the lateral decubitus position. The dura mater is incised along the sigmoid sinus, and the Cisterna magna is opened to drain the cerebrospinal fluid after careful retraction of the cerebellum from the lower to the upper side. The cerebellar cortical branches of the anterior inferior cerebellar artery (AICA), which is covered with an arachnoid membrane exterior to the lower cranial nerves, are e...

BACKGROUND Patient feedback is increasingly important in clinical practice, and this should include children's views. 28 children aged 8-10 years participating in a large-scale OSCE underwent cranial nerve examination by student candidates. They scored each out of 10 for the question: 'If you had to see a doctor again, how happy would you be to see this one?' An age-adapted qualitative focus gr...

Orbital tumors constitute a heterogeneous array of lesions and pose numerous challenges in terms of diagnosis, imaging and treatment.1,2 The bony orbit contains an extremely complicated anatomical architecture composed of II, III, IV, VI cranial nerves, vessels, extra ocular muscles and the globe. Schwannoma of cranial nerves represent less than 8% of all intracranial neoplasms usually arising ...

In this article, the author explains the clinical presentation and pathophysiology of Foix-Chavany-Marie syndrome (bilateral anterior opercular syndrome). Manifestations include volitional paralysis of masticatory, facial, pharyngeal, and lingual muscles innervated by cranial nerves V, VII, IX, X, and XII, with preserved autonomic and emotional innervation of these muscles. Thus, although volit...

VESALIUS' ILLUSTRATION of the 'sixth pair' of cranial nerves in the De Humani Corporis Fabrica shows the sympathetic trunk arising as a branch of the vagus in a position corresponding to the top of the thorax (see fig. 1). The text is the verbal equivalent of the illustration. Although of all Vesalius' work, the cranial nerves are perhaps the most open to criticism,' this error remained uncorre...

Wegener's granulomatosis (WG) is a disease of unknown origin characterized by necrotizing granulomas of both the upper and lower respiratory tracts and glomerulonephritis. A 62-year-old woman presenting unusual neurological manifestations is reported. The patient suffered from palsies of multiple cranial nerves without manifestation of respiratory tracts in the initial clinical course. Seven ye...

Introduction: Injury to cranial nerves IX, X, and XII is a known complication of laryngoscopy and intubation. Here we present a patient with concurrent hypoglossal and recurrent laryngeal nerve paralysis after rhinoplasty. Case Report: The patient was a 27-year-old woman who was candidate for rhinoplastic surgery. The next morning after the operation, the patient complained of dysphonia and a s...

Introduction: Pituitary adenomas are benign tumours which arise within the anterior lobe (adenohypophysis) of the gland in the sella turcica. Lateral extension into the cavernous sinuses can result in involvement of intracavernous part of 3rd, 4th and 6th cranial nerves resulting in superior orbital fissure syndrome. Case Report: We report a case of pituitary macroadenomas in which the involvem...

Vascular loops in the cerebellopontine angle (CPA) and their relationship to cranial nerves have been used to explain neurological symptoms. The anterior inferior cerebellar artery (AICA) has variable branches producing vascular loops that can compress the facial cranial nerve (CN) VII and vestibulocochlear (CN VIII) nerves. AICA compression of the facial-vestibulocochlear nerve complex can lea...