British Journal of General Practice, February 2013 109 IntroduCtIon Facial nerve dysfunction can severely affect a patient’s quality of life. The human face is a focal point for communication and expression. The facial nerve carries motor, sensory, and parasympathetic fibres, so facial palsy results in both a functional and cosmetic impairment. Facial weakness secondary to upper motor neurone l...

Ten cases of primary oculomotor nerve palsy due to head injury are presented. All ten patients had a dilated, non reactive pupil. Seven had complete oculomotor palsy. Two had partial extraocular palsy or blepharoptosis and one had neither extraocular palsy nor blepharoptosis. The initial ophthalmoplegia was recognized immediately after trauma. Nine patients had severely impaired consciousness o...

A patient presented with a painful third nerve palsy. This resolved spontaneously, but recurred several months later. At his second presentation carotid angiography gave normal results, but a high resolution CT scan showed a tumour in the right parasellar region. The serum prolactin was raised at over 22,000 millimicrons/, showing this to be a prolactinoma.

The Wildervanck (or cervico-oculo-acoustic) syndrome consists of the characteristic triad of Klippel-Feil anomaly, abducens nerve palsy, and congenital deafness. It is a rare "disorder of polygenic heredity with sex limitation predominant to the female" (female-male ratio is 10: 1) ( 1 ). Hearing loss is most commonly neurosensory due to developmental inner ear anomalies. Only a single case of ...

We report two infants presenting with unilateral congenital facial palsy since birth. Magnetic resonance imaging (MRI) in both the cases revealed complete unilateral aplasia of facial nerve. To our knowledge, this is the first reported MR depiction of nonsyndromic isolated facial nerve aplasia. Imaging features and the pertinent anatomy is discussed along with a brief review of literature.

Oculomotor nerve palsy generally presents with mydriasis, blepharoptosis, and impairment of extraocular muscle movement. The incidence of primary traumatic oculomotor nerve palsy in craniocerebral trauma is approximately 1.2% [1]. The causes of oculomotor nerve palsy are congenital, traumatic, vascular, migrainous, and parainfectious. Especially in children, it is often caused by congenital fac...

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...

A radial nerve injury associated with a humeral shaft fracture is an important injury pattern among trauma patients.This study is to find out the incidence of radial nerve palsy and to analyze results of treatment of fracture shaft of Humerus associated with radial nerve injury to improve outcome and avoid long-term morbidity.A total of eighty patients of fractures were analyzed with twenty imm...