Clivus erosions following Gradenigo's syndrome-mastoiditis causing VI nerve palsy

Presumed plasmacytoma of clivus producing isolated hypoglossal nerve palsy.

CASE HISTORY A 44-year-old housewife presented in December 1966 with a two-month history of neck pain accentuated by coughing and sneezing. The neck was short and movements were painful, but there were no other abnormal signs. X-ray pictures of the cervical spine and chest were normal. The haemoglobin was 10-8 g./100 ml.; white cell count 6,000/cu. mm.; E.S.R. 44 mm. in the 1st hour; M.C.H.C. 3...

Plasmacytoma of the Clivus Presenting as Bilateral Sixth Nerve Palsy

Background and Importance Plasmacytomas are monoclonal proliferations of plasma cells that may arise within soft tissue or bone. The skull base is a rare site for plasmacytomas to occur, and few cases have been reported in the literature. When present in the skull base, plasmacytomas may result in cranial neuropathies and often progress to multiple myeloma more rapidly than other intracranial o...

Dissection of the internal carotid artery causing Horner syndrome and palsy of cranial nerve XII.

CMAJ • JUNE 15, 2010 • 182(9) © 2010 Canadian Medical Association or its licensors E373 A61-year-old right-handed man presented with a twoday history of a new headache that had developed gradually several hours after he dived into a lake. The headache, which encompassed the entire left side of the head, had a maximal intensity of 10 out of 10 and was described as dull and constant with mild pho...

Cranial nerve palsy following retrobulbar anaesthesia.

Bilateral tuberculous mastoiditis and facial palsy.

The patient was first seen at Red Cross Children’s Hospital in September 2001, aged 3 years and 2 months. He was living with his unemployed single-parent mother in an informal settlement. He had bilateral suppurative submandibular lymphadenitis, requiring incision and drainage. Two weeks after discharge, pus swabs revealed a positive culture for Mycobacterium tuberculosis. The local TB clinic w...