To cite: Naik VD, Shah JV. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2014-209122 DESCRIPTION We report a case of a 17-year-old girl who presented, 1 month after being attacked in a chain snatching incident, with neck trauma, and reports of dysarthria and left-sided facial weakness. The patient neglected initial symptoms of headache and left-sided neck pain,...

We describe three patients who experienced onset of a microvascular ocular motor nerve palsy in the setting of sudden emotional stress. Such emotional states are accompanied by a marked increase in sympathetic tone in some individuals. Mechanisms by which these autonomic changes might produce an ischemic cranial nerve palsy include intra-cranial vasoconstriction and transient systemic hypotensi...

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...

PURPOSE Bilateral sixth nerve palsy is a known though uncommon complication following dural puncture. The recommended treatment consists of hydration and alternate monocular occlusion. The value and the timing of an epidural blood patch (EBP) for sixth nerve palsy remains controversial as some authors have demonstrated benefits in performing an EBP early in course of the nerve palsy whereas oth...

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...