Damage to lingual nerve is one of the common complications of the removal of mandibular third molars. A random data was collected in the Department of Oral and Maxillofacial Surgery, Khyber College of Dentistry, Peshawar. Effects of different factors (age and sex of the patient, experience of the operator and surgical method employed) were documented. Purpose of the study was to determine the f...

Eye movement abnormalities constitute an important clinical sign that can be a manifestation of dysfunction of cranial nerves III, IV, and VI (the 3 ocular motor nerves). Specific motility deficits often have highly localizing value within the neuroaxis, serving to refine a differential diagnosis and guide management. This article reviews the key anatomic concepts, clinical presentation, differ...

Cranial nerve III dysfunction in multiple sclerosis (MS) is uncommon. Seven cases of isolated cranial nerve III paresis associated with MS have been reported in the English-language literature. MR imaging was obtained in five cases demonstrating lesions within the midbrain. We present the detailed clinical and MR imaging findings of a young woman with MS and an isolated, painful pupil involving...

A C2-3 zygapophygeal joint is a major source of cervicogenic headache. Radiofrequency (RF) neurotomy is preformed widely for zygapophygeal joint pain. Conventional RF denervation technique is generally performed under fluoroscopic control. Recently, ultrasound-guided radiofrequency on zygapophygeal joint has emerged as an alternative method. We report our experiences of two successful ultrasoun...

PURPOSE To review the outcome of surgery for bilateral third nerve palsy. METHODS The series comprised 16 cases. The eye deviation in the primary position averaged -27.0 degrees horizontally. Surgery was aimed at bringing both eyes into alignment in the primary position by recession-resection of horizontal muscles. Transposition of the superior oblique was performed for complete third nerve p...

Sixty-three patients with third cranial nerve palsies (CNPs), either isolated (31) or in association with other neurologic deficits (32), underwent neuroophthalmologic and neuroradiologic evaluation. Discrepancies between the clinical and radiologic evaluations were analyzed and useful clinical presenting symptoms were identified. Microvascular infarction secondary to diabetes mellitus and/or h...

CLINICAL HISTORY A 48-year-old woman presented with a 5-day history of right, retroorbital, dull aching or stabbing and throbbing pain occasionally felt in the right side of the nose. The headache started out mild and became severe over the first day. She was seen in an emergency department 3 days after headache onset. A computed tomography (CT) scan of the brain was negative. She was prescribe...

Diabetes mellitus commonly causes involvement of cranial nerves and third nerve being the most common, however recurrent and multiple cranial nerve involvement is rare. We present here a case of recurrent cranial nerve palsy and spontaneous recovery in a patient with diabetes mellitus.

PURPOSE Cadaveric palmar dissections reveal an ulnar sensory crossover (Berrettini anastomosis) to the third common palmar nerve so frequently that this crossover is considered a normal part of the anatomy. No literature has documented electrophysiologic evidence of the Berrettini anastomosis (BA). Presentation of third digit ulnar sensory crossover waveforms. METHODS Retrospective chart revi...

PURPOSE The purpose of this study was to determine the incidence of Inferior Alveolar Nerve (IAN) damage after surgical removal of lower third molars, to identify the cause and to construct a predictive model to assess the risk of IAN injury. MATERIALS AND METHODS Patients were selected from the out patient department after proper clinical and radiological evaluation of mandibular third molar...