The notes of the following case, which I saw with Dr. Bothwell of Topsham, near Exeter, in December, i88g, niay be of interest. Mr. B., aged 46, has always enjoyed fairly good health; but in June, 1888, was thrown from a trap, which fell on him and loosened some of his teeth, but otherwise he had no injury to his head, and no loss of consciousness. During the past twelve days he has had a sever...

Introduction: Varicella-zoster virus may cause an infectious disease called Ramsay Hunt syndrome. The related symptoms include facial nerve palsy (FNP), otalgia, the vesicular eruptions of the auricle and external auditory canal, less common ocular movement disorder, facial hypoesthesia, myofascial pain, vestibular symptoms, hearing loss, dysphasia, vocal cord paralysis, as well as tongue paral...

Although acute onset hypokalaemic paralysis is an uncommon cause of acute weakness, morbidity and mortality may occur due to respiratory failure and cardiac arrhythmias. Therefore it is important for a physician to have an idea regarding the underlying causes and its prompt management. To the best of our knowledge, this is the first case of congenital adrenal hyperplasia (11 beta hydroxylase de...

Hypokalemic Periodic Paralysis is one form of Periodic Paralysis, a rare group of disorders that can cause of sudden onset weakness. A case of a 29 year old male is presented here. The patient presented with sudden onset paralysis of his extremities. Laboratory evaluation revealed a markedly low potassium level. The patient's paralysis resolved upon repletion of his low potassium and he was dis...

objective botulism is the acute, descending, flaccid paralysis that results when the neurotoxin of clostridium botulinum blocks neuromuscular transmission. c botulinum toxin is the most poisonous substance that blocks neuromuscular transmission and causes death through airway and respiratory muscle paralysis; all forms of botulism manifest neurologically as asymmetric, descending, flaccid paral...

PURPOSE OF REVIEW Complete flaccid facial paralysis, as well as the synkinetic and hyperkinetic sequelae of partial recovery, has significant impact on quality of life. Patients suffer from functional deficiencies, cosmetic deformity, discomfort and social consequences leading to emotional distress. Despite an extensive and sophisticated array of available interventions for facial reanimation, ...

Transient muscle paralysis engendered by a single injection of botulinum toxin A (BTxA) rapidly induces profound focal bone resorption within the medullary cavity of adjacent bones. While initially conceived as a model of mechanical disuse, osteoclastic resorption in this model is disproportionately severe compared with the modest gait defect that is created. Preliminary studies of bone marrow ...

Acute generalized weakness has a wide differential diagnosis that includes neurologic, metabolic, and infectious aetiologies. Acute hypokalaemic paralysis is a rare but treatable cause of acute weakness. We present a 23-year old lady, with history of sudden difficulty getting up from recumbency. Her initial investigations revealed hypokalemia with nonanion gap metabolic acidosis and alkaline ur...

OBJECTIVE IgG and IgA immunocompetence of children with wild poliovirus poliomyelitis and non-polio acute flaccid paralysis. METHODS 932 cases of acute flaccid paralysis, reported in 2008-2009, were tested for presence of polio and non-polio enteroviruses according to the WHO standards. Serum IgA and IgG levels were determined by sandwich ELISA. RESULTS Mean (SD) IgA levels [0.87 (0.62)g/L;...

background and objectives: gingival and periodontal diseases are associated with specific bacterial infections. the main aim of the study was to know whether the periodontitis is associated with an increased risk for acute myocardial infarction (ami) and to know the distribution of porphyromonas gingivalis in patients with acute myocardial infarction associated with chronic periodontitis and ac...