Presentation
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]
Presents new contributors for 14 chapters to provide you with authoritative coverage and the dynamic perspectives of leaders in the field. [books.google.com]
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]
A 60-year-old male presented for acoustic neuroma resection. Under general anesthesia, a Crowe–Davis retractor was used to open the mouth, providing access to the posterior pharynx. [scholars.northwestern.edu]
Gastrointestinal
- Gagging
The last thing to mention about these 2 nerves is the Gag reflex. [ole.bris.ac.uk]
[…] 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]
Obvious features would include an absent gag reflex and a uvula deviated away from the lesion (these were demonstrated in Question 21.2 from the first paper of 2014). In the awake patient, a hoarse voice may indicate laryngeal paralysis. [derangedphysiology.com]
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]
- 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]
Neurologic
- 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]
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]
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]
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]
there are a number of medical conditions which cause dry mouth, with diabetes, and Sjorgren’s Syndrome being two of the most common Other treatment: radiotherapy treatment to the head or neck Advice Sip water frequently throughout the day - although [physio-pedia.com]
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]
[…] 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
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]
Multiple sclerosis is an extremely rare etiology for this syndrome [ 27 ] (unlike its relatively common association with trigeminal neuralgia). [neupsykey.com]
Etiologies include multiple sclerosis, hypertensive lacunes, and other causes of bihemispheric disease. Bilateral nuclear involvement of the vagus causes death with pharyngeal and laryngeal paralysis and cardiac arrhythmias. [ncbi.nlm.nih.gov]
Epidemiology
"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]
Pathophysiology
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]
"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]
Prevention
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]