Eleven patients with intractable trigeminal neuralgia were treated by posterior fossa microvascular decompression. Complete pain relief was achieved in 7 patients (63.3%). Partial relief of symptoms was noted in 3 patients (27%). There was no operative mortality. Two patients developed transient lower cranial nerve palsies whereas one patient developed a CSF leak, requiring treatment by lumbar ...

Locked-in Syndrome is a severe pontine stroke causing quadriplegia, lower cranial nerve paralysis, and mutism with preservation of only vertical gaze and upper eyelid movement in a conscious patient. We present a case of a Locked-in Syndrome patient who received communication training with augmentative and alternative communication equipment by using eye blinks. After 3 weeks of training, the p...

112 Background: There are no reports in the literature so far, showing the coexisting presence of a lymphoma and a cholesteatoma in the skull base. Our sim was to point up the clinical features of a primary malignant left petro-clival lymphoma presenting with a concomitant petrous cholesteatoma. The patient presented a progressive history of dysartrhia and multiple cranial nerve palsies. Both t...

Results of 280 radiofrequency lesions on 229 patients with trigeminal neuralgia are presented with three months to eight years (average 3.8 years) follow up. The patients were aged from 18-91 years. There was a high overall success rate of 94%. The complication rate has been low, with sensory paraesthesiae the commonest (15%) and cranial nerve palsies very rare (2.4%) compared to other reported...

The syndrome of spontaneous low CSF volume headache is caused by spontaneous or traumatic leaks of the CSF from the subarachnoid space. The CSF hypovolaemia causes sagging of the brain and traction of cranial nerves leading sometimes to overt cranial nerve palsies. We report three cases of this syndrome, in which abducens nerve palsy developed after postural headache in two patients, and neck a...

Isolated brainstem abscess, specifically, medullary abscess, is rare and often fatal. Diagnosis requires appropriate imaging and a high degree of clinical suspicion. Good outcomes are possible. A 69-year-old woman presented with an isolated medulla oblongata abscess that manifested as a syndrome of rapidly progressive multiple cranial nerve palsies and decreased level of consciousness. Microneu...

The jugular foramen is a depression on the medial and inferior surface of the petrous pyramid formed by temporal and occipital bones [1,2]. It extends anteriorly, laterally and inferiorly from the endocranium to the exocranium between the temporal and occipital bones. The foramen is divided into two parts by a fibrous or osseous bridge that connects the jugular spine on petrous part of the temp...