Anatomically the cavernous sinus is closely related to the sphenoid sinus and the nasopharynx. Sphenoid sinusitis, as demonstrated in the case can affect the nerves which are contained within it. Apart from the sinus, a direct extension from a nasopharyngeal lesion is commonly encountered to cause diplopia, owing to the sixth nerve involvement. The provisional diagnosis should be a nasopharynge...

Tuberculous meningitis (TB meningitis) is a subacute meningitis known for its various form of initial manifestations, which often make early diagnosis difficult. The present case report demonstrates a patient with TB meningitis, who had initial manifestation of isolated right oculomotor nerve palsy. High vigilance is needed in diagnosing TB meningitis. A 75 year-old female was hospitalized due ...

A 73-year-old female developed right facial paralysis of House-Brackmann (H-B) grade III and was diagnosed with Bell's palsy. After three months steroid therapy, she progressive hearing loss, an MRI revealed a tumor in the internal auditory canal. Within few months, nerve palsy recurred, patient treated Gamma Knife radiosurgery. The irradiated region disappeared, but new dysphagia observed, par...

Objective: To report a case of patient infected with severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) associated oculomotor paresis the sixth cranial nerve Case report: A 49-year-old reported 2-month history horizontal diplopia In addition to diplopia, had mild symptoms positivity SARS-CoV-2 Ocular examination revealed an esotropia 20 prism diopters, as well limitation abduction lef...

Bell's palsy is the most frequent disease of the seventh cranial nerve, with a good prognosis. More than 70% patients attain complete clinical recovery, with no noticeable residua. Persistent sequellas are usually noted in cases with profound axonal loss only. Electrophysiological tests may offer valuable information in defining the severity of nerve injury and a possible subsequent disfunction...

The cranial nerves are often involved in head and neck malignancies. Some malignancies have a strong propensity to show perineural spread. Cranial nerve palsy may be the presenting sign of metastatic disease to the skull base. Like metastatic disease to the lungs or liver, the cranial nerves themselves may be the site of metastatic disease. In addition, cranial nerves can be injured by radiatio...

background: vestibular schwannoma (vs) is one of the skull base tumors originating from vestibular portion of eighth cranial nerve. recently, 2 micro-thulium laser is used in the surgery of some intracranial tumors. objectives: assessing the efficacy of 2 micro-thulium flexible hand-held laser fiber (revolixjrò) in microsurgical removal of vs. materials and methods: this retrospective non-rando...

Background. Bell’s palsy is a spontaneous paralysis of the facial nerve (i.e. cranial VII). It presents with muscle weakness leading to asymmetry, drooping corner mouth, loss ability whistle, blink, close eyelid, purse lips or grin. The forehead on affected side becomes smooth and patient not able frown raise eyebrows. Objective. aim study was evaluate effect combined electrophysical physiother...

Malignant otitis externa is an inflammation of the external auditory canal with preceding osteomyelitis temporal bone and adjacent structures that could be potentially lethal. may present cranial nerve involvements massive spread disease mimicking nasopharyngeal carcinoma or any other malignancies on imaging. Two elderly patients who presented severe otalgia significant facial palsy lower palsi...