Unruptured posterior communicating artery (PCOM) aneurysms can be difficult to diagnose and, when large (≥ 7mm), represent a substantial risk to the patient. While most unruptured PCOM aneurysms are asymptomatic, when symptoms do occur, clinical manifestations typically include severe headache (HA), visual acuity loss, and cranial nerve deficit. This case report describes an atypical initial pr...

BACKGROUND Benign lesion interior to the cavernous sinus (CS) is very rare. OBJECTIVE In this series we found nonneoplastic lymphatic aggregation and osteoclastoma inside the CS which is very rare and probably not reported in literature. One interesting postoperative complaint of feeling of tickling down of warm water under the skin forehead was found in the patient of inflammatory disease of...

Cephalic tetanus is defined as a combination of trismus and paralysis of one or more cranial nerves. Cranial nerves III, IV, VI, VII, and XII may be affected, but the facial nerve is most frequently implicated. A 64-year-old female visited hospital for left ptosis followed by facial palsy after a left forehead abrasion in a car accident. At nine days post injury, left ptosis developed, left fac...

Introduction: Oculomotor nerve palsy is an pathological condition caused by microvascular injury, head compression due to neoplasm or aneurysm, and also oculomotor can be autoimmune prosses. Peripheral neuropathy one of the clinical manifestations in patient with SLE, type cranial seen SLE patient. Patient have a higher risk serebrovascular event than general population. Case Illustration: Fema...

tlantoaxial subluxation is a rare but well-recognized complication of ankylosing spondylitis. Anterior subluxation is most common, but vertical subluxation of the dens may also occur and may result in cervical myelopathy, lower cranial nerve palsy, or even sudden death due to cervicomedullary compression. Tongue paralysis due to isolated hypoglossal nerve palsy is also rare. In addition to occu...

212 Figure 4b: T1W coronal post-gadolinium image just posterior to Meckel’s cave shows thickened right trigeminal nerve (black arrow) and enhancing extradural mass in middle cranial fossa (white arrow) Figure 4a: Contrast enhanced T1W coronal image shows enhancing intracranial extradural mass (black arrow) in the right middle cranial fossa with widened right foramen ovale (white arrow head) Fig...

Tuberculous meningitis (TBM) and acute bacterial meningitis (ABM) cause substantial mortality and morbidity in both children and adults. Identification of poor prognostic factors at patient's admission could prepare physicians for more aggressive monitoring of patients with meningitis. The objective of this study was to determine the predictive value of neurological features to differentiate AB...

BACKGROUND Postoperative vision loss following routine nasal surgery is an extremely rare and devastating complication. We report a case of unilateral blindness due to central retinal artery occlusion associated with third cranial nerve following septoplasty. CASE REPORT We report a patient who developed an unusual central retinal artery occlusion with unilateral blindness following nasal sur...

The most common clinical presentation of mucormycosis is rhino-orbital-cerebral infection, which is supposed to begin with inhalation of spores into the paranasal sinuses of a vulnerable host. Hyperglycemia, with an associated metabolic acidosis, is the most common underlying state.1 The hallmarks of spread outside the sinuses are tissue necrosis of the palate.1,2 We present a 57-year-old man a...