Presentation
Comprehensive coverage of the subject area makes the book suitable for all aspects of the curriculum Almost 300 tables and illustrations present clinical, diagnostic and practical information in an easy-to-follow manner Contains ‘Key Facts’ boxes to act [books.google.com]
Two months after onset, his subjective paresthesia was no longer present. [jnnp.bmj.com]
These tumors are clinically silent and present when they produce symptoms because of mass effect. Nonsecreting pituitary macroadenomas can present with a diverse array of symptoms that can be predicted based on the direction of growth. [healio.com]
The examination of the corneal reflex is useful in unconscious patients and if present indicates that the lower brain stem is functioning. [teachneuro.blogspot.com]
Punctate epithelial keratitis may present as early as one or two days after the initial skin rash, while dendrites often present at four to six days but can appear many weeks later. 11 Herpes zoster virus dendrites appear as elevated plaques and consist [aafp.org]
Entire Body System
- Unconsciousness
The fifth cranial nerve is routinely tested in the unconscious ICU patient as the sensory component of the corneal reflex.In the conscious patient, one may also test sensation in the major territories (forehead, cheek, chin) as well as the power of the [derangedphysiology.com]
Optic nerve decompression is not recommended in unconscious patients. [thamburaj.com]
The examination of the corneal reflex is useful in unconscious patients and if present indicates that the lower brain stem is functioning. [teachneuro.blogspot.com]
The reticular formation is responsible for the automatic (unconscious) orientation of the body to painful stimuli. [en.wikipedia.org]
Much of this information is processed at an unconscious level (mainly by the cerebellum and the vestibular nuclei). Obviously, however, some of this information is available at a conscious level. [psychology.wikia.com]
- Fever
Symptoms of temporal arteritis include fever, excessive perspiration, feeling ill, intermittent jaw pain, achy muscles, headaches on the side or back of the head, a sensitive scalp, reduced, blurred or double vision. [eye.uci.edu]
Fatigue, headache, low-grade fever and myalgia may be present [2,5,6]. The eruptive phase is characterized by erythematous macules and papules diverting into vesicular rash with unilateral dermatomal distribution. [ispub.com]
She returns to the hospital 3 days later with a high fever and chest pain. A physician orders a CT scan, which revealed spread of infection into the superior mediastinum. [quizlet.com]
Unusual neurologic manifestations occurring during dengue fever infection. Am J Trop Med Hyg 1993; 48 : 793–802. 18 Davis RE, Telischi FF. Traumatic facial nerve injuries: review of diagnosis and treatment. [nature.com]
[…] the onset, duration, and severity of symptoms, as well as whether symptoms are present at rest or only upon voluntary movement. [2] [4] Given the myriad causes of facial nerve palsy, it is also important to document any associated symptoms (such as fever [eyewiki.aao.org]
- Malaise
Extraocular Manifestations of Herpes Zoster Ophthalmicus The prodromal phase of herpes zoster ophthalmicus includes an influenza-like illness with fatigue, malaise, and low-grade fever that lasts up to one week before the rash over the forehead appears [aafp.org]
- Collapse
Collapse all Expand all Contexte La neuropathie optique traumatique (NOT) est une cause importante de grave perte de la vision à la suite d'un traumatisme crânien contondant ou pénétrant. [cochranelibrary.com]
Respiratoric
- Hoarseness
Lesion: Trouble swallowing and hoarse speech uvula deviation away from side of lesion Cranial Nerve 11 (CN XI): Accessory Major Function: Somatic motor to sternocleidomastoid and trapezius muscles Lesion: Muscle weakness and trouble turning the head and [content.byui.edu]
Neurologic signs Neurologic signs may be present depending on the site of lesion Brainstem (bulbar) signs : ataxia, diplopia, nystagmus, lateralized weakness or numbness, hoarseness and dysphagia. [eyewiki.org]
A 60-year-old female yodeler with a 43-year history of smoking complains of pain during swallowing and hoarseness in her voice. [quizlet.com]
[…] tract Contralateral deficits in pain and temperature sensation from body Spinal trigeminal nucleus Ipsilateral loss of touch pain and temperature sensation from face Nucleus ambiguus (which affects vagus X and glossopharyngeal nerves IX) Dysphagia, hoarseness [emedicine.medscape.com]
- Anosmia
Injury of this nerve can lead to 'anosmia', or loss of smell. The olfactory organ in dogs is extremely well developed and species such as canines use olfaction to orientate themselves in an environment in a way that humans do not. [en.wikivet.net]
Gastrointestinal
- Gagging
Afferent vagus nerve fibers that innervate the pharynx and back of the throat are responsible for the gag reflex. [courses.lumenlearning.com]
On clinical examination any changes related to gag reflexes, blood pressure or heart rate, changes in 'voice' or inspiratory dyspnoea may indicate a problem with the vagus nerve. [en.wikivet.net]
[…] deficits in pain and temperature sensation from body Spinal trigeminal nucleus Ipsilateral loss of touch pain and temperature sensation from face Nucleus ambiguus (which affects vagus X and glossopharyngeal nerves IX) Dysphagia, hoarseness, diminished gag [emedicine.medscape.com]
Jaw & Teeth
- Dysgeusia
Lingual neuropathy may result in hemilingual sensory loss, pain, dysesthesia, paresthesia, and dysgeusia [ 38 ]. [neupsykey.com]
Eyes
- Lacrimation
[…] of V2 and then join the lacrimal branch of V1. [teachmeanatomy.info]
The lacrimal nerve passes through the orbit superiorly to innervate the lacrimal gland. [en.wikipedia.org]
Lacrimal nerve The lacrimal nerve arises in the narrow, lateral part of the superior orbital fissure and courses between the lateral rectus and the periorbita. It supplies the lacrimal gland, conjunctiva, and upper lid. [emedicine.medscape.com]
(Lacrimal Apparatus Diseases) Arcus Senilis Arcus, Corneal (Arcus Senilis) Asthenopia Astigmatism Astrocytoma, Malignant, Optic Nerve (Optic Nerve Glioma) Atrophies, Gyrate (Gyrate Atrophy) Atrophies, Hereditary Optic (Optic Atrophies, Hereditary) Atrophy [provisu.ch]
They are; 1.Lacrimal nerve 2.Frontal nerve 3.Nasocilliary nerve1. Lacrimal nerve: It is the smallest. It supplies the lacrimal gland & the conjuntiva. [slideshare.net]
- Blepharoptosis
Blepharoptosis : Once life-threatening conditions have been ruled out and the patient is stable, visually symptomatic ptosis can be managed surgically. The surgical approach varies on surgeon preference. [eyewiki.org]
These procedures, however, should be confined to patients with no signs of corneal exposure, and we advise conservative skin excision as brow and blepharoptosis contribute to corneal protection. [nature.com]
- Unilateral Ptosis
A few key points once more: The oculomotor palsy is characterized by unilateral ptosis and an eye that is down and out. Pupil dilation suggests compression, possibly by berry aneurysm. [eyes.gp-surgery.com]
Neurologic
- Cranial Nerve Involvement
Ramsay Hunt syndrome is also frequently associated with VIII cranial nerve and more scare with V, VI, IX, and X cranial nerves involvement [12]. [ispub.com]
nerves Optic neuritis Swollen, edematous optic nerve head Independent/varied* Oculomotor palsies Extraocular motion abnormalities Independent/varied* TABLE 1 Ocular and Cranial Nerve Involvement in Herpes Zoster Ophthalmicus Structure involved Signs [aafp.org]
Preganglionic trigeminal nerve involvement is suggested by the involvement of the neighboring cranial nerves (especially cranial nerves VI, VII, and VIII). [neupsykey.com]
- Peripheral Neuropathy
This type of damage may occur along with diabetic peripheral neuropathy. Cranial mononeuropathy III is the most common cranial nerve disorder in people with diabetes. It is due to damage to the small blood vessels that feed the nerve. [medlineplus.gov]
Sprains Concussions Fractures Prosthetics Paralysis of Peripherical Nerves Post-Traumatic Elbow Soft Tissue Injury Sprains Dislocations Fractures Epicondylitis Prosthetics Secondary Lesions of Peripheral Nerves Post-Traumatic Arms Injuries Tendon Lesions [sfintiiarhangheli.clinic]
Peripheral neuropathy. 2nd ed. Philadelphia: W.B. Saunders, 1984;1224–65. [ncbi.nlm.nih.gov]
- Agitation
Usually it is associated with restlessness and agitation. The pupillary reflexes are normal. Thus the condition is easily distinguished from optic nerve and chiasmal injuries. An EEG shows bilateral occipital slow waves. [thamburaj.com]
- Stupor
Cranial nerve function can be clinically evaluated even in a stuporous or comatose patient : this helps assess functioning of the brain stem as well. functioning. [thamburaj.com]
- Sciatica
Chondrocalcinosis Osteo-Articular Diseases of The Spine Cervical/Kyphosis, Scoliosis, Spondylosis Herniated Disc Lower Back Pain, Cervicalgia Static Disorders of The Vertebral Column Spondylosis Kyphosis Scoliosis Lumbar Hyper Lordosis Lumbar Radiculopathy (Sciatica [sfintiiarhangheli.clinic]
Workup
Further workup of facial nerve palsy is dictated by clinical suspicion of the underlying cause of facial weakness. [eyewiki.aao.org]
Treatment
Treatment for these cancers is best done by a multidisciplinary treatment team. Specialized therapy may be needed if there is memory loss. Members of the treatment team can include neurosurgeons and radiation oncologists. [healthline.com]
Treatments for occipital neuralgia and trigeminal neuralgia Many treatments focus on pain management, although there are surgical treatments that can possibly provide more lasting relief. [paindoctor.com]
Treatment The primary initial treatment of trigeminal neuralgia is usually pharmacological. In some patients, the pain is mild and can subside without any treatment, but in most patients with bothersome pain medical management is recommended. [ansdocs.com]
Treatment for diplopia depends on the underlying cause. [eye.uci.edu]
Treatments For Optic Neuritis Treatment of optic neuritis has changed in recent years, due to a landmark series of studies known as the Optic Neuritis Treatment Trials (ONTT). [allaboutvision.com]
Prognosis
Prognosis of secondary facial facials depends on the success and management of the primary disease process. [eyewiki.aao.org]
Prognosis is good. Many people get better over 3 to 6 months. However, some people have permanent eye muscle weakness. [medlineplus.gov]
If recovery does not begin within a few days the prognosis is grave. [thamburaj.com]
It is therefore plausible that visual prognosis could be improved by limiting these secondary mechanisms and preserving RGCs that survived the initial insult. [cochranelibrary.com]
* Prognosis For Those Who Have Optic Neuritis Visual deficits caused by optic neuritis may worsen over a period of about seven days before vision typically stabilizes at that level for three to eight weeks. [allaboutvision.com]
Etiology
Etiology The etiology of Horner’s syndrome varies with the patient age and site of lesion. The etiology remains unknown in 35-40% of cases. [eyewiki.org]
Typically, the combination of sensory and motor symptoms correlate to intra-cranial CN 7 pathology, while isolated motor symptoms are associated with extra-cranial CN 7 lesions. [1] Etiology There are numerous possible etiologies of facial nerve palsy [eyewiki.aao.org]
Etiology Bell's Palsy Encompassing around 51% of cases of facial nerve palsy, Bell's palsy is a unilateral, acute onset ( Infection Severe bacterial infections including otitis media, otitis externa and mastoiditis can cause facial nerve palsy due to [webeye.ophth.uiowa.edu]
The etiology is unknown. For years there was disagreement about whether the pain originated centrally or peripherally. [ncbi.nlm.nih.gov]
However, up to 10% of patients will not respond to these drugs and will still qualify as candidates for MVD surgery if no other underlying etiology is found. [neurosurgicalatlas.com]
Epidemiology
Epidemiology of typical and atypical craniofacial neuralgias. Neurological Sciences. 2005 May 1;26(2):s65-7. ↑ Rushton JG, Olafson RA. Trigeminal neuralgia associated with multiple sclerosis: report of 35 cases. [physio-pedia.com]
Some groups, as detailed in the epidemiology section of this review, are clearly at a higher risk and should be targeted. [cochranelibrary.com]
ICD-9 337.9 Epidemiology In a population based study of Horner’s syndrome in the pediatric age group, the incidence of Horner’s syndrome was estimated to be 1.42 per 100 000 patients younger than 19 years, with a birth prevalence of 1 in 6250 for those [eyewiki.org]
Epidemiology and Risk Factors The overall prevalence of facial nerve palsy has been estimated at 2-3 cases per 10 000 people in the general population. [5] Facial nerve palsy affects individuals regardless of sex, age, or race. [eyewiki.aao.org]
The epidemiology and treatment of Bell's palsy in the UK. Eur J Neurol 2002; 9 : 63–67. 6 Morris AM, Deeks SL, Hill MD, Midroni G, Goldstein WC, Mazzulli T et al. [nature.com]
Pathophysiology
Get a quick and memorable overview of anatomy, pathophysiology, and clinical presentation from the precision and beauty of Netter and Netter-style plates that highlight key neuroanatomical and neurologic concepts. [books.google.com]
Devor, M.: Pathophysiology of damaged peripheral nerves. In Wall PD, Melzack, R. (eds): Textbook of Pain, ed 2. London, Churchill Livingstone, 63-66, 1989. 30. [oralhealthgroup.com]
Pathophysiology The pathophysiology of indirect TON is likely to be multifactorial and the concept of primary and secondary injury has been proposed (Steinsapir 1994). [cochranelibrary.com]
Hemifacial spasm, in: Samii M, Jannetta PJ (eds): The Cranial Nerves: Anatomy, Pathology, Pathophysiology, Diagnosis, Treatment. Berlin: Sprinter-Verlag; 1981. Matsushima T, Inoue T, Fukui M. [neurosurgicalatlas.com]
Pathophysiology Horner's syndrome results from a lesion to the sympathetic pathways that supply the head and neck, including the oculosympathetic fibers. Relevant anatomy The pupil is innervated by sympathetic and parasympathetic fibers. [eyewiki.org]
Prevention
ACL Prevention Prevention of the Poor Static Plantar Flexion Tennis Elbow Prevention Torn Muscle Prevention Muscular Assessment Joint Assessment Biomechanical Improvement Improving the Locomotor Task Performance According to the modern principles of [sfintiiarhangheli.clinic]
Advisory Committee on Immunization Practices (ACIP) Centers for Disease Control and Prevention (CDC). Prevention of herpes zoster: recommendations of the Advisory Committee on Immunization Practices (ACIP). [jcda.ca]
I avoid excessive Teflon implantation to prevent Teflon granuloma formation, which may play a role in pain recurrence. [neurosurgicalatlas.com]
Primary prevention Prevention strategies depend on the etiology of Horner’s syndrome. These may include prevention of trauma (especially head trauma), control of cardiovascular risk factors and smoking cessation. [eyewiki.org]
Using preservative-free lubricating drops and ointment can prevent the development of epithelial defects. [aafp.org]