MRI to confirm diagnosis. d/d diptheria demyelination (ms) brain tumor and MND unlikely as there is acute presentation. 0 Reply [dailyrounds.org]

Bell’s palsy as a presentation of Eagle syndrome is rare and has not been reported thus far. [neurology.org]

In a series of 14 cases presented by Tan et al, [22] there were 8 patients (57%) with lower cranial nerve palsy at the time of presentation. Proximal lesions present as cerebellopontine mass and hearing loss is an early symptom. [neurologyindia.com]

Presents new contributors for 14 chapters to provide you with authoritative coverage and the dynamic perspectives of leaders in the field. [books.google.com]

The present case is very important for investigating the relationship between the MR imaging findings and symptoms. [ajnr.org]

• Hemophilia A

  Stay up to date with new chapters on Clotting Disorders and Hemophilia, Patient-Centered Care, Health Disparities and Diversity in Emergency Medicine, Cost-Effectiveness Analysis, Antibiotic Recommendations for Empirical Treatment of Selected Infectious [books.google.com]

• Malnutrition

  It can also assist in the prevention of malnutrition and possible life-threatening pneumonia. [nature.com]

  […] before and after the appearance of symptoms, but transmission is possible as long as the virus remains in the saliva or feces. [21] Factors that increase the risk of polio infection or affect the severity of the disease include immune deficiency, [26] malnutrition [readtiger.com]

• Anemia

  He was scheduled to undergo outpatient upper endoscopy and colonoscopy for evaluation of abdominal pain, anemia, and weight loss. Due to his comorbidities, the patient was classified as ASA 4. [apicareonline.com]

• Fatigue

  The Polio Paradox: Understanding and Treating "Post-Polio Syndrome" and Chronic Fatigue. New York: Warner Books. pp. 105–06. ISBN 978-0-446-69069-0. ^ Skinner, Winston (15 November 2008). "Four added to Polio Hall of Fame at Warm Springs". [readtiger.com]

• Pallor

  Direct ophthalmoscopy: visualising the optic nerve as it enters the back of the eye can reveal pallor (optic atrophy) or disc swelling (papillitis or papilloedema). [bestpractice.bmj.com]

• Stridor

  Bilateral recurrent laryngeal paralysis produces paralysis of both cords, with a whispering voice, stridor, and even death due to tracheal obstruction by the cords. [ncbi.nlm.nih.gov]

  Vocal cord dysfunction (hoarseness, hypophonia, and short phonation time, nocturnal nonproductive cough, and attacks of inspiratory stridor due to laryngeal spasm, choking, and paroxysmal dyspnea) occurs rarely with amyotrophic lateral sclerosis [ 38 [neupsykey.com]

• Yawning

  By Richard Klasco, M.D Photo Credit Ask Well Photo Credit Why Do We Yawn? Reading about yawning makes people yawn. You are probably yawning right now. By Roni Caryn Rabin Latest Search Latest Articles Search Articles 13843 results for sorted by [nytimes.com]

  Patients usually describe an abrupt, severe pain in the throat or ear that lasts seconds to minutes and is often triggered by chewing, coughing, talking, yawning, swallowing, and eating certain foods (e.g., highly spiced foods). [neupsykey.com]

• Hyposmia

  Disorders can manifest as a total loss of smell (anosmia), partial loss of smell (hyposmia), distortions (dysosmias), or spontaneous olfactory hallucinations (phantosmias). [2] Doty RL. The olfactory system and its disorders. [bestpractice.bmj.com]

• Rhinitis

  Articles in this issue include Otitis Externa; Disease of the Internal Ear; Hearing Loss; Dizziness and Vertigo; Rhinitis; Sinusitis; Epistaxis; Laryngitis; Pharyngitis; Mouth Disease; and Neurological Syndromes pertaining to the Head and Neck. [books.google.com]

• Gagging

  […] the gag reflex quality of speech: nasal guttural the ability to cough Links: aetiology cranial nerve IX cranial nerve palsies [gpnotebook.co.uk]

  Its sensory fibres supply all sensation to the tonsillar fossa and pharynx (the afferent pathway of the gag reflex), and taste to the posterior third of the tongue. [medassignments.com]

  The last thing to mention about these 2 nerves is the Gag reflex. [ole.bris.ac.uk]

  If the stimulus is felt and no gag occurs, only the motor portion of the gag (mediated by the vagus) may be impaired, but this is rare. [neurohonors.wordpress.com]

  Gag reflex The gag reflex involves a brisk and brief elevation of the soft palate and bilateral contraction of pharyngeal muscles evoked by touching the posterior pharyngeal wall. [dartmouth.edu]

• Dysphagia

  Psychogenic Dysphagia Psychogenic causes of dysphagia are rare, but real; however, like reflux-related dysphagia, it is important to rule out physiologic causes prior to focusing solely on the psychogenic. [nature.com]

  Dysphagia and articulation disturbances (a “nasal twang” to the voice) may occur, and during phonation only the upper pharynx is elevated. [neupsykey.com]

  Patients will need admission if dysphagia is present or symptoms are rapidly progressive. Treatment wil be directed to the underlying cause. Postural changes can help with drooling of saliva and may prevent aspiration. [dailyrounds.org]

  Rachana Gandhi, Ramon Lugo First published April 8, 2015, Abstract BACKGROUND: Eagle's Syndrome is caused by elongated styloid process or ossification of the derivations of the second brachial arch, resulting in cervical, facial, and pharyngeal pain and dysphagia [neurology.org]

• Constipation

  Rarely, the infection produces minor symptoms; these may include upper respiratory tract infection ( sore throat and fever), gastrointestinal disturbances (nausea, vomiting, abdominal pain, constipation or, rarely, diarrhea), and influenza-like illness [readtiger.com]

• Dysgeusia

  Post-tonsillectomy dysgeusia with weight loss: possible involvement of soft palate. J Laryngol Otol 2008 ; 122 : e5 3 Ohtsuka, K, Tomita, H, Murakami, G. [cambridge.org]

  He denied otalgia, dysgeusia or dysacusis. CT of the neck with contrast showed a calcified left stylohyoid ligament. [neurology.org]

• Tachycardia

  Damage to the vagus nerve often results in high heart rate (tachycardia) and high blood pressure. A condition of the vagus nerve is rated under one of the following codes with the corresponding ratings. Code 8210 : Paralysis of the vagus nerve. [militarydisabilitymadeeasy.com]

  […] lesions include dysphagia, dysarthria, hoarse voice, chocking during ingestion of fluids, taste disturbances (posterior third of tongue), sensory disturbances (posterior third of the tongue, soft palate, throat, external auditory meatus), palpitations, tachycardia [ruralneuropractice.com]

• Lagophthalmos

  Voluntary facial movements, such as wrinkling the brow, showing teeth, frowning, closing the eyes tightly (inability to do so is called lagophthalmos), pursing the lips, and puffing out the cheeks, all test the facial nerve. [courses.lumenlearning.com]

• Muscle Weakness

  They include Numbness Pain Burning or tingling Muscle weakness Sensitivity to touch Treatment aims to treat any underlying problem, reduce pain and control symptoms. [icdlist.com]

  Palsy 1. disease or dysfunction of PNS, typically causing numbness or weakness. 2. paralysis, especially that which is accompanied by involuntary tremors. [quizlet.com]

  [1] [3] The weakness most often involves the legs but may less commonly involve the muscles of the head, neck and diaphragm. [1] Many people fully recover. [1] In those with muscle weakness about 2 to 5 percent of children and 15 to 30 percent of adults [readtiger.com]

  BSMA is caused by a CAG-triplet repeat expansion in the androgen-receptor gene. [30] Clinically, BSMA is characterized by slowly progressive weakness and wasting of all muscles with a predominance of the limb muscles, impairment of speech and swallowing [ruralneuropractice.com]

• Osteoporosis

  The result is that one leg is shorter than the other and the person limps and leans to one side, in turn leading to deformities of the spine (such as scoliosis ). [73] Osteoporosis and increased likelihood of bone fractures may occur. [readtiger.com]

• Myalgia

  It starts with fever, myalgia, and nonspecific gastrointestinal symptoms. 4-20 days after the infection patients develop meningitis with headache and stiff neck followed by weakness of limb muscles. [81] In 20% of the cases, poliomyelitis is associated [ruralneuropractice.com]

• Dysarthria

  Signs of a pseudobulbar palsy are a stiff, slow, spastic tongue (which is not wasted) and dysarthria with a ‘gravelly’ spastic voice that is slow and sounds ‘dry’. The gag reflex and palatal reflex are preserved. The jaw jerk is exaggerated. [medassignments.com]

  Bell's = Minor Dysarthria due to facial mm paralysis. No Dysphagia. [quizlet.com]

  However, bilateral corticobulbar lesions (pseudo-bulbar palsy) result in severe dysphagia [ 16 ] along with other pseudo-bulbar signs (e.g., pathologic laughter and crying, spastic tongue, explosive spastic dysarthria). [neupsykey.com]

  Bilateral supranuclear denervation leads to dysphagia and dysarthria. This occurs in a condition known as pseudobulbar palsy. [ncbi.nlm.nih.gov]

  Questions Define the following terms: dysarthria, dysphonia, dysphagia. [dartmouth.edu]

• Tremor

  He is current or past member of numerous scientific and medical advisory boards of national foundations including the Worldwide Education and Awareness for Movement Disorders (WE MOVE), Dystonia Medical Research Foundation, International Tremor Foundation [books.google.com]

  Palsy 1. disease or dysfunction of PNS, typically causing numbness or weakness. 2. paralysis, especially that which is accompanied by involuntary tremors. [quizlet.com]

  Protrusion frequently causes a fine tremor in the normal tongue, which can obscure or mimic fasciculations. Simply having the patient protrude their tongue in the midline tests strength of the tongue. [dartmouth.edu]

  These symptoms could include mental illness (hallucinations and the like), trouble speaking, hearing, seeing, the inability to properly move the body, tremors, and more. [militarydisabilitymadeeasy.com]

  In addition to motor neuropathy, there is also sensory neuropathy, and postural and intention tremor. Nonneurological manifestations include gynecomastia, loss of masculinisation, and erectile dysfunction. Motor manifestations may be asymmetric. [ruralneuropractice.com]

• Paresis

  By February 16, the paresis of the left vocal cord, hoarseness, and swallowing disturbance had disappeared completely. [ajnr.org]

  Damage to this nerve may cause paralysis or paresis of the vocal folds. The clinician may also ask the patient to say “ka, ka, ka” to check for any nasal emission. [neurohonors.wordpress.com]

  Ipsilateral trapezius and sternocleidomastoid paresis and atrophy (cranial nerve XI) 2. [neupsykey.com]

  A new mutation in the GJB1 gene of a Chinese family with Charcot-Marie-Tooth disease associated with vocal cord paresis. Zhonghua Yi Xue Yi Chuan Xue Za Zhi 2010;27:497-500. 38. Hahn JS, Henry M, Hudgins L, Madan A. [ruralneuropractice.com]

  […] enhancing athletic development of previously little-used muscles, and using ligaments for stability, which enables greater mobility. [72] Complications Residual complications of paralytic polio often occur following the initial recovery process. [15] Muscle paresis [readtiger.com]

• Cranial Nerve Involvement

  In other disorders, involvement is largely restricted to one or several cranial nerves; these distinctive disorders are reviewed in this chapter. [accessmedicine.mhmedical.com]

  A case of unilateral VIIth, IXth and Xth cranial nerve involvement with herpes zoster [in Japanese]. Rinsho Shinkeigaku 1990 ; 30 : 413 –15 Kobayashi Y, Riku S, Ieda T, et al. [ajnr.org]

  Rarely, neurinoma may arise from other cranial nerves. Other cranial nerves involved, in order of frequency, are 5th nerve, 7th nerve and 12th nerve. [neurologyindia.com]

  More rarely, cranial nerves are involved in hereditary neuropathy. [ruralneuropractice.com]

• Paresthesia

  Affection of the LCN may go along with pain, such as neuralgias, dysesthesias, paresthesias, muscle pain, or pain with swallowing. [ruralneuropractice.com]

  Early symptoms of paralytic polio include high fever, headache, stiffness in the back and neck, asymmetrical weakness of various muscles, sensitivity to touch, difficulty swallowing, muscle pain, loss of superficial and deep reflexes, paresthesia (pins [readtiger.com]

In patients with signs of systemic disease and vitamin deficiency, the workup includes serum B12 and folate level, upper GI series, ANA, and Trichinella antibody titer. [checkorphan.org]

Get clear, concise descriptions and evidence-based treatment guidelines for a full range of clinical conditions, ranging from the common to the unusual. [books.google.com]

Diagnosis - Glossopharyngeal neuralgia Most lesions will respond to conservative treatment and time. [checkorphan.org]

Treatment wil be directed to the underlying cause. Postural changes can help with drooling of saliva and may prevent aspiration. [dailyrounds.org]

Prognosis - Glossopharyngeal neuralgia Prognosis of Glossopharyngeal neuralgia: treatment cures the condition.The 'prognosis' of Glossopharyngeal neuralgia usually refers to the likely outcome of Glossopharyngeal neuralgia. [checkorphan.org]

[…] of prolongation of contrast enhancement has previously been documented in cases of Ramsay Hunt syndrome and Bell palsy. 7 The authors of that article suggested that no relationship could be established between the intensity of the enhancement and the prognosis [ajnr.org]

[…] sometimes mistaken for mandibular division trigeminal tic douloureux Tx Glossopharyngeal Neuralgia: Conservative: - Controlling pain - Massage - Nutrition - Anti-seizure medications (carbamazepine, gabapentin) Invasive/Surgery - Decompression CN IX Prognosis [quizlet.com]

[…] 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 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]

Mandibular = foremen ovale Etiology Trigeminal Neuralgia: • Est 5/100,000 • >50 years • F = M • Aneurysm • Tumor • Arachnoid cyst in cerebellopontine angle • Multiple sclerosis incr risk k* (greater risk in Men w/ MS) • Traumatic (MVA or tongue piercing [quizlet.com]

I have seen one case recently 0 Reply (L) Glossopharyngeal nerve palsy .viral etiology? 0 Reply seems like 9th and 10th nerve involvement. [dailyrounds.org]

The role of psychological factors in the etiology of swallowing disorders remains controversial. [nature.com]

Multiple sclerosis is an extremely rare etiology for this syndrome [ 27 ] (unlike its relatively common association with trigeminal neuralgia). [neupsykey.com]

"Epidemiology of the post-polio syndrome". American Journal of Epidemiology. 136 (7): 769–86. doi : 10.1093/aje/136.7.769. PMID 1442743. ^ Lin K, Lim Y (2005). "Post-poliomyelitis syndrome: case report and review of the literature" (PDF). [readtiger.com]

"Post-polio syndrome: pathophysiology and clinical management". Critical Review in Physical Medicine and Rehabilitation. 7 : 147–88. Archived from the original on 30 June 2016. Retrieved 30 June 2016. [readtiger.com]

Pathophysiology, diagnostics and therapy of chronic cough: Neuronal reflexes and antitussiva. Pneumologie 2013;67:327-34. 5. Samandari F, Resßig D. Functional anatomy of cranial nerves and the vegetative nervous system. [ruralneuropractice.com]

Manual for the Surveillance of Vaccine-Preventable Diseases (5th Edition, 2012). Centers for Disease Control and Prevention. Archived from the original on 28 January 2014. [readtiger.com]

Symptoms - Glossopharyngeal neuralgia Causes - Glossopharyngeal neuralgia Prevention - Glossopharyngeal neuralgia Not supplied. Diagnosis - Glossopharyngeal neuralgia Most lesions will respond to conservative treatment and time. [checkorphan.org]

Postural changes can help with drooling of saliva and may prevent aspiration. [dailyrounds.org]

The aim of the process is to expose the ninth cranial nerve at the point where it connects to the brainstem and redirect the blood vessel to prevent it from compressing the nerve. [medic8.com]

A three-tiered process leads to a safe swallow and prevention of aspiration. [nature.com]