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Glossopharyngeal Palsy


Presentation

  • MRI to confirm diagnosis. d/d diptheria demyelination (ms) brain tumor and MND unlikely as there is acute presentation. 0 Reply[dailyrounds.org]
  • Presents new contributors for 14 chapters to provide you with authoritative coverage and the dynamic perspectives of leaders in the field.[books.google.com]
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  • Jankovic is the recipient of many other honors including the American Academy of Neurology (AAN) Movement Disorders Research Award, sponsored by the Parkinson’s Disease Foundation, the Guthrie Family Humanitarian Award, presented by the Huntington’s Disease[books.google.com]
  • Case report: A 31-year-old woman who underwent routine tonsillectomy presented with progressive numbness of the palate, dysgeusia, xerostomia, paraesthesia of the tongue and the feeling of something in her throat within 2 weeks of surgery.[cambridge.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]
Gagging
  • […] the gag reflex quality of speech: nasal guttural the ability to cough Links: aetiology cranial nerve IX cranial nerve palsies[gpnotebook.co.uk]
  • O/E : vitals stable, airway patent ent examination: uvula deviated to right with ABSENCE OF GAG REFLEX . D/D: ?????. 56 thanks, 14 comments 30 Sep 2017 Thank Share Post Verified response 1.[dailyrounds.org]
  • 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]
  • 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]
Deglutition Disorder
  • Disorders , Drug Therapy, Combination , Fasting , Laryngeal Edema , Injections, Intravenous , Herpes Zoster , Laryngoscopy , Infusions, Intravenous , Prednisolone , Glossopharyngeal Nerve Diseases , Cortisol Succinate , Mecobalamin pp.595-598 発行日 2016[webview.isho.jp]
Trismus
  • Long-term sequelae of radiotherapy can include loss of energy, pain, xerostomia, impaired taste, impaired smell, trismus, tooth decay, tissue stiffness, edema, and impairments in speech, voice, and swallowing.[nature.com]
Short Arm
  • Analysis of 1 1 kindreds and linkage to the short arm of chromosome 2. J Clin Invest 1996:97: 699-705. ‏[books.google.com]
Facial Swelling
  • swelling, bilateral facial palsy, and bulbar palsy with dysphagia or aspiration. [90] There may also be weakness of the neck, the upper limbs, the hips, or the facial muscles.[ruralneuropractice.com]
Cranial Nerve Involvement
  • They often develop in the context of a widespread neurologic disturbance, and in such situations, cranial nerve involvement may represent the initial manifestation of the illness.[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]
  • Other cranial nerves involved, in order of frequency, are 5th nerve, 7th nerve and 12th nerve.[neurologyindia.com]
  • Lower cranial nerve involvement as the initial manifestation of Lyme borreliosis. Neurologia 1999;14:36-7. 86. Hirabayashi K, Morikawa N, Mori H, Miyake T, Suda K, Kondo T, et al.[ruralneuropractice.com]
Altered Mental Status
  • He was admitted to the hospital with altered mental status and respiratory distress. While hospitalized, he developed GI bleeding and was brought to the endoscopy suite to undergo an EGD to evaluate its origin.[apicareonline.com]

Workup

  • 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]
Pericardial Effusion
  • Effusion & Cardiac Activity.[books.google.com]
  • effusion, HTN, DM 4 EGD/ Colonoscopy 20 min Abdominal pain/weight loss Propofol 10 mg (EGD) Propofol 50 mg (colonoscopy) 63 M 68 Cirrhosis, varices, gastric ulcer, DM 4E EGD 14 min GI bleeding Propofol 20 mg 82 F 45 Cachectic, atrial fibrillation, HTN[apicareonline.com]

Treatment

  • 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]
  • Treatment wil be directed to the underlying cause. Postural changes can help with drooling of saliva and may prevent aspiration.[dailyrounds.org]
  • High-quality photographs, procedural videos, and 19 brand-new chapters combine to offer the detailed guidance you need to implement safe, effective treatments and achieve the best possible outcomes in Pain Medicine.[books.google.com]
  • Diagnosis - Glossopharyngeal neuralgia Most lesions will respond to conservative treatment and time.[checkorphan.org]

Prognosis

  • 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]
  • […] 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]
  • […] 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]
  • […] 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]
  • Causes and prognosis in 4,278 cases of paralysis of the oculomotor, trochlear, and abducens cranial nerves. Am J Ophthalmol. 1992;113:489-496. The abducens nerve innervates the lateral rectus muscle and controls abduction.[bestpractice.bmj.com]

Etiology

  • 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) What[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]
  • 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]
  • 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

  • "The epidemiology of poliomyelitis: enigmas surrounding its appearance, epidemicity, and disappearance". American Journal of Epidemiology . 110 (6): 672–92. doi : 10.1093/oxfordjournals.aje.a112848 . PMID 400274 . Karp, Dr. (18 March 2005).[readtiger.com]
Sex distribution
Age distribution

Pathophysiology

  • "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]

Prevention

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

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