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2.1
Cranial Neuropathy
Cranial Nerve Diseases

Presentation

RESULTS: Cranial neuropathy was the presenting symptom of recurrent disease in all six patients. Four presented with multiple cranial neuropathies. All exhibited neuropathy of the trigeminal nerve (cranial nerve V). [ncbi.nlm.nih.gov]

Entire Body System

  • Whipple Disease

    View/Print Table TABLE 2 Distal Symmetric Sensorimotor Polyneuropathies Endocrine diseases Diabetes mellitus Hypothyroidism Acromegaly Nutritional diseases Alcoholism Vitamin B 12 deficiency Folate deficiency Whipple's disease Postgastrectomy syndrome [aafp.org]

Eyes

  • Diplopia

    Variable diplopia and ptosis due to fatigue. -Diagnosis: Edrophonium test -Treatment: neostigmine ( acetylcholine esterase inhibitor), thymectomy. Ocular myositis -Inflammation of the extraocular muscles -Pain, diplopia and restriction of movement. [flashcardbook.com]

    3, 4, 5) causing diplopia (disorder) Multiple cranial neuropathy Neuropathy (nerve damage), multiple cranial ICD-9-CM Volume 2 Index entries containing back-references to 352.9 : [icd9data.com]

    The syndrome consists of headache, facial pain and diplopia preceding the onset of cranial nerve palsy. The cranial nerves most frequently involved were the third, fifth and seventh. All patients were treated with corticosteroid therapy. [ncbi.nlm.nih.gov]

    Sixth nerve palsy is a condition which is associated with damage to the sixth cranial nerve resulting in abnormal movement of the eye and diplopia. [simple-remedies.com]

  • Strabismus

    Strabismus in Art Images of strabismus in works of art are not rare. One may come across both forms of strabismus: eso- and exotropia. [karger.com]

    […] plexus disorders G52 ICD-10-CM Diagnosis Code G52 Disorders of other cranial nerves 2016 2017 2018 2019 Non-Billable/Non-Specific Code Type 2 Excludes disorders of acoustic [8th] nerve ( H93.3 ) disorders of optic [2nd] nerve ( H46, H47.0 ) paralytic strabismus [icd10data.com]

    The clinician must exclude minor degrees of incomitant strabismus (by careful alternate cover testing or by Maddox rod testing in all positions of gaze) to exclude subtle findings of a third nerve palsy before concluding that the problem is limited to [aao.org]

Neurologic

  • Cranial Nerve Involvement

    Thus, for example, cytomegalovirus infection has been associated with anti-GM2 antibodies and Guillain-Barré syndrome variants with severe sensory loss and cranial nerve involvement. [ncbi.nlm.nih.gov]

    During analysis two groups were made depending on cranial nerve involvement: Cranial nerve group (CN) and Non-cranial nerve group (NCN). [ruralneuropractice.com]

Workup

Beal that neoplastic processes are an important cause of multiple cranial neuropathy (Feb. 15 issue). 1 CT, magnetic resonance imaging, radionuclide scanning, and blood and spinal fluid studies are all important diagnostic tests in the workup of multiple [nejm.org]

Treatment

Lower morbidity and higher occlusion rates obtained with the PED may suggest it as treatment of choice for some of these lesions. Time to treatment is an important consideration regardless of treatment modality. [ncbi.nlm.nih.gov]

This improved over the following week with no change to treatment. On day 45, treatment was changed to prednisolone 30mg/day and oral valacyclovir 1g tds. [acnr.co.uk]

Prognosis

Although prognosis for recovery was better in the nonmetastatic group, there was no significant difference in survival between the metastatic and the nonmetastatic groups. [ncbi.nlm.nih.gov]

The nerve palsy resolves once the underlying cause is treated There is no effective prevention of Cranial Mononeuropathy VI, since it is caused by variety of factors that may be unrelated to each other The prognosis of Cranial Mononeuropathy VI depends [dovemed.com]

Prognosis is good. Many people get better over 3 to 6 months. However, some people have permanent eye muscle weakness. [medlineplus.gov]

The prognosis is good, with significant recovery over 2 months (717), though complete resolution may take up to 18 months. [neuroophthalmology.ca]

Etiology

The etiology of CN was metastatic in 25 (83%) and nonmetastatic in 5 (17%). Only 6 patients improved: 3 metastatic and 3 nonmetastatic. [ncbi.nlm.nih.gov]

Epidemiology

The continuing increase in the incidence of primary central nervous system non-Hodgkin lymphoma: A surveillance, epidemiology, and end results analysis. Cancer 2002;95:1504-10. 4. Coté TR, Manns A, Hardy CR, Yellin FJ, Hartge P. [ijri.org]

Idiopathic chronic inflammatory demyelinating polyneuropathy: an epidemiological study in Italy. J Neurol Neurosurg Psychiatry 2007; 78(12):1349–53. Epub 2007 May 10. CrossRef PubMed Google Scholar 8. Busby M, Donaghy M. [link.springer.com]

Clinical and epidemiological features of Guillain-Barré syndrome. J Infect Dis 1997;176(Suppl 2):S92-8. 3. Hung PL, Chang WN, Huang LT, Huang SC, Chang YC, Chang CJ, et al. [ruralneuropractice.com]

Small infections can progress to ulceration and this may require amputation. [25] Epidemiology [ edit ] Globally diabetic neuropathy affects approximately 132 million people as of 2010 (1.9% of the population). [26] Diabetes is the leading known cause [en.wikipedia.org]

Pathophysiology

The pain may manifest in any of many distinct forms that are believed to reflect differences in neural pathophysiologies, even if the details are not well known. [ichd-3.org]

Pinealoma Para Myokymia of the superior oblique muscle (typically with brief episodic ocular movements that cause subjective visual shimmering, ocular trembling, and/or tilted vision) Entrapment of the trochlear nerve by a vascular loop (similar to the pathophysiology [msdmanuals.com]

Pathophysiology Although peripheral neuropathy has multiple etiologies, the nerve has a limited number of ways to respond to injury. 4, 5 The damage can occur at the level of the axon (i.e., axonopathy). [aafp.org]

The pathophysiology is unclear but may be either vasculitis or inflammatory neuritis. Cases have been treated with intravenous steroids or acyclovir, but their efficacy is unknown. [neuroophthalmology.ca]

Prevention

The nerve palsy resolves once the underlying cause is treated There is no effective prevention of Cranial Mononeuropathy VI, since it is caused by variety of factors that may be unrelated to each other The prognosis of Cranial Mononeuropathy VI depends [dovemed.com]

Prevention of late-RAD is paramount because the functional impairment can be profound and refractory to standard therapies. [ncbi.nlm.nih.gov]

Can peripheral neuropathy be prevented? Lifestyle choices can play a role in preventing peripheral neuropathy. [vidanthealth.com]

Prevention Neuropathy can't always be prevented. But controlling common causes can help to reduce the risk of developing neuropathy. [columbianeurology.org]

How Do I Prevent Neuropathy? Neuropathy is preventable only to the extent that the underlying condition or cause is preventable. [emedicinehealth.com]

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