Bulbar Palsy is B/L impairment of function of cranial N. 9, 10, 11, 12 at lower motor neuron level either at nuclear or fascicular level in medulla or B/L lesion of lower cranial N. outside brainstem. We present case of viral hepatitis who initially presented with classical signs and symptoms of hepatitis B followed by characteristic features of bulbar palsy in form of difficulty in swallowing ...

INTRODUCTION Cerebral palsy is the most common cause of physical disability in early childhood. Epilepsy is known to have a high association with cerebral palsy. All types of epileptic seizures can be seen in patients with cerebral palsy. Complex partial and secondary generalized ones are the most frequent seizure types. In persons with cerebral palsy and mental retardation, the diagnosis of ep...

OBJECTIVES To examine the rate of cerebral palsy in twins and triplets in births from 1980 to 1989 in Western Australia and to identify factors associated with increase in risk. DESIGN Pluralities for all births in Western Australia were identified through the standardised midwives' notification system, and cases of cerebral palsy were identified from the Western Australian cerebral palsy reg...

A 31-year-old patient had acute dizziness and lateropulsion to the right. Neuro-ophthalmologic examination revealed (1) a saccade gaze palsy left (video 1, part A), (2) “half-pathologic” head-impulse test right B), but (3) bilaterally normal adduction during convergence reaction C), findings typical for abducens nuclear palsy. It was caused by histologically proven cavernoma in tegmentum pontis...

acute idiopathic peripheral facial paralysis (bell's palsy) is the most common disorder of the facial nerve. most patients recover completely, although some have permanent disfiguring facial weakness. many studies have attempted to identify an infectious etiology for this disease. although the cause of bell's palsy remains unknown, recent studies suggest a possible association with herpes simpl...

Purpose: Electrotherapy is a common intervention for the rehabilitation of Bell’s palsy. Low-level laser therapy (LLLT) and electrical stimulation (ES) are two therapeutic interventions for Bell’s palsy that have been proven to be superior to conventional treatments. To date, no clinical trial has compared the effectiveness of these two interventions. This pilot study aims to compare the effect...

BACKGROUND A population-based study on prevalence of cerebral palsy in multiple births has not been carried out in China. The purpose of this paper was to determine the prevalence of cerebral palsy in multiple births and to explore the influence of multiple pregnancy on cerebral palsy after controlling for birthweight. METHODS A cross-sectional study of cerebral palsy was carried out among 38...

BACKGROUND Infarcts of the rostral brainstem often cause vertical gaze palsies but may also produce inappropriate convergence that manifests as pseudoabducens palsy and convergence-retraction nystagmus (CRN). Although the substrate for vergence has been defined in the monkey as lying dorsal and lateral to the oculomotor nucleus, the human homologue is unknown. METHOD - The authors reviewed th...

OBJECTIVE To test the hypothesis that pre-eclampsia is a risk factor for cerebral palsy mediated through preterm birth and being born small for gestational age. DESIGN Population based cohort study. SETTING Clinical data from the Norwegian Cerebral Palsy Registry were linked with perinatal data prospectively recorded by the Medical Birth Registry of Norway. PARTICIPANTS All singleton babi...