Leptospirosis, a disease of great significance in tropical countries, presents commonly as a biphasic illness with acute febrile episode in the first phase followed by a brief afebrile period and then by the second phase of fever with or without jaundice and renal failure. However, it has varied manifestations and unusual clinical features ascribed to immunological phenomena can occur due to th...

Objective The clinical presentation of sphenoid sinusitis can be highly variable. Rarely, sphenoid sinusitis may present with cranial nerve complications due to the proximity of these structures to the sphenoid sinus. Method A case series from Rabin Medical Center and all cases of cranial nerves palsies secondary to sphenoid sinusitis that have been reported in the literature were reviewed. ...

According to the classical description in the textbooks of anatomy, the abducent nerve emerges from the brainstem at the pontomedullary junction as a single trunk, traverses the cranial cavity and enters the orbit through the superior orbital fissure to supply the lateral rectus muscle [1]. Multiple roots of the nerve have been reported at the exit or the nerve may split into branches after its...

This paper is limited to the consideration of acquired ocular palsies attributed to involvement of the cranial nerve pathways, i.e. lower motor neurone lesions. It is not concerned with supranuclear problems, retraction syndromes, myasthenia, dysthyroid eye disease, or blow-out fractures. The words palsy, paresis, and paralysis tend to be used interchangeably, but usually paresis means a mild a...

A 7-year-old boy presented with fever for 10 days, along with sore throat, cough, headache and occasional vomiting. A maculopapular rash developed all over the body on day-4 of illness, and on on day-8 of illness, child developed diplopia. There was no history of convulsions, altered sensorium, head trauma, or any joint pain or swelling. Examination revealed, generalized tender lymphadenopathy,...

AIM Knowing the distance between the superior and inferior border of Parkinson's triangle and the location of the abducent nerve within the cavernous sinus is important to decrease the complications which may occur during surgery. We aimed to investigate the cavernous sinus to decrease the complications that may occur during surgery to this area. MATERIAL AND METHODS Fifty MRI...