Dengue is one of the most common mosquito-borne viral illnesses in tropical areas, including Pakistan. Presentation varies from a self-limiting flu-like illness to life-threatening conditions like hemorrhagic shock and multi-organ dysfunction leading death. In absence vomiting diarrhea, electrolyte abnormalities are rare findings. Though Guillain-Barré syndrome known association presenting with...

BACKGROUND Acute flaccid paralysis (AFP) can be caused by a number of conditions. A common preventable cause is poliomyelitis which is still being reported in Pakistan, Guillain Barre Syndrome (GBS), also known as Acute Inflammatory Demyelinating Polyneuropathy, is another common cause of acute flaccid paralysis. It is important to recognize GBS in childhood as parents consider all acute flacci...

Clinical studies were performed on 325 patients with Ramsay Hunt syndrome who were treated in the Facial Nerve Clinic at Ehime University Hospital between 1976 and 1995. The clinical manifestations of Ramsay Hunt syndrome were various. Three major symptoms, auricular vesicles, facial paralysis and vestibulo-cochlear dysfunction, were found in 57.6% of the patients although these symptoms did no...

The Guillain Barre Syndrome (GBS) is an acute immune mediated progressive polyneuropathy having monophasic illness leading to paralysis. clinical features are ascending symmetrical muscle weakness that may lead respiratory failure. Diagnosis based upon presentation and supported by a lumbar puncture with CSF analysis demonstrating albumin cytological dissociation electrophysiological studies. O...

permanent facial paralysis is a catastrophic event for involved patients. in long lasting paralysis with severe facial muscles atrophy, masseter muscle transfer is a very good choice. but its greatest problem is postoperative elongation of flap and gradual diminishing of early results and loss of symmetry. this article advocate a new modification for resolving this problem with concomitant elev...

objective facial paralysis in children is very often idiopathic and isolated facial nerve palsy, resulting from leukemic infiltration is a rare occurrence. here we present the case of a 14 year-old boy with acute lymphobastic leukemia, who first presented with isolated right side peripheral facial nerve paralysis and was initially diagnosed with bell's palsy. conclusion the presence of bell's p...

Hypokalemic periodic paralysis is an uncommon manifestation of thyrotoxicosis and the condition is most commonly reported in young Asian men. Patient often presents with acute onset symmetrical flaccid muscle paralysis and proximal limb muscles may be more severely involved compared to distal muscles. Thyroid swelling as well as features of thyrotoxicosis may not be overt. A very high index of ...

Hypokalemic periodic paralysis is anautosomal dominantdisease characterized by muscle weakness or paralysis with a matching fall in blood potassium levels. Paralysis attacks often occur in adolescence and are induced by strenuous exercise followed by rest, high carbohydrateor high sodiummeal content, sudden changes in temperature, and even excitement, noise, flashing lights and cold temperature...

Vocal fold paralysis is associated with involvement of the vagus nerve or the recurrent laryngeal nerve between the jugular foramen and the entry point into the larynx. Malignancies of the thyroid are a frequent cause, but vocal fold paralysis is also found in certain benign diseases. In a series of 1,200 cases, the incidence of the association between paralysis and benign thyroid disease was 0...