syringobulbiais very rare condition defined as slit-like fluid cavity in the brain stem. several conditions have been reported to be associated with syringobulbia including neoplasms, spinal cord traumas or lesions such as tethered cord, hind-brain herniation, infections such as meningitis and in isolation.although post-traumatic syringomyelia has been wieldy described previously, traumatic bra...

A woman with pituitary macroadenoma causing pressure symptoms and a partial right third cranial nerve palsy during pregnancy is described. Complete resolution occurred using oral bromocriptine therapy alone and the remainder of the pregnancy was uneventful.

INTRODUCTION The Tolosa-Hunt Syndrome (THS) and the Pseudotumor of the Orbit (PTO) each have three common clinical hallmarks: unilateral periorbital pain, cranial nerve palsies and a fast response to corticosteroid therapy. CASE REPORT 48-year-old female with a right VI nerve paralysis, later develops a right III nerve paralysis. It is important to be able to differentiate between THS and PTO...

The Medical Journal of Australia ISSN: 0025729X 1 November 2010 193 9 546-547 ©The Medical Journal of Australia 2010 www.mja.com.au Lessons from Practice prevalent among older people and patients w deficiency. A causative relationship with herpes zo of these syndromes is probably more common th owing to difficulties in diagnosis and lack of awar clinicians. However, to our knowledge, there are ...

Pituitary adenomas account for approximately 10% of intracranial tumors and 5% are locally invasive. Cavernous sinus invasion by pituitary tumors presents mostly with cranial nerve palsies, especially involving the third, fourth and sixth cranial nerves, which is well documented in the literature. However, an isolated complaint of trigeminal neuralgia due to pituitary adenoma is an extremely ra...

Jonathan Hutchinson (1865-6) was the first person to distinguish herpes zoster ophthalmicus from erysipelas, and he described 18 cases, one of which developed a third nerve palsy. Hutchinson stated that zoster never affected the cheek at all, but a few years later Head and Campbell (1900) described a case with affection of the mandibular branch; Paton (1926) reported a case with involvement of ...

BACKGROUND As an extremely rare subtype of sarcoidosis that develops exclusively in the nervous system, isolated neurosarcoidosis is difficult to diagnose. In addition, its exact clinical features are not known. CASE DESCRIPTION A 61-year-old man presented with right ear hearing loss, diplopia, and fever. Computed tomography (CT) and magnetic resonance imaging revealed mass lesions in the rig...

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...

OBJECTIVE Cavernous carotid aneurysms (CCAs) can present with visual symptoms or with subarachnoid hemorrhage (SAH). As surgical treatment of these aneurysms can be technically challenging, endovascular management has emerged as the preferred treatment modality. METHODS A retrospective review was conducted of 113 patients who underwent endosaccular treatment for CCAs. Presenting symptoms, ane...

Cavernous sinus syndrome (CSS) is a condition characterized by multiple cranial nerve palsies manifesting with ophthalmoplegia, ptosis, and facial sensory loss due to involvement of adjacent cranial nerves. Tumors, trauma, and vascular, infectious, and noninfectious inflammatory disorders have all been described as causes. Lymphomas have been reported to involve the cavernous sinus, both as pri...