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92 Possible Causes for Cranial Nerve Involvement, Descending Paralysis, Myasthenia Gravis

  • Botulism

    Clostridium botulinum is known to cause descending paralysis in infants throughout the world.[ncbi.nlm.nih.gov] Physicians must be careful when diagnosing botulism because it may cause symptoms similar to diseases such as Guillain-Barré syndrome, myasthenia gravis, Lambert-Eaton syndrome[aanem.org] The PNS can also be affected leading to cranial nerve involvement, focal or multifocal neuropathies, and dysfunction of the autonomic nervous system.[ncbi.nlm.nih.gov]

  • Wound Botulism

    Wound botulism in 7 heroin 'skin poppers' produced ophthalmoplegia and descending paralysis.[ncbi.nlm.nih.gov] Wound botulism may be underdiagnosed because of confusion with inflammatory neuropathy or myasthenia gravis.[ncbi.nlm.nih.gov] Clinical data were available in 11 (92%) of 12 patients; in 7 (58%) of the 12 cases, there was cranial nerve involvement including mydriasis, diplopia, dysarthria, and dysphagia[ncbi.nlm.nih.gov]

  • Accessory Nerve Palsy

    Discussion Schwannomas of cranial nerve XI represent a rare form of all cranial nerve Schwannomas.[ispub.com] Related Articles Top 5 Articles From October 2015 An Unusual Case of Descending Paralysis Caused by West Nile Virus Clinicians should consider a diagnosis of West Nile Virus[practicalneurology.com] Examples of neuromuscular disorders include Amyotrophic lateral sclerosis Multiple sclerosis Myasthenia gravis Spinal muscular atrophy Many neuromuscular diseases are genetic[icdlist.com]

  • Miller-Fisher Syndrome

    Miller Fisher syndrome (MFS) is a rare demyelinating condition which may have involvement of cranial nerves.[ncbi.nlm.nih.gov] As mentioned earlier, descending paralysis is a characteristic manifestation of Miller Fisher syndrome.[buzzle.com] A provisional diagnosis of ocular myasthenia gravis was made, and anticholinesterase inhibitor therapy was initiated.[ncbi.nlm.nih.gov]

  • Food Poisoning

    There is accentuation of muscle fatigability during exercise and positive response to endrophomium Other food poisonings and gastroenteritis - there is no cranial nerve involvement[atsu.edu] […] weakness and paralysis start 1-4 d after ingestion, followed by constipation.[emedicine.medscape.com] Myasthenia gravis - this is a descending paralysis.[atsu.edu]

  • Phrenic Nerve Palsy

    Cranial nerve involvement and central nervous system involvement are also reported, although infrequently. Phrenic nerve involvement has not been reported so far.[ncbi.nlm.nih.gov] (similar to tick paralysis and in contrast to descending paralysis seen in botulism and paralytic-neurotoxic shellfish poisoning) Hypothyroidism (see Hypothyroidism ) Hypothyroidism-associated[mdnxs.com] A 35 year old female, known case of myasthenia gravis was posted for trans-sternal thymectomy.[nepjol.info]

  • Tick Paralysis

    […] that the acute ascending or rare descending type of paralysis originally described by Landry is simply a form of poliomyelitis, whereas others contend that Landry's paralysis[annals.org] gravis.[ncbi.nlm.nih.gov] If the tick continues to feed, the weakness ascends to the upper extremities over a matter of hours, followed by cranial nerve involvement.[ncbi.nlm.nih.gov]

  • Guillain-Barré Syndrome

    paralysis) Heavy metal intoxication (confusion, psychosis, organic brain syndrome) Hypophosphatemia (irritable, apprehensive, hyperventilation, normal cerebrospinal fluid[aafp.org] Many neurologists are unfamiliar with PCB, which is often misdiagnosed as brainstem stroke, myasthenia gravis or botulism.[ncbi.nlm.nih.gov] 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]

  • Infantile Botulism

    Note that, in many cases, descending paralysis may be absent.[symptoma.com] gravis and other myoneural disorders 2016 2017 2018 2019 Non-Billable/Non-Specific Code Diagnosis Index entries containing back-references to A48.51 : Botulism (foodborne[icd10data.com] Signs of weakness in the infant with botulism begin with cranial nerve involvement and loss of head control.[aafp.org]

  • Vocal Cord Paralysis

    Additionally, within group B, descending aneurysms emerged as an independent risk factor associated with vocal cord paralysis (p 0.03).[ncbi.nlm.nih.gov] “Neurologic causes include myasthenia gravis, severe degenerative spine disease, multiple sclerosis, amyotrophic lateral sclerosis, and Parkinson disease, as well as other[danielcameronmd.com] Vincristine may cause peripheral, autonomic and cranial neuropathies. However cranial nerve involvement is quite uncommon.[ncbi.nlm.nih.gov]

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