OBJECTIVE This case study is about an 11-year-old girl with bilateral facial weakness, abnormal taste sensation, and absent deep tendon reflexes of both knees and ankles. However, the muscle power of the lower and upper extremities across all muscle groups was normal. After 2 days, she developed paresthesia and numbness in the lower extremities. Other neurologic examinations, such as fundoscopi...

Simultaneous facial diplegia, or acute bilateral facial nerve palsy, is an unusual condition. Unlike the unilateral form, facial diplegia is idiopathic in only 20% of cases. Intracranial dermoid cysts are infrequent, and their rupture even rarer; it may occur spontaneously, after cranial trauma, or as a complication of tumour resection. Our case involved a 25-year-old woman with a medical histo...

We report a case of birdshot chorioretinopathy (BSCR) in a patient with facioscapulohumeral muscular dystrophy (FSHD). A 40-year-old male with history of facioscapulohumeral muscular dystrophy with significant facial diplegia and lagophthalmos presents for an evaluation of bilateral choroiditis with vasculitis and optic disc edema. Clinical examination included fundus and autofluorescence photo...

A 7-year-old boy underwent resection of a posterior fossa medulloblastoma. Two days later, he developed facial diplegia, left abducens nerve palsy, and mild hypalgesia below the neck. MRI documented 2 dot-like ischemic foci in the pons (figure). We diagnosed the unusual bilateral occurrence of Gasperini syndrome, a lesion of the sixth and seventh cranial nerve nuclei and the lateral spinothalam...

By J. N. (BERRY, M D., M.R.C.P., D.C.H. (From the MediwrlrCollege Hospital, Nagpur, India) Hypotonia in cerebral diplegia is relatively are and when present is often associated with choreo-athetotic movements and is present in the peripheral segments in between tonic spasms. Cases with marked inco-ordination and hypotonia are due to a cerebellar component. Wilson (1940) divides such cases into ...

Recent proposals of classification for cerebral palsy (CP), mainly revised for epidemiological purposes, suggest to abandon the use of the term diplegia. Conversely, in this paper data are presented to support the proposal to maintain the distinction between spastic tetraplegia and diplegia, and to subdivide this latter according to four main clinical patterns of walking observable in these chi...

During a recent survey of children suffering from cerebral palsy in Edinburgh it was found that diplegia was relatively infrequently diagnosed before the age of 2 years. The average delay between the doctor seeing the child for the first time, on account of manifestations of diplegia, and the diagnosis being reached was over one year. The classical picture of diplegia presented in the textbooks...