Abducens palsy is one of the commonly encountered cranial nerve palsies in strabismus clinic. For large-angle esotropia, due to complete abducens palsies, various vertical recti transposition (VRT) procedures have been described. Hummelsheim and Jensen's procedure are especially popular among them. Risk of anterior segment ischemia and induced vertical deviation postVRT prompt to search for bet...

Skull base osteomyelitis (SBO) is difficult to diagnose when a patient presents with multiple cranial nerve palsies but no obvious infectious focus. There is no report about SBO with septic pulmonary embolism. A 51-yr-old man presented to our hospital with headache, hoarseness, dysphagia, frequent choking, fever, cough, and sputum production. He was diagnosed of having masked mastoiditis compli...

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...

Malignant otitis externa is an inflammation of the external auditory canal with preceding osteomyelitis temporal bone and adjacent structures that could be potentially lethal. may present cranial nerve involvements massive spread disease mimicking nasopharyngeal carcinoma or any other malignancies on imaging. Two elderly patients who presented severe otalgia significant facial palsy lower palsi...

This is the first report of a patient presenting with rheumatoid factor (RF) positive hypertrophic cranial pachymeningitis (HCP) in association with hypopituitarism and multiple cranial nerve palsies. Our patient developed palsies of the left II and III, bilateral VI and VII, and right IX, X, and XII cranial nerves. A stimulation test showed hypopituitarism due to hypothalamic failure. The pati...

A 32-year-old woman presented with vertical diplopia after a blunt head injury due to a vehicle crash. On examination 2 weeks after the trauma, she had a pupil-involving right third-nerve palsy. The absence of intorsion when looking downward starting from an abducted eye-in-orbit position suggested a concomitant fourth nerve palsy. T1weighted brain MR imaging revealed marked gadolinium enhancem...

tuberculous meningitis (tbm) and acute bacterial meningitis (abm) cause substantial mortality and morbidity in both children and adults. identification of poor prognostic factors at patient's admission could prepare physicians for more aggressive monitoring of patients with meningitis. the objective of this study was to determine the predictive value of neurological features to differentiate ab...