Presentation
Due to corneal anesthesia, it usually presents with recurrent, painless eye infections, painless corneal opacities and/or poorly healing, ulcerated wounds on the facial skin and mucosa (typically the buccal mucosa and/or nasal septum). [orpha.net]
A 2-month-old infant presented with bilateral corneal erosions and complete corneal anesthesia. Her sister presented at age 3 years with a corneal ulcer and corneal hypoesthesia (sensation markedly decreased). [ncbi.nlm.nih.gov]
An 11-year-old girl presented for evaluation of a patch of hair loss on the right parietal scalp that had been present and stable for 2.5 years. [mdedge.com]
Workup
Given that malignancy is a prominent feature of recently diagnosed preganglionic Horner syndrome, patients may avoid an unnecessary extensive workup for carcinoma if the lesion can be shown to be old or long-standing. [emedicine.medscape.com]
Treatment
The material is in no way intended to replace professional medical care by a qualified specialist and should not be used as a basis for diagnosis or treatment. [orpha.net]
Make informed clinical choices for each patient, from diagnosis and treatment selection through post-treatment strategies and management of complications, with new evidence-based criteria throughout. [books.google.com]
Some patients actually take naps during their treatments while others have reported going to lunch or mowing their lawns following treatment. [northwell.edu]
Treatment was continued for a further 10 days after epithelial healing. Despite conventional treatment on 3 separate occasions, further epithelial breakdown occurred. [insights.ovid.com]
Prognosis
[…] aqueductal stenosis sutural synostosis other supratentorial abnormalities 8 hypoplasia of the commissural system ( corpus callosum, anterior commissure ) hypoplasia of the anterior visual pathway agenesis of the posterior lobe of the pituitary Treatment and prognosis [radiopaedia.org]
An accurate and up-to-date classification is important for therapy, prognosis, and genetic counseling of the affected children and their families. [austinpublishinggroup.com]
Prognosis of the Disease The prognosis of neurotrophic keratitis depends upon a wide range of factors, including the specific cause behind corneal sensitivity impairment, the degree of corneal hypo/anesthesia, and the association with other ocular surface [hindawi.com]
Prognosis Several undesirable side effects may follow the procedure. The first is that the numbness may have an unpleasant or painful sensation. Often the numbness has an undesirable quality; similar to the way it feels after a Novocain injection. [ufhealth.org]
[…] posterior communicating artery aneurysm ) Pupillary sparing → often due to ischemic microangiopathy Treatment Compressive lesions: surgery Ischemic microangiopathy or demyelinating lesions: medical management with adequate control of the underlying disease Prognosis [amboss.com]
Etiology
Further investigation eliminated viral etiologies, and subsequent magnetic resonance imaging determined that the patient had a hypoplastic left trigeminal ganglion. [canadianjournalofophthalmology.ca]
Etiology Clinical features Extorsion of the eye : inability to depress and adduct the eyeball simultaneously (the pupil shoots upward during attempted adduction of the eyeball) Diplopia ( double vision ) Mild esotropia Trigeminal nerve lesion (V) Etiology [amboss.com]
TN is classified as symptomatic when the etiology is known and as idiopathic when the etiology is unknown. [ncbi.nlm.nih.gov]
Another common etiology of neurotrophic keratopathy is diabetes mellitus. Diabetes either may be the primary cause of neurotrophic keratopathy or secondarily may predispose patients to this condition. [aao.org]
Epidemiology
Epidemiologic features of chronic atrial fibrillation: the Framingham study. N Engl J Med 1982; 306 : 1018–1022. 15. Roark S F, McCarthy E A, Lee K L, Pritchett E L C. [nature.com]
Epidemiology and morbidity of regional anesthesia in children: A one-year prospective survey of the French-Language Society of Pediatric Anesthesiologists. Anesth Analg 1996;83:904-12. 44. Dalens BJ, Mazoit JX. [joacp.org]
Pathophysiology
A spectrum of pathophysiological processes may affect the trigeminal nerves, including traumatic, vascular, inflammatory, demyelinating, infectious, and neoplastic disorders. [oasisdiscussions.ca]
Pathophysiology The cornea has a high density of nerve endings from the long posterior ciliary nerves and is 100 times more sensitive than the conjunctiva. [aao.org]
With multiple etiologies causing corneal anesthesia, the cellular pathophysiological mechanisms are complex and not yet fully investigated [ 4 ]. [journals.plos.org]
Prevention
Rapidly find the answers you need with separate sections on diseases and disorders, differential diagnosis, clinical algorithms, laboratory results, and clinical preventive services, plus an at-a-glance format that uses cross-references, outlines, bullets [books.google.com]
Prevention Given the wide range of underlying pathologies observed in NK, no consistent approach to prevention is realistic. [hindawi.com]
Malamed editore: Elsevier pagine: 464 Learn to prevent, recognize, and manage complications of local anesthesia administration. Written by Dr. [libreriacortinamilano.it]
Anesthesia: Goals are to provide brain relaxation for good surgical exposure and to maintain adequate CPP (at least 70 mmHg) to prevent cerebral ischemia from brain retraction. [anesthesia.ucsf.edu]