OBJECTIVES/HYPOTHESIS To evaluate the range and incidence of facial palsy etiologies in cases presenting to a tertiary facial nerve center, and to review the broad and evolving spectrum of diagnostic and management approaches to the condition. STUDY DESIGN Retrospective chart review. METHODS Records of patients referred for facial weakness between 2003 and 2013 were reviewed for cases of fa...

CLINICAL HISTORY A 48-year-old woman presented with a 5-day history of right, retroorbital, dull aching or stabbing and throbbing pain occasionally felt in the right side of the nose. The headache started out mild and became severe over the first day. She was seen in an emergency department 3 days after headache onset. A computed tomography (CT) scan of the brain was negative. She was prescribe...

The clinical and MR findings in an unusual case of gummatous neurosyphilis are reported. A 44-year-old woman suffering from diplopia and right-sided headaches was admitted. Physical examination and routine laboratory parameters were normal except for a third-nerve palsy. MR images revealed a contrast-enhancing lesion of the upper brain stem and third cranial nerve. Differential diagnosis includ...

PURPOSE To search for a new definition of muscle hypoplasia in congenital or idiopathic superior oblique muscle palsy. DESIGN Retrospective case-control study. METHODS Cross-sectional areas of the superior oblique and 4 rectus muscles near the eye globe-optic nerve junction were measured by an image analysis software on magnetic resonance images of 50 patients with congenital or idiopathic ...

BACKGROUND Ipsilateral mydriasis is known to accompany signs of cerebral ischemia in unilaterally compromised carotid blood flow. Mydriasis as the presenting sign of common carotid artery (CCA) dissection has not been reported thus far. CASE DESCRIPTION We report the case of a patient who presented with a mydriatic pupil after intraoperative injury of the ipsilateral CCA. Mydriasis preceded c...

To cite: Liao B, KamiyaMatsuoka C. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014207749 DESCRIPTION A 44-year-old man with hyperlipidaemia and chronic hepatitis C infection presented with a 48 h history of diplopia and occipital headaches. On neurological examination, he was alert and afebrile. There was right oculomotor palsy consisting of right medial rect...