Third, Fourth, and Sixth Cranial Nerve Palsies in Pituitary Apoplexy

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Third, Fourth, and Sixth Cranial Nerve Palsies in Pituitary Apoplexy.

BACKGROUND Pituitary apoplexy (PA) often presents with acute headache and neuro-ophthalmic manifestations, including ocular motility dysfunction (OMD) from cranial nerve palsies (CNPs). Our goal was to describe the epidemiology and outcomes of OMD in a large, single-center series of patients with PA. METHODS We conducted a retrospective chart review of all patients with PA seen in our pituita...

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Diplopia, Third Nerve Palsies, and Sixth Nerve Palsies

Ocular motor defi cits are common clinical manifestations of neurological emergencies, with third (oculomotor) and sixth (abducens) paresis among the most frequent. This chapter focuses on recognition, diagnosis, and treatment of these cranial neuropathies in true neurological emergencies that carry a high risk of major morbidity or mortality if left undiagnosed. Emergencies discussed include a...

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Increased Risk of Stroke in Patients with Isolated Third, Fourth, or Sixth Cranial Nerve Palsies: A Nationwide Cohort Study.

BACKGROUND AND PURPOSE The aim of this nationwide cohort study was to evaluate whether the occurrence of isolated 3rd, 4th or 6th cranial nerve (CN) palsies is associated with a higher risk of ischemic stroke. METHODS This study utilized data from Taiwan Longitudinal Health Insurance Database during 1995-2012. Subjects aged 20 years or older who had isolated CN 3/4/6 palsies diagnosed by a ne...

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Case Report: Medulloblastoma Presented with Bilateral Sixth Cranial Nerve Palsies

A 16 years old healthy man presented with history of increasing frequency of headache and vomiting , notes of blurred vision and binocular horizontal diplopia for 1 month. Clinical findings revealed bilateral sixth nerve palsies with bilateral optic disc swelling. With all of these findings, this seem to be a case of raised intracranial pressure. Neuroimaging demonstrated a midline posterior fo...

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We present a rare case with pituitary apoplexy after three-vessel off-pump coronary artery bypass grafting (OPCAB). The patient exhibited right third cranial nerve palsy; ptosis of the right eye with completely dilated pupils and a loss of reflex to light after the effects of anesthesia completely subsided. The patient underwent endonasal transsphenoidal resection of the pituitary gland 14 days...

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ژورنال

عنوان ژورنال: World Neurosurgery

سال: 2016

ISSN: 1878-8750

DOI: 10.1016/j.wneu.2016.07.026