Cranial-nerve-involvement: Causes & Reasons

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Possible Causes for cranial nerve involvement

Otitis Externa

Nine patients had cranial nerve involvement. Twelve of 15 patients treated with medical therapy recovered, as did 11 of 12 patients that underwent surgery. [ncbi.nlm.nih.gov]

The facial nerve, Cranial Nerve VII, may be involved and manifests as facial paralysis if the infection spreads to the stylomastoid foramen where CN VII exits the skull. [emdocs.net]

nerve involvement did not affect prognosis. [emdocs.net]

Diabetes Mellitus

Many factors are involved, including the accumulation of sorbitol in peripheral sensory nerves from sustained hyperglycemia. [emedicine.com]

Motor neuropathy and cranial mononeuropathy result from vascular disease in blood vessels supplying nerves. [emedicine.com]

Herpes Zoster

Our case is one of the very rare cases of multiple cranial nerve involvement due to herpes zoster oticus infection.Keywords: Herpes zoster oticus, cranial nerve diseases, [tjn.org.tr]

Herpes zoster cranial neuropathy (or polyneuropathy) without skin lesions, subcategorized by the cranial nerves involved. Group 3. [medlink.com]

View/Print Table TABLE 1 Ocular and Cranial Nerve Involvement in Herpes Zoster Ophthalmicus Structure involved Signs Time of onset (onset of rash Day 0) Eyelid/conjunctiva [aafp.org]

Infectious Mononucleosis

[…] in acute inflammatory demyelinating polyradiculopathy (Guillain—Barré syndrome) is well established. 2, 3 Variants of Guillain—Barré syndrome have been described in which cranial-nerve [nejm.org]

involvement is foremost; the most striking of these is Miller Fisher's syndrome, characterized by ophthalmoplegia, areflexia, and cerebellar-like ataxia. 4 The role of plasmapheresis [nejm.org]

Brain Stem Infarction

Medulla: 9th, 10th, 11th and 12th cranial nerve involvement, pure motor hemiparesis if the medullary pyramid is the site of the infarction; sensory motor hemiplegia if the [symptoma.com]

Clinically, in localizing strokes to the brainstem one looks for the "cardinal" feature of an ipsilateral peripheral cranial nerve involvement, and a contralateral weakness [tchain.com]

Brainstem Infarction â Brainstem lesions typically involve the cranial nerves and sensory loss of one half of the face and the contralateral half of the body. 1. [usmleforum.com]

Primary Progressive Multiple Sclerosis

Examples of common clinical features include 23,24 : brainstem and cranial nerve involvement: optic neuritis internuclear ophthalmoplegia (often bilateral) trigeminal neuralgia [radiopaedia.org]

Herpes Zoster Oticus

[…] multiple cranial nerve involvement caused by herpes zoster oticus herpes zoster otikusa bağlı çoklu alt kraniyal sinir tutulumu Pronunciation of multiple cranial nerve involvement [tureng.com]

Our case is one of the very rare cases of multiple cranial nerve involvement due to herpes zoster oticus infection.Keywords: Herpes zoster oticus, cranial nerve diseases, [tjn.org.tr]

X cranial nerve were involved. [medresearch.in]

Facial Palsy

nerves involved recurrent palsy no recovery after 6-8 weeks MRI Enhancement of the nerve is not seen in all patients with Bell palsy, reported variably between 57-100%. [radiopaedia.org]

Red Flags of Facial Nerve Palsy 1,2,9 Cranial Nerve involvement other than CN VII Bilateral facial palsy Step-wise progression of facial palsy or slowly progressive beyond [emdocs.net]

[…] decompressive surgery is being contemplated atypical signs and symptoms suggest another diagnosis may be possible: slow progressive palsy spasm preceding palsy multiple cranial [radiopaedia.org]

Postherpetic Neuralgia

We describe a woman who developed postherpetic neuralgia (PHN) located on the skin areas of the left ophthalmic division of the fifth cranial nerve without ocular involvement [ncbi.nlm.nih.gov]

View/Print Table TABLE 1 Ocular and Cranial Nerve Involvement in Herpes Zoster Ophthalmicus Structure involved Signs Time of onset (onset of rash Day 0) Eyelid/conjunctiva [aafp.org]

TABLE 1 Ocular and Cranial Nerve Involvement in Herpes Zoster Ophthalmicus Structure involved Signs Time of onset (onset of rash Day 0) Eyelid/conjunctiva Blepharoconjunctivitis [web.archive.org]

Ophthalmic Nerve Disorder

Ramsay Hunt syndrome is also frequently associated with VIII cranial nerve and more scare with V, VI, IX, and X cranial nerves involvement [12]. [ispub.com]

View/Print Table TABLE 1 Ocular and Cranial Nerve Involvement in Herpes Zoster Ophthalmicus Structure involved Signs Time of onset (onset of rash Day 0) Eyelid/conjunctiva [aafp.org]

nerve Clinical Information A disorder characterized by involvement of the trigeminal nerve (fifth cranial nerve). [icd10data.com]

Guillain-Barré Syndrome

Clinical dysphagia was observed in seven patients and six of these cases involved a lower cranial nerve while five patients without cranial nerve involvement had silent dysphagia [ncbi.nlm.nih.gov]

nerve signs, suggesting subclinical cranial nerve involvement. [ncbi.nlm.nih.gov]

Patients who had cranial nerve involvement, ataxia and weakened or disappeared tendon reflex should be paid attention. [ncbi.nlm.nih.gov]

Benign Abducens Nerve Palsy

Cranial nerve involvement depends on the anatomical course of the cranial nerve and the site of the tumor. [karger.com]

nerve involvement. [healio.com]

nerve involvement; proptosis; disc edema; orbital pain; conjunctival injection Orbit Ipsilateral IIIrd, IVth, Vth cranial nerve involvement; proptosis; disc edema; orbital [guwsmedical.info]

Abducens Nerve Palsy

In conclusion, cranial nerve involvement in brucellosis can have good prognosis if anti-Brucella treatment is undertaken early. [ncbi.nlm.nih.gov]

We present a rare manifestation of Scrub typhus in the form of sixth cranial nerve involvement which responded to the treatment with doxycycline. [ncbi.nlm.nih.gov]

involvement of other cranial nerves (eg, V, VII, VIII). [emedicine.com]

Trigeminal Nerve Lesion

Cranial nerve involvement in patients with leprous neuropathy. Neurol India 2006; 54: 283–285. Sumner CJ and Fischbeck KH. Jaw drop in Kennedy’s disease. [oasisdiscussions.ca]

Group 1 involved patients such as those described above with oculosympathetic paresis and trigeminal and potentially other cranial nerve involvement. [medlink.com]

Other cranial nerves may be involved, and recovery may be incomplete. (1, 24) Congenital Congenital skull base anomalies and/or inherited bone disease may also manifest with [oasisdiscussions.ca]

Basilar Skull Fracture

Collet-Sicard syndrome is occipital condylar fracture with IX, X, XI, and XII cranial nerve involvement. [drhem.wordpress.com]

Collet-Sicard syndrome is occipital condylar fracture with IX, X, XI, and XII cranial nerve involvement. [25, 26, 27] Did this answer your question? [medscape.com]

A variety of symptoms may develop depending on the involvement of cranial nerves and related structures. [symptoma.com]

Lyme Neuroborreliosis

Fifty percent have cranial nerve involvement predominantly uni- or bilateral facial nerve palsies. Meningitic symptoms occur primarily in children. [ncbi.nlm.nih.gov]

Approximately 50% have cranial nerve involvement, predominantly a peripheral facial nerve palsy. [jnmjournal.org]

Sarcoidosis

No actual sensory deficit Ankle reflexes abolished Cranial nerve involvement No No Facial diplegia No No No No No No No No CSF cells/ml n.d. n.d. 36 lymph. 3 lymph. n.d. 1 [doi.org]

Peripheral nerve or cranial nerve involvement with sarcoidosis often does not need to be treated, or it will respond to a short course of steroids. [clinicaladvisor.com]

Syringomyelia

Spastic paraparesis: Legs Arms Skeletal Scoliosis Cranial nerve involvement: With syringobulbia Most often unilateral XII: Tongue weakness & hemiatrophy IX - X: Dysphagia [neuromuscular.wustl.edu]

The cranial nerves become affected: Facial sensory loss can occur as the trigeminal nerve becomes involved. [patient.info]

[…] reflexes: Reduced or absent in arms Autonomic pathways Horner's syndrome Skin: Trophic changes Neurogenic bladder: Late in disease course Corticospinal tracts: Variable involvement [neuromuscular.wustl.edu]

Meningioma

The patient did not have any features suggestive of cranial nerve involvement. Physical examination was unremarkable except for the presence of papilloedema. [bjmp.org]

[…] important arteries, veins, or cranial nerves. [utswmedicine.org]

Tumors that involve one or more of the cranial nerves can produce loss of function of those nerves – loss of vision or hearing, for example. [utswmedicine.org]

Lyme Meningoencephalitis

Paresis, focal neurological deficits (including cranial nerve involvement and abnormal pupils). Seizures. [patient.info]

Cranial nerve involvement with Lyme borreliosis demonstrated by magnetic resonance imaging. [ajnr.org]

Cranial nerve disorders: facial palsy (sometimes involving both sides of the face), double vision, drooping eyelid (ptosis), numbness pain and tingling of the face, hearing [lymediseaseaction.org.uk]

Cavernous Sinus Aneurysm

[…] multiple cranial nerves, ptosis, proptosis, arterialization of the conjunctival vessels, and facial pain with hypesthesia within the dermatome of the trigeminal nerve. [synchropublisher.com]

[…] any of the cranial nerves traversing the cavernous sinus : III, IV, V (V1 and V2) and VI trigeminal schwannoma is the most common cavernous hemangioma lymphoma metastatic [radiopaedia.org]

[…] of the patients in our series had multiple cranial neuropathies involving the trigeminal nerve at the time of diagnosis. [jnnp.bmj.com]

Oculomotor Nerve Paralysis

Lower cranial nerve involvement, leading to respiratory, swallowing, and cardiac difficulties, was also present. [ncbi.nlm.nih.gov]

Neurobrucellosis affects the second, third, sixth, seventh, and eighth cranial nerves. [ncbi.nlm.nih.gov]

Article: PDF Only Abstract Möbius syndrome is typified by bilateral facial nerve palsies, usually with abducens palsies. [journals.lww.com]

Pseudobulbar Palsy

This is in contrast to bulbar palsy, which is a lower motor neuron syndrome involving the lowermost cranial nerves. [radiopaedia.org]

The part of the pyramidal tract that sends information to the cranial nerves involved in speech and swallowing is called the corticobulbar tract. [csuchico.edu]

 Pattern of involvement 1. Unilateral upper motor neuron lesion  This produce only transient weakness of many of muscles supplied by the cranial nerves. [slideshare.net]

Systemic Lupus Erythematosus

Previous to this, there had been no case reports of myoclonus in SLE as a presenting feature. [15] Cranial nerve involvement Cranial nerve involvement is also relatively uncommon [emedicine.medscape.com]

She was positive for anti-aquaporin-4 (AQP4) antibody and had typical cranial and longitudinally extended spinal lesions but no optic nerve involvement. [ncbi.nlm.nih.gov]

Cranial nerve paralysis involves several nerves, while paralysis of cranial nerves II, V, VI, VII, VIII, and XII is especially common. [doi.org]

Amyotrophic Lateral Sclerosis

Electrodiagnostic tests MRI of the brain and, if no cranial nerve involvement, cervical spine Laboratory tests to check for other, treatable causes Diagnosis of motor neuron [msdmanuals.com]

Pathologic features lower motor neuron signs loss of motor neurons within the anterior horns of the spinal cord and motor cranial nerve nuclei upper motor neuron signs degeneration [orthobullets.com]

Primary lateral sclerosis affects the limbs, and progressive pseudobulbar palsy affects the lower cranial nerves. [msdmanuals.com]

Vestibulocochlear Nerve Disease

Cranial nerve involvement in patients with leprous neuropathy. Neurol India 2006;54:283-5. Londhey V et al. [hearinghealthmatters.org]

[…] vestibulocochlear nerves involvement. [2] Bilateral multiple cranial nerves involvement, especially VII th and VIII th is often due to systemic causes in comparison to unilateral [indianjotol.org]

Cranial nerves seven and eight are most frequently involved in syphilitic basilar meningitis (3). [ajnr.org]

Trigeminal Neuralgia

Cavernous sinus invasion by pituitary tumors presents mostly with cranial nerve palsies, especially involving the third, fourth and sixth cranial nerves, which is well documented [ncbi.nlm.nih.gov]

However, there are twelve cranial nerves that directly connect to the body. These nerves are involved with the muscle and sensory function of the head and neck. [medicinenet.com]

(The exception is cranial nerve X or the vagus nerve, which is also responsible for the parasympathetic system of the chest and abdomen). 12 Cranial Nerves Cranial Nerve Name [medicinenet.com]

Spinal Pachymeningitis

Cranial nerve VIII is the most commonly involved cranial nerve, followed by CN V, VII, IX, X, and XII, with equal frequency [ 4 ]. [omicsonline.org]

involvement and helped us to arrive at a plausible diagnosis explaining the noncontiguous cranial nerve involvement and excluded diabetic neuropathy. [jcor.in]

Almost any cranial nerve except I can be involved. [2] Two patterns of cranial nerve involvement have been described, based on the site of dural inflammation : cavernous sinus [neurologyindia.com]

Temporal Bone Fracture

These fractures do not present with cranial nerve deficits. [neuroradiologycases.com]

Injury to cranial nerve VI occurs with an incidence of 5% to 7% in fractures involving the petrous apex [7]. [ispub.com]

Paralysis of cranial nerve V (trigeminal) This condition usually occurs in the area of Meckel cave. Treatment is conservative. Mastication muscles may be involved. [emedicine.medscape.com]

Multiple Sclerosis

However, a few radiological cases have documented an involvement of peripheral cranial nerves, within the subarachnoid space, in MS patients. [ncbi.nlm.nih.gov]