Possible Causes for cranial nerve palsy Diabetes Mellitus nerve 3, 4, 6 palsies Cataract What is the recommended follow-up option for monitoring ocular complications in a diabetic? [meddean.luc.edu] Cranial neuropathies cause diplopia, ptosis, and anisocoria when they affect the 3rd cranial nerve or motor palsies when they affect the 4th or 6th cranial nerve. [web.archive.org] (exudates, micro aneurysms, hemorrhage) Proliferative: Neovascularization, vitreous hemorrhage, retinal hemorrhage, retinal detachment, blindness Macular edema Glaucoma Cranial [meddean.luc.edu] Leptomeningeal Metastasis Patients with multiple cranial nerve palsies should receive cytological examinations of the cerebrospinal fluid in spite of the negative neuroimaging results. [ncbi.nlm.nih.gov] Metastasis was visualized by pre- and postcontrast cranial CT scans 6 months after the diagnosis of the disease when the patient had developed multiple cranial nerve palsies [ncbi.nlm.nih.gov] Diagnosis is often challenging, with nonspecific presenting symptoms ranging from headache and confusion to focal neurologic deficits, such as cranial nerve palsies. [ncbi.nlm.nih.gov] Facial Nerve Paralysis of the Newborn Facial nerve (7th cranial nerve) palsy is often idiopathic (formerly called Bell palsy). [msdmanuals.com] Seventh cranial nerve palsy due to birth trauma; Facial palsy - birth trauma; Facial palsy - neonate; Facial palsy - infant Balest AL, Riley MM, Bogen DL. Neonatology. [medlineplus.gov] Seventh cranial nerve palsy due to birth trauma; Facial palsy - birth trauma; Facial palsy - neonate; Facial palsy - infant Facial nerve palsy due to birth trauma is the loss [mountsinai.org] Facial Palsy We discuss the case of a 5-year-old boy who presented with an isolated left-sided cranial nerve 7 palsy that was initially magnetic resonance imaging negative. [ncbi.nlm.nih.gov] Seventh cranial nerve palsy due to birth trauma; Facial palsy - birth trauma; Facial palsy - neonate; Facial palsy - infant Balest AL, Riley MM, Bogen DL. Neonatology. [nlm.nih.gov] A review of the differential diagnosis of cranial nerve 7 palsy, warning signs signaling the need for additional workup, and a discussion of temporal lobe encephaloceles is [ncbi.nlm.nih.gov] Otitis Externa nerve palsies. [ncbi.nlm.nih.gov] The invasive process may lead to skull base osteomyelitis with progressive cranial nerve palsies and can result in irreversible hearing and neurological impairment. [ncbi.nlm.nih.gov] nerve palsies without pulmonary tuberculosis. [ncbi.nlm.nih.gov] Lyme Disease nerve palsy, peripheral neuropathy, meningitis, or other manifestations. [ncbi.nlm.nih.gov] However, at base line, the patients in the ceftriaxone group had a higher prevalence of seventh-cranial-nerve palsy (7, vs. 3 in the doxycycline group), arthralgia (38 vs. [doi.org] […] clinical presentation can be highly varied, including early manifestations that are limited to erythema migrans and ranging to disseminated infection with arthritis, carditis, cranial [ncbi.nlm.nih.gov] Idiopathic Intracranial Hypertension Following surgery the visual signs of reduced vision, cranial nerve palsy, and visual field loss gradually resolved. [ncbi.nlm.nih.gov] The baseline clinical and radiological characteristics assessed were age, sex, body mass index (BMI), duration of symptoms, transient visual obscuration, cranial nerve palsy [ncbi.nlm.nih.gov] On examination, visual acuity was 6/9 on both sides and he had 6 th cranial nerve palsy on the left side with bilateral papilledema. [doi.org] Benign Abducens Nerve Palsy Fourth Cranial Nerve Palsies Fourth cranial nerve palsies are more common in the pediatric population. [willseye.org] Patients may present with single or multiple cranial nerve palsies. [karger.com] Most cranial nerve palsies get better after a month or so. If you have double vision you should not drive. Binocular single vision is essential for certain tasks…. [peterheyworth.com] Abducens Nerve Palsy Children with respiratory infection may have recurrent palsy. However, the cause of an isolated 6th cranial nerve palsy is often not identified. [merckmanuals.com] Abducens nerve palsy Abducens neuropathy Bilat sixth cranial nerve palsy Bilateral sixth cranial nerve palsy L sixth cranial nerve palsy Left sixth cranial nerve palsy R [icd9data.com] Physical examination demonstrated left-sided sixth cranial nerve palsy. Imaging studies were consistent with right sphenoid sinus inflammatory disease. [ncbi.nlm.nih.gov] Spinal Pachymeningitis Idiopathic hypertrophic pachymeningitis: An unusual masquerader of multiple cranial nerve palsies. [jcor.in] Keane JR (2005) Multiple cranial nerve palsies: analysis of 979 cases. Arch Neurol 62: 1714-1717. [omicsonline.org] Physical examination revealed high cervical compressive myelo-radiculopathy with lower cranial nerve palsy and neck rigidity. [surgicalneurologyint.com] Oculomotor Nerve Paralysis Keywords cranial nerves - head trauma - oculomotor nerve palsy References 1 Chen CC, Pai YM, Wang RF, Wang TL, Chong CF. [thieme-connect.com] Clinical science Summary Cranial nerve palsy is characterized by a decreased or complete loss of function of one or more cranial nerves. [amboss.com] nerve palsies Table 1 describes midbrain fascicular third cranial nerve palsies. 1, 2 Table 1. [cmej.org.za] Lupus Encephalitis Neurologic manifestations can be nonspecific such as headaches and irritability, focal for example cranial nerve palsy and a cerebrovascular event or lastly psychiatric and [omicsonline.org] Peripheral neuropathy ( carpal tunnel syndrome, for example) occurs in more than 20% of systemic lupus patients and cranial nerve palsies occur in 10-15%. [5] Causes [ edit [en.wikipedia.org] Multifocal Motor Neuropathy Abstract A 45-year-old man developed ophthalmoplegia and subsequently multiple cranial nerve palsies in association with bibrachial paresis. [ncbi.nlm.nih.gov] Cranial nerve palsies are not characteristic of MMN, although compromise of the abducens and hypoglossal nerves has been described. [symptoma.com] Cranial nerve involvement and respiratory failure are uncommon. We report two patients who exhibited unilateral hypoglossal and abducens palsy as presenting signs. [ncbi.nlm.nih.gov] Porphyria nerve palsies Confusion Coma Seizures Fever EXAMINATION as directed by history INVESTIGATIONS urinary porphyrins & porphyrin precursors (ALA and PBG) serum porphyrins faecal [lifeinthefastlane.com] […] precipitants — drugs, stress, infection, alcohol, menstruation, pregnancy, starvation, dehydration Abdo pain Vomiting Motor and sensory neuropathy Autonomic dysfunction Cranial [lifeinthefastlane.com] Trochlear Nerve Paralysis Palsy refers to paralysis, which can range from partial to complete. Often, the cause of 4th cranial nerve palsy cannot be identified. [merckmanuals.com] Clinical science Summary Cranial nerve palsy is characterized by a decreased or complete loss of function of one or more cranial nerves. [amboss.com] nerve palsy. [nature.com] Bacterial Meningitis Impaired consciousness, aspiration pneumonia, and cranial nerve palsy at admission were independently associated with increased mortality. [ncbi.nlm.nih.gov] If bacterial meningitis is not promptly treated, purulent material collects around the base of the brain, which may cause cranial nerve palsies and obstruct the flow of CSF [qiagen.com] Focal neurologic abnormalities were divided into focal cerebral deficits (e.g. aphasia, monoparesis, or hemiparesis) and cranial nerve palsies. [nature.com] Strabismus Microvascular disease is the most common cause of ocular cranial nerve palsies in adult patients. [ncbi.nlm.nih.gov] ‘It is unusual for children to develop strabismus as the only manifestation of underlying neurologic disorders, but acquired deviations related to specific cranial nerve palsies [oxforddictionaries.com] Neuroimaging may be necessary to identify the cause of acquired cranial nerve palsies. [msdmanuals.com] Cerebral Angiitis nerves palsy. [thedailystar.net] Most commonly seen are headache, stroke and encephalopathy but myelopathies, cranial nerve palsies, dementia and seizures are also recognized. 1, 2 Methods used in diagnosis [academic.oup.com] […] multi-vessel vasculitis Multiple bilateral cortical and subcortical infarcts b 11/74/M 5.5 months Confusion, focal TIAs, cognitive decline, left VII cranial nerve palsy 4 [academic.oup.com] Cerebral Thrombosis Symptoms headaches decreased/altered conscious state decreased/altered vision nausea/vomiting Signs papilloedema cranial nerve palsies focal neurological deficits seizures [radiopaedia.org] If the intracranial pressure is quite high, a sixth cranial nerve palsy may develop. [jmedicalcasereports.biomedcentral.com] Extraocular muscle examination showed bilateral sixth cranial nerve palsy. Anterior segment examination was normal. Fundus examination showed bilateral papilledema. [jmedicalcasereports.biomedcentral.com] Jugular Foramen Syndrome […] syndrome Multiple cranial nerve palsies in sarcoidosis Multiple cranial nerve palsy Oromandibular-limb hypogenesis spectrum Sarcoidosis with multiple cranial nerve palsies [icd9data.com] Clinical science Summary Cranial nerve palsy is characterized by a decreased or complete loss of function of one or more cranial nerves. [amboss.com] nerve palsies due the compression or narrowing of the jugular foramen involving the 9th, 10th, and 11th cranial nerves (nerves that travel within the jugular foramen). [medicine.uiowa.edu] CHARGE Syndrome nerve palsy, and, mostly, internal ear anomalies such as semicircular canal hypoplasia that were found in each patient that could be tested. [ncbi.nlm.nih.gov] Facial palsy and other cranial nerve dysfunction: cranial nerve problems are very common in CHARGE. [facialpalsy.org.uk] C Cranial nerves About 40% of children with CHARGE have facial palsy (cranial nerve VII), and at least 30% have swallowing problems (cranial nerve IX/X). [kumc.edu] Cavernous Sinus Aneurysm Palsy Revisited, Survey of Ophthalmology, 2002, 47, 2, 137 CrossRef 19 Marcelo Nery Silva, Naokatsu Saeki, Shinji Hirai, Akira Yamaura, Unusual cranial nerve palsy caused [onlinelibrary.wiley.com] Acquired oculomotor nerve palsy (OMP) is an ocular pathology resulting from damage to third cranial nerve. [eyewiki.aao.org] Clinical examination revealed right-sided sixth cranial nerve palsy with normal pupillary light reaction, visual acuity, and visual fields. [endocrine-abstracts.org] Ophthalmic Nerve Disorder Four months later, he developed a right 3rd cranial nerve palsy, aggravating the clinical aspect with a severe generalized involvement of the central nervous system and death [ajtmh.org] Ophthalmoplegia from right cranial nerve VI palsy. [healio.com] They include third (oculomotor) nerve palsy, forth (trochlear) nerve palsy and sixth (abducens) nerve palsy. top of page Third Cranial Nerve (Oculomotor Nerve) Palsy Third [eye.uci.edu] Carotid-Cavernous Sinus Fistula In the case reported herein, the clinical course was complicated by the development of cranial nerve palsies and ocular ischemia. [ncbi.nlm.nih.gov] High-flow CCF may present with chemosis, proptosis, cranial nerve palsy, increased intraocular pressure, diplopia, and decreased vision. [ncbi.nlm.nih.gov] All patients had more than one clinical signs and symptoms including proptosis (84%), arterialization of conjunctival vein (93%), chemosis (42%), cranial nerve palsy (52%) [ncbi.nlm.nih.gov] Basilar Skull Fracture Cranial nerve palsies - many of the cranial nerves run nearby enough to be injured or compressed by a fractured base of skull. [medicguide.blogspot.com] CSF leak, sensorineural hearing loss, cranial nerve palsies etc...) will depend on the location of the fracture. [radiopaedia.org] nerve palsy, vomiting, nystagmus, and deafness. [sacramentoinjuryattorneysblog.com] Tolosa-Hunt Syndrome The alleviation of cranial nerve palsy is somewhat slower and more variable, and may involve additional mechanisms. [ncbi.nlm.nih.gov] Patient 1 developed leftsided infiltration of the medial ocular muscle with periorbital pain and cranial nerve palsy. [ncbi.nlm.nih.gov] A 43-year-old man was admitted because of a 1-week history of acute onset left-sided retro-orbital pain, followed by left sixth cranial nerve palsy. [ncbi.nlm.nih.gov] Malignant Otitis Media MRI if concerned for cranial nerve palsies, or CNS complications B. [cancertherapyadvisor.com] Cranial nerve palsies – As the infection advances, osteomyelitis of the skull and TMJ can develop resulting in CN palsies. [cancertherapyadvisor.com] Cranial nerve palsies - As the infection advances, osteomyelitis of the skull and TMJ can develop resulting in CN palsies. [cancertherapyadvisor.com] Acute Hepatic Porphyria Alnylam presented results from their phase 3 ENVISION trial, which assessed givosiran for acute hepatic porphyria (AHP), at the European Association for the Study of the Liver (EASL) International Liver Congress in Vienna, Austria. ENVISION was a randomized, double-blind, placebo-controlled, global, multicenter study[…] [trialsitenews.com] Meningeal Tuberculosis This results in hydrocephalus, cranial nerve palsies, and ischemic brain injury secondary to tuberculous vasculitis. The primary source of TB is usually the lung. [ncbi.nlm.nih.gov] When the diagnosis of meningitis was obtained based on the findings of the cerebrospinal fluid (CSF), focal neurological signs including psychological symptoms, cranial nerve [ncbi.nlm.nih.gov] Cranial nerve palsies of 3 rd, 4 th and 6 th nerves may be seen. Seizures, focal neurological deficits, stupor and coma may be seen in late stages. [radiopaedia.org] Glomus Jugulare Tumor CASE: A 63 year-old woman presented with VIII, IX, X, XI, XIIth cranial nerves palsy on the left side. Cranial imaging revealed a left-sided glomus jugulare tumor. [tjn.org.tr] Results: A 46-year-old female presented with progressive dysphagia with headaches and unilateral cranial nerve palsies demonstrating facial droop, tongue deviation and weakness [neurology.org] Although rare, the diagnosis of glomus jugulare tumor should be kept in mind in cases of slowly developing multiple lower cranial nerves palsy. [tjn.org.tr]
