Miller Fisher syndrome (MFS), a variant of Guillain-Barré syndrome, is a rare disorder typically characterized by a triad of ataxia, areflexia, and ophthalmoplegia, which may have a highly variable clinical presentation. We report a case of MFS in a 45-year-old female presenting with sphenoid sinusitis and sixth nerve palsy. She underwent endoscopic sphenoid sinusotomy without improvement, had ...

case presentation here, we report the case of a 35-year-old man complaining of bilateral incomplete eye closure, two weeks after a closed head injury caused by a motor vehicle accident. introduction although bilateral facial nerve palsy is a rare condition, its etiology is more detectable than the unilateral type. a temporal bone fracture is one cause of bilateral facial nerve palsy, contributi...

one of the important causes of strabismus in all ages is extraocular muscles paralysis due to 3rd, 4th and 6th cerebral nerve palsies. exact and on-time treatment can result in improvement of deviation, am-blyopia and abnormal head posture. we studied epidemiological characteristics of extraocular muscles paralysis. this retrospective study performed on 131 subjects (58% male). records of patie...

Three cases of central nervous system complications of Mycoplasma pneumoniae infections are reported. There were several atypical findings: the first patient presented with an acute disseminated encephalitis with normal cerebrospinal fluid and hypogammaglobulinaemia. The second patient presented with a left sixth nerve palsy followed six weeks later by choreoathetoid movements and an acute psyc...

Isolated abducens nerve palsy following lumbar puncture is a very rare condition. In this case we discussed the probable causes of abducens nerve palsy and review the mechanism of action in anatomical relevant literature. A 53-year old hypertensive female patient with a saccular aneursym on the left middle cerebral artery (MCA) bifurcation underwent emergency operation. Before the operation lum...

sent study. Our investigation showed a highly significant increase of CSF total tau protein in patients with probable Alzheimer's disease compared with elderly depressive patients, patients with other neurological disorders, and young and elderly controls. It seems plausible that these increases are the result of enhanced release of tau protein from damaged neurons into the extracellular space ...

This is a report of a case with unilateral cavernous sinus thrombosis due to ipsilateral ethmoid sinusitis. A 10 year old female was admitted in our hospital with severe headache, purulent postnasal discharge, right eye proptosis and third cranial nerve palsy in the same eye. She had history of viral upper respiratory tract infection and then acute otitis media which did not improve with rou...

BACKGROUND AND PURPOSE There have been few reports of strokes producing isolated or predominant ocular motor nerve palsies as a clinical manifestation. METHODS We studied seven patients with brain stem stroke who had ocular motor palsies as the only or the predominant neurological manifestation, and we correlated their clinical features with radiological findings. RESULTS Five patients had ...

PURPOSE During fixation and saccades, human eye movements obey Listing's law, which specifies the eye's torsional angle as a function of its horizontal and vertical position. Torsion of the eye is in part controlled by the fourth nerve. This study investigates whether the brain adapts to defective torsional control after fourth nerve palsy. METHODS Thirteen patients with fourth nerve palsy (1...