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]
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]
Hematological
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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]
Gastrointestinal
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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]
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]
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Dysphagia
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]
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]
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]
Musculoskeletal
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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]
Face, Head & Neck
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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]
Neurologic
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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]
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Dystonia
AAN) Movement Disorders Research Award, sponsored by the Parkinson’s Disease Foundation, the Guthrie Family Humanitarian Award, presented by the Huntington’s Disease Society of America, the Tourette Syndrome Association Lifetime Achievement Award, the Dystonia [books.google.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]
X-Ray
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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]
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]
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
"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]