scholarly journals Delayed Onset Abducens Nerve Palsy following Uncomplicated Large Cystic Vestibular Schwannoma Resection: Case Report

2019 ◽  
Vol 80 (04) ◽  
pp. e37-e40
Author(s):  
Sima Sayyahmelli ◽  
Pinar Aydin ◽  
Mustafa K. Baskaya
Keyword(s):  
Case Report ◽  
Vestibular Schwannoma ◽  
Cerebellopontine Angle ◽  
Nerve Palsy ◽  
Abducens Nerve ◽  
Double Vision ◽  
Resonance Imaging ◽  
Total Resection ◽  
Delayed Onset ◽  
Cranial Nerve Palsies

AbstractAlthough delayed facial palsy after vestibular schwannoma (VS) surgery is a poorly understood but a well-known phenomenon, other delayed cranial nerve palsies in the cerebellopontine angle have not been reported after VS surgery. In this report, we describe a 54-year-old woman with a large cystic VS who experienced double vision and a new delayed onset right abducens nerve (AbN) palsy, 3 weeks after gross total resection of VS via a translabyrinthine approach. To the best of our knowledge, this is the first report describing delayed isolated AbN palsy after uncomplicated VS surgery. Magnetic resonance imaging findings and the management of this complication following VS surgery are discussed in this case report.

scholarly journals Abducens Nerve Paralysis Caused due to Increased Intracranial Pressure: A Case Report and Review of Literatures

2017 ◽  
Vol 6 (1) ◽  
pp. 66-69
Author(s):  
Khadijeh Haji Naghi Tehrani ◽  
Zahra Morshedian
Keyword(s):  
Case Report ◽  
Intracranial Pressure ◽  
Nerve Palsy ◽  
Complete Blood Count ◽  
Abducens Nerve ◽  
Signs And Symptoms ◽  
Pseudotumor Cerebri ◽  
Sudden Increase ◽  
Double Vision ◽  
Nerve Paralysis

Background: Double vision due to abducens nerve palsy in patients with Pseudotumor cerebri is a very rare finding and usually occurs by increasing in intracranial pressure (ICP) and therefore by the effect of pressure on abducens nerve. Case Report: A 21-year-old woman has referred to our clinic with symptoms of the headaches, double vision along with nausea and vomiting lasting for three months, with no history of the disease, drug consumption, and the only clinical findings was weighing about 20 Kg for a recent year. In examination VI nerve palsy of the left eye, papilledema of both eyes was reported. The computed tomography (CT) and magnetic resonance imaging (MRI) as a diagnostic test for a patient’s brain lesions shown normal report. Also, other hormone testing and complete blood count were normal. For the next step patient underwent for lumbar puncture (LP), the patient’s cerebrospinal fluid (CSF) pressure was measured more than 120 CmH2O. According to the findings of the examination, patient diagnosed with pseudotumor cerebri and underwent for frequent LP, which during that the headaches and double vision symptoms of patient decreased, which indicates that all signs and symptoms of patients caused by pseudotumor cerebri were due to sudden increase in body weight over the past year. Patient prescribed for Acetazolamide and recommended to lose weight with proper diet. For three months of follow-up, symptoms of increased ICP and papilledema have been cleared. Conclusion: The pseudotumor cerebri is manageable by proper diet, and there is no need for bariatric surgery. [GMJ.2017;6(1):66-69]

Abducens Nerve Palsy In Gestational Hypertension: A Case Report and Review of the Literature

2017 ◽  
Vol 39 (10) ◽  
pp. 890-893 ◽  
Author(s):  
Albaro J. Nieto-Calvache ◽  
Sara Loaiza-Osorio ◽  
José Casallas-Carrillo ◽  
María F. Escobar-Vidarte
Keyword(s):  
Case Report ◽  
Nerve Palsy ◽  
Gestational Hypertension ◽  
Abducens Nerve ◽  
Abducens Nerve Palsy ◽  
Review Of The Literature

scholarly journals Abducens Nerve Palsy as Initial Presentation of Multiple Myeloma and Intracranial Plasmacytoma

2018 ◽  
Vol 7 (9) ◽  
pp. 253
Author(s):  
Elochukwu Ibekwe ◽  
Neil Horsley ◽  
Lan Jiang ◽  
Nadine-Stella Achenjang ◽  
Azubuogu Anudu ◽  
...  
Keyword(s):  
Central Nervous System ◽  
Multiple Myeloma ◽  
Nervous System ◽  
Case Report ◽  
Nerve Palsy ◽  
Abducens Nerve ◽  
Initial Presentation ◽  
Solitary Plasmacytoma ◽  
Cns Involvement ◽  
The Right

Central Nervous System (CNS) involvement in multiple myeloma and/or multifocal solitary plasmacytoma is rare. Although they are unique entities, multiple myeloma (MM) and plasmacytoma represent a spectrum of plasma cell neoplastic diseases that can sometimes occur concurrently. Plasmacytomas very often present as late-stage sequelae of MM. In this case report, we report a 53-year-old female presenting with right abducens cranial nerve (CN) VI palsy as an initial presentation secondary to lesion of the right clivus.

scholarly journals A rare case of post traumatic isolated bilateral abducens nerve palsy

2014 ◽  
Vol 21 (4) ◽  
pp. 497-499
Author(s):  
Manish Jaiswal ◽  
Saurabh Jain ◽  
Ashok Gandhi ◽  
Achal Sharma ◽  
R.S. Mittal
Keyword(s):  
Rare Case ◽  
Nerve Palsy ◽  
Abducens Nerve ◽  
Abducens Nerve Palsy ◽  
Resonance Imaging ◽  
Intracranial Lesion ◽  
Mri Brain ◽  
Post Traumatic ◽  
Magnetic Resonance Imaging Mri ◽  
Bilateral Abducens

Abstract Although unilateral abducens nerve palsy has been reported to be as high as 1% to 2.7% of traumatic brain injury, bilateral abducens nerve palsy following injury is extremely rare. In this report, we present the case of a patient who developed isolated bilateral abducens nerve palsy following minor head injury. He had a Glasgow Coma Score (GCS) of 15 points. Computed tomography (CT) images & Magnetic Resonance Imaging (MRI) brain demonstrated no intracranial lesion. Herein, we discuss the possible mechanisms of bilateral abducens nerve palsy and its management.

An Interpretation of Optic Nerve Tortuosity

2009 ◽  
Vol 22 (4) ◽  
pp. 381-385 ◽  
Author(s):  
A. Viglianesi ◽  
M. Messina ◽  
R. Chiaramonte ◽  
G.A. Meli ◽  
L. Meli ◽  
...  
Keyword(s):  
Optic Nerve ◽  
Intracranial Hypertension ◽  
Idiopathic Intracranial Hypertension ◽  
Nerve Palsy ◽  
Visual Loss ◽  
Abducens Nerve ◽  
Abducens Nerve Palsy ◽  
Resonance Imaging ◽  
Optic Nerve Glioma ◽  
Orbital Pain

Magnetic resonance imaging disclosed both optic nerve tortuosity and kinking in a 64-year-old man with orbital pain and monolateral abducens nerve palsy. The association between optic nerve tortuosity and abducens nerve palsy is often described in literature reports of idiopathic intracranial hypertension. However the diagnosis of idiopathic intracranial hypertension was excluded in our patient because of the absence of other signs such as papilledema (universally present in the cases of idiopathic intracranial hypertension), visual loss, headache and flattening of the posterior sclera. Other possible diagnoses to be considered when looking at a case of optic nerve tortuosity are neurofibromatosis and/or optic nerve glioma. Tortuosity of both optic nerves seems to be isolated in our patient and not associated with other diseases or disorders. We suggest that in some patients optic nerve tortuosity could be correlated with an aberrant anatomical development of the optic nerve. Further studies are necessary to confirm this hypothesis which currently remains conjectural.

Vascular Compressive Abducens Nerve Palsy Disclosed by Magnetic Resonance Imaging

1996 ◽  
Vol 122 (3) ◽  
pp. 416-419 ◽  
Author(s):  
KENJI OHTSUKA ◽  
AKIRA SONE ◽  
YASUO IGARASHI ◽  
HIDENARI AKIBA ◽  
MOTOMICHI SAKATA
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Nerve Palsy ◽  
Abducens Nerve ◽  
Abducens Nerve Palsy ◽  
Resonance Imaging

scholarly journals Tumors Presenting as Multiple Cranial Nerve Palsies

2017 ◽  
Vol 9 (1) ◽  
pp. 54-61 ◽  
Author(s):  
Kishore Kumar ◽  
Rafeeq Ahmed ◽  
Bharat Bajantri ◽  
Amandeep Singh ◽  
Hafsa Abbas ◽  
...  
Keyword(s):  
Cranial Nerve ◽  
Nerve Palsy ◽  
Systemic Disease ◽  
Cranial Nerves ◽  
B Cell Lymphoma ◽  
Abducens Nerve ◽  
Cranial Nerve Involvement ◽  
Nerve Involvement ◽  
Cranial Nerve Palsies ◽  
Multiple Cranial Nerve

Cranial nerve palsy could be one of the presenting features of underlying benign or malignant tumors of the head and neck. The tumor can involve the cranial nerves by local compression, direct infiltration or by paraneoplastic process. Cranial nerve involvement depends on the anatomical course of the cranial nerve and the site of the tumor. Patients may present with single or multiple cranial nerve palsies. Multiple cranial nerve involvement could be sequential or discrete, unilateral or bilateral, painless or painful. The presentation could be acute, subacute or recurrent. Anatomic localization is the first step in the evaluation of these patients. The lesion could be in the brain stem, meninges, base of skull, extracranial or systemic disease itself. We present 3 cases of underlying neoplasms presenting as cranial nerve palsies: a case of glomus tumor presenting as cochlear, glossopharyngeal, vagus and hypoglossal nerve palsies, clivus tumor presenting as abducens nerve palsy, and diffuse large B-cell lymphoma presenting as oculomotor, trochlear, trigeminal and abducens nerve palsies due to paraneoplastic involvement. History and physical examination, imaging, autoantibodies and biopsy if feasible are useful for the diagnosis. Management outcomes depend on the treatment of the underlying tumor.

Poster 329 Rehabilitation of Horizontal Diplopia due to Abducens Nerve Palsy in an Idiopathic Pituitary Apoplexy: A Case Report

PM&R ◽  
2016 ◽  
Vol 8 (9) ◽  
pp. S268
Author(s):  
Cora H. Brown ◽  
Alexander J. Feng ◽  
Ilya Igolnikov ◽  
Ernesto Cruz
Keyword(s):  
Case Report ◽  
Nerve Palsy ◽  
Pituitary Apoplexy ◽  
Abducens Nerve ◽  
Abducens Nerve Palsy
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