Bilateral pupil-sparing oculomotor nerve paralysis with multiple cranial nerve palsies and hormonal imbalance following head trauma. Report of a rare case with clinicopathologic correlation

2009 ◽  
Vol 6 (1) ◽  
pp. 63-65
Author(s):  
Vineet Saggar ◽  
RS Mittal
Author(s):  
Uzma Nasim Siddiqui

Plasma cell myeloma rarely presents with neurological symptoms, and if this happens then cause is usually plasmacytoma. This is a very rare case to be presented as multiple cranial nerve palsies, unusual presentation of plasma cell myeloma without involvement of organic brain lesion in literature to date. A 70 years old gentleman having ESRD, was received with diplopia, deviation of angle of mouth, on and off chest pain. Investigations ruled out stroke, cardiac event, autoimmune process or any other possible cause of cranial nerve palsies. Diagnosis of multiple myeloma was confirmed by immune electrophoresis which showed monoclonal gammopathy, punched out lytic lesions were found on skeletal scurvy and later confirmation was done by bone marrow biopsy for the presence of plasma cell myeloma. Key words: plasma cell myeloma, cranial nerve palsies


1980 ◽  
Vol 88 (2) ◽  
pp. 146-153 ◽  
Author(s):  
Mamdouh S. Bahna ◽  
Paul H. Ward ◽  
Horst R. Konrad

Rhinocerebral mucormycosis, a highly lethal fungal infection of the head and neck, is commonly recognized by its classic appearance. Two cases of this newly recognized clinical syndrome with isolated unilateral peripheral cranial nerve V, VI, VII, IX, X, XI, and XII palsies and initial sparing of the eighth cranial nerve are presented. Examination revealed that each patient had ulceration of the nasopharynx and osteitis of the base of the skull. Nose, orbits, paranasal sinuses, and intracranial nervous systems were initially spared. The cause of this obscure cranial nerve paralysis was diagnosed from biopsy specimens of the nasopharyngeal tissues and the demonstration of nonseptate hyphae. Review of the literature did not indicate that this syndrome had previously been recognized. The name nasopharyngeal mucormycotic osteitis is suggested.


2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Oliver Rose ◽  
Zahoor Ahmad ◽  
Barry Snow

Sarcoidosis is a disease process which predominantly affects the lungs but can involve virtually any organ in the human body. Neurosarcoidosis is a rare manifestation which can present in a variety of ways. There is no single diagnostic test for sarcoidosis; hence, the diagnosis is based on combined clinical, laboratorial, and radiological grounds. We describe a rare case where a patient presented with dysphagia, hoarseness, hearing loss, and unsteadiness.


2019 ◽  
Vol 25 (5) ◽  
pp. 362-364 ◽  
Author(s):  
Hiroshi Komamura ◽  
Takaaki Nakamura ◽  
Junpei Kobayashi ◽  
Ryuhei Harada ◽  
Kaoru Endo ◽  
...  

2016 ◽  
Vol 15 (1) ◽  
pp. 40-42
Author(s):  
Atul Kumar Singh

Some form of ophthalmic injury is seen in the majority of lightening victims. These may be anterior segment involvement, mostly the cornea. Other lesion on the anterior segment include uveitis, hyphaema, cataract and dislocated lens. Posterior segment lesion include vitreous haemorrhage, retinal oedema, retinal haemorrhage, retinal detachment, cystoids macular oedema, chorioretinalrupture, maculopathy, CRVO and CRAO. Neuro-ophthalmic lesion include loss of pupillaryreflex, anisocoria, horner syndrome, multiple cranial nerve palsies and nystagmus.


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