purpose: to evaluate the effect of botulinum toxin-a as an alternate to surgery in acute complete sixth nerve palsy and to shorten the recovery period. methods: thirty patients with acute complete sixth nerve palsy received 1-10 units of botulinum toxin-a (dysport) injection in the medial rectus muscle within one month from the onset of palsy. toxin was injected directly into the muscle belly u...

Internal carotid arterial dissection is a relatively rare condition that can cause neck pain and/or ischemic symptoms. Cranial nerve palsy caused by internal extremely rare. A 39-year-old male massaged his with fingers. He experienced transient pain. After one week, he demonstrated hypoglossal palsy. The radiological studies revealed extracranial dissection. Cervical self-massage may and For th...

Although the incidence of sciatic nerve palsy following total hip arthroplasty is low, this complication can cause devastating permanent nerve palsy. The authors experienced a case of sciatic nerve palsy caused by ruptured and contracted external rotator muscles following total hip arthroplasty in a patient suffering from osteonecrosis of the femoral head. We report this unusual case of sciatic...

OBJECTIVES/HYPOTHESIS To study reports of abducens nerve palsy following dural puncture procedures and to discuss possible etiologic theories, treatment, and prognosis. STUDY DESIGN Systematic review of peer-reviewed literature. METHODS A systematic literature review was conducted (PubMed, 1950 to September 2011) for cases of sixth cranial nerve palsy following dural puncture procedures. ...

background: otalgia and bell’s palsy are rare manifestations of metastasis and the most common presentation of an inflammatory process in the temporal bone. case presentation: this article explains a 34-year-old woman with breast cancer who presented with cranial nerve palsy symptoms. the 7th and 8th cranial nerves were involved in the metastatic phase and then hoarseness was added to her sympt...

introduction: according to the high incidence of bell's palsy (ifp) and lack of clinical data regarding different aspects of disease, the present study investigated 121 iranian patients with peripheral facial paralysis referred to the emergency department. methods: in this retrospective study, all patients with peripheral facial paralysis, referred to the emergency department of poursina hospit...

INTRODUCTION Facial nerve palsy results in the loss of facial expression and is most commonly caused by a benign self-limiting inflammatory condition, known as Bell's palsy. However, there are other conditions which may result in injury of the seventh cranial nerve and the radiologist should be familiar with their imaging appearances. MATERIALS AND METHODS The relevant anatomy of the facial n...

The optimal treatment approach for the initial management of radial nerve palsy associated with humeral shaft fractures has yet to be conclusively determined. The authors performed a systematic review of the literature to identify studies that compared the outcomes after initial nonoperative and operative management for radial nerve palsy associated with acute humeral shaft fractures. A meta-an...

Cranial nerve VI (abducens nerve) innervates the lateral rectus muscle. Acquired isolated abducens nerve palsy in infants and children is a rare condition. A lesion of abducens nerve will result in esotropia greater at distance, an ipsilateral abduction deficiency, and a double vision. The abducens nerve palsy in a child may be caused by serious neurological diseases such as raised intracranial...

  Chronic suppurative otitis media (CSOM) is a common childhood infectious disease in developing countries. It may be associated with various life threatening intra-cranial or extra-cranial complications. We report a 10 year-male child with a rare combination of right sided unsafe CSOM, mastoiditis, Bezold abscess, sigmoid and transverse sinus thrombosis, and bilateral abducens nerve palsy and ...