A Case of Hunt Syndrome with Lower Cranial Nerve Paralysis as the First Sign

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.

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Incidence of cranial nerve palsy after preoperative embolization of glomus jugulare tumors using Onyx

Journal of Neurosurgery ◽

10.3171/2013.10.jns13354 ◽

2014 ◽

Vol 120 (2) ◽

pp. 377-381 ◽

Cited By ~ 25

Author(s):

Brandon G. Gaynor ◽

Mohamed Samy Elhammady ◽

Daniel Jethanamest ◽

Simon I. Angeli ◽

Mohammad A. Aziz-Sultan

Keyword(s):

Cranial Nerve ◽

Transarterial Embolization ◽

Cranial Nerves ◽

Cranial Neuropathy ◽

Preoperative Embolization ◽

Facial Nerve Paralysis ◽

Lower Cranial Nerve ◽

Nerve Paralysis ◽

Glomus Jugulare ◽

Cranial Nerve Dysfunction

Object The resection of glomus jugulare tumors can be challenging because of their inherent vascularity. Preoperative embolization has been advocated as a means of reducing operative times, blood loss, and surgical complications. However, the incidence of cranial neuropathy associated with the embolization of these tumors has not been established. The authors of this study describe their experience with cranial neuropathy following transarterial embolization of glomus jugulare tumors using ethylene vinyl alcohol (Onyx, eV3 Inc.). Methods The authors retrospectively reviewed all cases of glomus jugulare tumors that had been treated with preoperative embolization using Onyx at their institution in the period from 2006 to 2012. Patient demographics, clinical presentation, grade and amount of Onyx used, degree of angiographic devascularization, and procedural complications were recorded. Results Over a 6-year period, 11 patients with glomus jugulare tumors underwent preoperative embolization with Onyx. All embolization procedures were completed in one session. The overall mean percent of tumor devascularization was 90.7%. No evidence of nontarget embolization was seen on postembolization angiograms. There were 2 cases (18%) of permanent cranial neuropathy attributed to the embolization procedures (facial nerve paralysis and lower cranial nerve dysfunction). Conclusions Embolizing glomus jugulare tumors with Onyx can produce a dramatic reduction in tumor vascularity. However, the intimate anatomical relationship and overlapping blood supply between these tumors and cranial nerves may contribute to a high incidence of cranial neuropathy following Onyx embolization.

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Viral Infections and Cranial Nerve Paralysis

Archives of Otolaryngology - Head and Neck Surgery ◽

10.1001/archotol.1963.00750020091011 ◽

1963 ◽

Vol 78 (1) ◽

pp. 85-90 ◽

Cited By ~ 17

Author(s):

W. H. SAUNDERS

Keyword(s):

Cranial Nerve ◽

Viral Infections ◽

Nerve Paralysis ◽

Cranial Nerve Paralysis

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Transient Sixth Cranial Nerve Paralysis in the Newborn Infant

Neuropediatrics ◽

10.1055/s-2008-1059571 ◽

1983 ◽

Vol 14 (03) ◽

pp. 164-165 ◽

Cited By ~ 10

Author(s):

A. J. de Grauw ◽

J. Rotteveel ◽

J. R. Cruysberg

Keyword(s):

Newborn Infant ◽

Cranial Nerve ◽

Sixth Cranial Nerve ◽

Nerve Paralysis ◽

Cranial Nerve Paralysis

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Patient with MADSAM, Autoimmune Thyroiditis and 6th Cranial Nerve Paralysis

Turkish Journal Of Neurology ◽

10.4274/tnd.2021.24922 ◽

2021 ◽

Vol 27 (3) ◽

pp. 311-314

Author(s):

Buket Özkara ◽

Faik Budak

Keyword(s):

Autoimmune Thyroiditis ◽

Cranial Nerve ◽

Nerve Paralysis ◽

Cranial Nerve Paralysis

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INCIDENCE OF CRANIAL NERVE PARALYSIS IN POLIOMYELITIS IN RELATION TO PRESENCE OR ABSENCE OF TONSILS

PEDIATRICS ◽

10.1542/peds.21.1.106 ◽

1958 ◽

Vol 21 (1) ◽

pp. 106-111

Author(s):

F. H. Top

Keyword(s):

Facial Nerve ◽

Rural Area ◽

Cranial Nerve ◽

Cranial Nerves ◽

Nerve Paralysis ◽

Cranial Nerve Paralysis ◽

Clinical Type ◽

Composite Study

A study of patients from a largely rural area in Iowa corroborates the evidence of many previous studies that bulbar and bulbospinal types of poliomyelitis occur more commonly in persons whose tonsils have been removed irrespective of the time in life the operation was performed. The tonsillectomy rate for all cases was the lowest encountered thus far. Agreement is not on the same level as noted in the author's Detroit composite study previously reported, and is more marked for bulbospinal than for the bulbar type of poliomyelitis (some studies combine bulbar and bulbospinal cases). Adjustment for age reduces differences between cases with tonsils absent and tonsils present by clinical type and further strengthens the finding of Paffenbarger and of the author's Detroit composite study that age must be reckoned with in an assessment of the problem. Incidence of paralyses of cranial nerves by tonsillectomy status is similar to the Detroit composite study in the case of palatal and pharyngeal paralyses but less strongly; incidence of paralysis of the facial nerve is dissimilar.

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