Oculomotor palsy is one of the most frequent neuro-ophthalmologic complications in patients with diabetes. Specifically, sixth nerve common. A 51-year-old female a past medical history type 1 diabetes on insulin and hypertension presented complaints worsening headache diplopia. Physical exam was remarkable for recurrent palsy. Patient hemodynamically stable. Labs showed blood glucose 367 mg/dL ...

conclusion prompt diagnosis and treatment of isolated sphenoidal sinusitis is of utmost importance since it has noncharacteristic manifestations. noninvasive fungal sphenoidal sinusitis is best treated with sphenoidotomy. it seemed that abducens nerve palsy was associated with total sinus obstruction since patient condition improved promptly following the sphenoidotomy. background fungal sinusi...

Leptospirosis, a disease of great significance in tropical countries, presents commonly as a biphasic illness with acute febrile episode in the first phase followed by a brief afebrile period and then by the second phase of fever with or without jaundice and renal failure. However, it has varied manifestations and unusual clinical features ascribed to immunological phenomena can occur due to th...

An 8 month old male infant with Erb's birth palsy was treated with two peripheral nerve transfers. Except for rapid motor reinnervations, elbow flexion was obtained by an Oberlin's partial ulnar nerve transfer, while shoulder abduction was restored by an accessory-to-suprascapular nerve transfer. The initial contraction of the biceps muscle occurred two months after surgery. Forty months after ...

OBJECTIVE The dehiscent facial nerve canal has been well documented in histopathological studies of temporal bones as well as in clinical setting. We describe clinical and radiologic features of a child with recurrent facial nerve palsy and dehiscent facial nerve canal. METHODS Retrospective chart review. RESULTS A 5-year-old male was referred to the otolaryngology clinic for evaluation of ...

4 Benign intracranial hypertension may occasionally be associated with cranial nerve palsies. Abducens nerve palsies occur in 10 % to 20 % patients with benign intracranial hypertension, other cranial nerve palsies occur much less frequently. We reported a 25-year-old woman benign intracranial hypertension with bilateral seventh nerve palsy. Complete improvement of her cranial nerve palsy was a...

OBJECTIVES/HYPOTHESIS To define an objective, easy to perform, rapid method for the assessment of ocular synkinesis by employing both the Facial Assessment by Computer Evaluation software and a modification of the Glasgow Facial Palsy Scale. STUDY DESIGN Retrospective study. METHODS Fifty normal subjects and 50 patients with known ocular synkinesis were studied. Measurements of ocular synki...