chronic diseases such as cirrhosis caused by hepatitis B or C infections, well alcoholics. HCC one highly malignant neoplasms. Extrahepatic metastases are seen 64% HCC, but to brain and skull extremely rare. Here, case a 45-year-old male who presented left III, IV, VI, IX, X, XII cr...

At age sixteen, most Israeli nationals must undergo medical evaluation for compulsory military duty. All potential conscripts are referred to the Israel Defense Forces (IDF) recruiting office. Therefore, medical screening of a vast number of adolescents is performed, offering a unique opportunity to study the prevalence of neurological diseases in an entire age cohort. Hence, screening is not a...