INTRODUCTION Distinguishing conversion disorder from malingering presents a significant challenge as the diagnosis ultimately depends on the patient's subjective report and the clinician's suspicion of an intention to deceive. Using hypnosis to manipulate the intentionality of movement inhibition in the same subjects, we used positron emission tomography (PET) to determine whether failure to mo...

Thyrotoxic periodic paralysis is a unique disorder that causes episodic proximal lower extremity muscle weakness in patient who already has hyperthyroid state and not treated for the underlying disease state. The affected population mostly includes Asian origin specifically male gender (vs most thyroid affects women gender). Precipitating factors include addition to are strenuous exertion, high...

Hypokalemic Periodic Paralysis is one form of Periodic Paralysis, a rare group of disorders that can cause of sudden onset weakness. A case of a 29 year old male is presented here. The patient presented with sudden onset paralysis of his extremities. Laboratory evaluation revealed a markedly low potassium level. The patient's paralysis resolved upon repletion of his low potassium and he was dis...

when stretcher came to unit and i was put in my bed, nursing personnel of surgical ward said to me hello. i had seen their face from yesterday night when they were transferring patients from emergency ward to this unit.  in that time, i had the role of emergency ward assistant manager. today, i am a weak patient that even is unable for smallest movement. cause of my admission to hospital is mus...

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...

introduction: injury to cranial nerves ix, x, and xii is a known complication of laryngoscopy and intubation. here we present a patient with concurrent hypoglossal and recurrent laryngeal nerve paralysis after rhinoplasty. case report: the patient was a 27-year-old woman who was candidate for rhinoplastic surgery. the next morning after the operation, the patient complained of dysphonia and a s...

helminths infections are chronic illness in human being and cattle. the use of alternate drugs has been a remedial measure against the resistant strains of helminth parasites, as well as means of reducing the cost of controlling diseases caused by helminthes. pseudocedrelakotschyi is a medicinally valuable plant and possesses various pharmacological properties. p. kotschyi has been traditionall...

introduction:tapia’s syndrome is a rare complication of recurrent laryngeal and hypoglossal nerve paralysis due to anesthetic airway mismanagement or malpositioning of the patient’s head during surgery. case report:here we present a case of tapia's syndrome in a 22-year-old male after corrective jaw surgery under general anesthesia, with a long period of recovery, related to airway managem...

Introduction: Varicella-zoster virus may cause an infectious disease called Ramsay Hunt syndrome. The related symptoms include facial nerve palsy (FNP), otalgia, the vesicular eruptions of the auricle and external auditory canal, less common ocular movement disorder, facial hypoesthesia, myofascial pain, vestibular symptoms, hearing loss, dysphasia, vocal cord paralysis, as well as tongue paral...