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Results 501 - 550 of 720
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Kallio P K - - 1993
33 patients with injuries to the radial nerve were reviewed, on average, 12.1 (5-20) years after secondary repair. 24 were male and nine female, with a mean age of 29.8 (7-54) years. Most of the nerve lesions were blunt (17) or sharp (14) injuries. Division was total in 24 cases ...
Hirakawa E - - 1993
A case of lipofibromatous hamartoma in the foot is described. This tumor-like lesion commonly occurs in the hands, wrists and forearms of young persons. The median nerve is affected in the great majority of cases. Only very rarely, however, is it found in the nerves of the foot. It is ...
Newsom-Davis J - - 1993
Neuromyotonia is a syndrome of spontaneously occurring muscle activity of peripheral nerve origin, which can be triggered by voluntary or induced muscle contraction. It is one among several causes of visible myokymia. Although neuromyotonia may sometimes accompany hereditary neuropathies, most cases are acquired. The abnormal activity is characterized electromyographically by ...
Malandrini A - - 1993
The early onset sensory motor hereditary neuropathy (HSMN) can be divided into two forms: the early onset type (HSMN type III or Dejerine-Sottas) and the congenital hypomyelinating neuropathy (CHN). In both cases, abnormalities of myelination are present in peripheral nerves. Symptoms include hypotonia, weakness, hypotrophy, and areflexia. Skeletal changes may ...
Issa M M - - 1993
A solitary intrascrotal neurofibroma in a seventy-seven-year-old man is reported. This benign tumor of the nerve sheath arises from the Schwann cell and is rare in the external genitalia, especially in the absence of clinical and histopathologic stigmas of von Recklinghausen neurofibromatosis. The literature on intrascrotal neurofibromas is reviewed.
Brennan R J - - 1993
Bilateral hypoglossal nerve palsies following head injury are very rare, with only two cases previously being reported. We present the case of an 11-year-old boy who developed this disorder after being struck by a car, and discuss the mechanism of injury, which is most likely traction on the hypoglossal nerve.
Scott P R - - 1993
In a field study of listerial meningo-encephalitis involving 21 sheep from six silage-fed flocks, the neurological signs included profound depression, circling, involvement of the trigeminal and facial cranial nerves and lateral recumbency with propulsive limb movements. Within the six flocks the incidence of listerial meningo-encephalitis did not exceed 1% of ...
Krauss J K - - 1993
The unusual case of a ventral brain stem schwannoma located at the entry zone of the hypoglossal nerve in a 49-year-old woman is reported. The diagnosis of a schwannoma was confirmed histologically after partial tumor resection via the dorsolateral, suboccipital, transcondylar approach. Hypotheses for the pathogenesis of intramedullary schwannomas are ...
Biundo J J JJ - - 1993
A growing interest in nonarticular rheumatic conditions has been shown recently by the large number of articles published on the subject. In this review, three nerve entrapment syndromes and problems of four tendons of the ankle region are covered. Suprascapular neuropathy is underrecognized and, in many cases, may be treated ...
Vital A - - 1993
In four patients with Waldenström's macroglobulinemia and peripheral neuropathy, direct immunofluorescence on a peripheral nerve biopsy revealed the presence of IgM deposits in the endoneurium. At ultrastructural examination, these endoneurial deposits were granulo-fibrillar in three cases, and tubular in the fourth, in whom a cryoglobulin was evidenced in the serum. ...
Sonnendecker E W - - 1993
Even in the definitive textbook on vulvar conditions edited by Ridley no description of neuroma of the vulva exists, although neural tumors and neurofibroma are considered. The medical literature covering the past 25 years records only one case of terminal fiber neuroma in an episiotomy scar and one neuroma of ...
Sindou M M Department of Neurosurgery, University of Lyon, Hôpital Neurologique, - - 1993
Report of the results of treatment in 1380 cases with trigeminal neuralgia and 14 cases with glosso-vago-pharyngeal neuralgia. Trigeminal neuralgia was treated by percutaneous thermorhizotomy in 960 cases and by open micro-approach to the cerebellopontine angle in 420 cases. In cases treated by microsurgical vascular decompression, cure rate was 91%, ...
Annino D J DJ - - 1992
Vincristine-sulfate-related vocal cord paralysis has been reported infrequently in the literature. The neurotoxicity of the vinca alkaloids is well-known; however, the potential for cranial nerve involvement is not widely recognized. Given the complexity of the typical patient receiving such a chemotherapeutic agent, the potential for misdiagnosis is high. Many patients ...
Donnelly M J - - 1992
Nerve sheath tumours of the head and neck region mainly involve the eighth cranial nerve with only 4 per cent occurring in the paranasal sinuses. Only 32 cases of benign schwannomas occurring in the paranasal sinuses have been reported. We present a further case, review the current literature, and discuss ...
Malandrini A - - 1992
Two siblings, born from a consanguineous marriage, in which tomaculous neuropathy (TN), diagnosed after nerve biopsy, presented as a chronic sensory-motor neuropathy. The clinical manifestations include also in both patients thyroid multinodular struma and in one case myopathic-like features. We believe that TN must be suspected not only in hereditary ...
Nagata S - - 1992
The authors report eight cases of so-called symptomatic hemifacial spasm. They had gross pathological lesions such as a tumor (one epidermoid, one neurinoma, and two meningiomas), vascular malformation (one medullary venous malformation and two arteriovenous malformations), and aneurysm. In all four cases with a tumor, no artery compressed the facial ...
Main J H - - 1992
This paper reviewed the clinical features of the facial neuralgias, and described the demographic data for 24 cases of atypical facial neuralgia, seven cases of trigeminal neuralgia, two cases of cluster headache and one of glossopharyngeal neuralgia, which were all referred for investigation and treatment over a three-month period to ...
Fressinaud C - - 1992
A 38-year-old man presented with weakness of the lower limbs. Electrophysiology revealed a pronounced demyelinating neuropathy. Nerve biopsy disclosed de- and remyelinating lesions and characteristic lamellar inclusions in Schwann cells and macrophages. There was no familial history of neurologic disorder, and impairment of motor evoked potentials was the only sign ...
Berkowitz A R - - 1992
Two cases of pisiform-hamate coalition with compression of the ulnar nerve at the wrist are reported. Pisiform-hamate coalition is a rare entity previously thought to be exclusive to West Africans and without clinical significance. These cases occurred in white patients. This is the first description of a carpal coalition resulting ...
Hughes R - - 1992
Seven cases of subacute idiopathic demyelinating polyradiculoneuropathy had a monophasic illness characterized by progressive weakness of all four limbs that evolved during 4 to 8 weeks. Neurophysiological investigations implied demyelination in all seven cases. In two patients, sural nerve biopsy specimens that were taken showed macrophage-associated demyelination. All patients made ...
Ohashi N - - 1992
A 53-year-old male patient had been suffering from severe aural symptoms (pulsatile right-sided tinnitus and paroxysmal dizziness attacks with nausea) and right hemifacial spasm. Treatment had involved stellate ganglion block with lignocaine and the injection of intravenous sodium bicarbonate solution for attacks of Menière's syndrome and facial nerve block with ...
Ferrier R - - 1992
Complete return of function has been obtained following neurosurgical repair of a trochlear nerve inadvertently divided during the clipping of a basilar tip aneurysm. To date this is the second case reported in the literature. The technique of repair and the method of recording the return of function is discussed.
Basile Júnior R - - 1992
The authors review eight cases of lumbar intervertebral disk herniation in adolescents aged less than 16 years, with a minimum follow-up treatment of 2 years during an 18-year period. All patients presented lower back and sciatic pain, antalgic scoliosis, and a positive Lasègue sign. Nerve compression signs were present in ...
al-Qattan M M - - 1992
Anatomical variations of the muscles and nerves around the wrist are common. Knowledge of such variations is derived from 2 sources: anatomical dissections and clinically reported cases. We present a case of duplication of the tendon of flexor carpi ulnaris with splitting of the ulnar nerve. The ulnar slip of ...
Hayasaka S - - 1992
Case 1, a 6-year-old boy, had multiple café-au-lait spots, no light perception OS, Lisch nodules OU, pale optic disc OS, enlarged left optic nerve on computed tomographic scan and magnetic resonance imaging, and histopathologically verified pilocytic astrocytoma (glioma). The patient's mother had neurofibromatosis 1 (NF-1). Case 2, a 12-year-old boy, ...
Ghali V S - - 1992
We report a case of a malignant peripheral nerve sheath tumor arising from a retroperitoneal ganglioneuroma in an adult male. There was no known previous history of a childhood neuroblastoma or of radiation therapy. In addition, the patient had no stigmata or family history of von Recklinghausen's neurofibromatosis. This case ...
Goldie B S - - 1991
Reported herein is the case of a 45-year-old man with a Colles' fracture complicated by median nerve transfixion by a bony spike. This seems not to have been reported previously and reinforces the belief that early median nerve exploration should be performed if there is nerve dysfunction associated with a ...
Ogino T - - 1991
In order to clarify the functional prognosis of accessory nerve injury after nerve repair and nonsurgical treatment, 27 of our cases with accessory nerve injury were studied. 20 cases were followed up for more than 8 months. In ten cases treated conservatively, the dull feeling and hypaesthesia did not improve. ...
Dyer P V - - 1991
A case is reported of a 37-year-old man who developed paraesthesia in the distribution of the mandibular division of the trigeminal nerve following an injury to the upper cervical spine during a game of rugby. The central pathways of the trigeminal nerve are discussed and it is proposed that mandibular ...
Kameswaran M - - 1991
We present here a case of cavernous hemangioma of the parotid which presented as an acute emergency with sudden pain, trismus and swelling. The patient subsequently developed a complete lower motor neuron facial palsy a few hours after a fine needle aspiration biopsy was performed. Total parotidectomy with preservation of ...
Lance J W - - 1991
Two unusual cases of vascular headache, one caused by jugular venous compression from a goiter and one triggered by flushing associated with a CGRP-producing renal tumour, are reported. Their histories are compared with those experiencing other headaches of vascular origin. Two patients with a primary neural irritative lesion, one with ...
Schulman E A - - 1991
Arteriographic findings suggestive of inflammation are described in a 26-year-old woman presenting with headache and syncope. There were no clinical findings of angitis, and a diagnosis of status migrainosus was eventually made. We present her case, as well as a review of previous cases of arterial changes in patients with ...
Brantingham J W - - 1991
Morton's "neuroma" is a perineurofibrosis of an interdigital nerve. The authors describe various factors that may be responsible for the development of this lesion and relate this information to two case histories. In these cases, treatment with manipulation, various physical therapy modalities, and/or foot orthotics, resulted in the successful resolution ...
Layton A M - - 1991
Notalgia paraesthetica is a rare entity which involves the posterior primary rami of thoracic nerves T2-T6. Patients present with a localized discomfort or pruritus on the back. The condition runs a benign course and usually resolves spontaneously. However, whilst present the symptoms can be relentless and disturbing to patients. We ...
Moreno Vazquez J M - - 1991
This paper reports a case of left hemidiaphragmatic paralysis in an instructor pilot and his later recuperation. This incident was provoked by a failure in the anti-G suit, which remained inflated after the aircraft completed the maneuver that had originated the inflation. The spontaneous recuperation of both the respiratory functional ...
Butler F K - - 1991
Decompression sickness (DCS) is a systemic disorder caused by an abrupt decrease in the ambient atmospheric pressure to which an individual is exposed. A previously healthy 23-year-old male parachutist developed optic neuropathy after a series of multiple repeated hypobaric exposures; his symptoms improved promptly with recompression and hyperbaric oxygen therapy. ...
Coad J E - - 1991
This report of an 88-year-old woman with familial hemifacial spasm includes the first published postmortem description of hemifacial spasm with cross-compression of the seventh cranial nerve root exit zone by a redundant loop of the anterior inferior cerebellar artery and associated vascular plexus. Histological examination of the seventh and eighth ...
Ivey M - - 1991
Reflex sympathetic dystrophy (RSD) of the anterior chest wall is a rare entity. A MEDLINE search in all languages of the world's literature from 1966 to the present yielded no report of the association of clavicle fracture with this pain syndrome. Two cases are presented and the anatomic variations of ...
Williams M J - - 1991
A case in a young child of blunt trauma to the facial nerve, distal to the stylomastoid foramen, is reported. Although the patient made an uneventful recovery, an understanding of the possible sites of injury of the facial nerve and further investigations available to aid diagnosis is important. This child ...
Usui T - - 1991
We reported ocular findings of 3 patients with adult-form galactosialidosis. Diffuse fine opacities in the deep layer of the corneal stroma, an obscure cherry-red spot of the macula and optic nerve atrophy were noted in all cases. Punctate lenticular opacities were observed in 2 cases. Slowly progressive visual disturbance was ...
Palombo D - - 1991
Ergotamine tartrate and caffeine has been widely prescribed for the prevention and treatment of migraine headaches. Rarely the ergotamine can cause symptoms of peripheral vascular insufficiency, often concerning the lower extremities. A case report of bilateral severe ischemia to the upper limbs, caused by a chronic assumption of ergotamine tartrate ...
MacDermot K D - - 1991
We report a mother and son with 5th, 6th, 7th, and bulbar cranial nerve paralysis, who had two similarly affected relatives. None of them had primary skeletal defects. Twenty-six previous reports of familial cases within the heterogeneous 'Möbius spectrum of defects' were reviewed. When cranial nerve palsies were associated with ...
Parker W - - 1991
The purpose of this paper is to explore the relationships between migraine and the vestibular system in adults. A review of the literature on migraine reveals that paroxysmal vertigo is not uncommonly associated with migraine in various temporal relationships with headache and/or other neurologic symptoms. Vertigo (or nonvertiginous dizziness) may ...
Pigott T J - - 1991
Thirteen cases of idiopathic common peroneal nerve palsy were reviewed and the clinical presentation and course evaluated. Incomplete nerve palsy of unknown aetiology has a good prognosis and all the patients in this group made a full recovery without surgical intervention. Those presenting with a clinically and electrophysiologically complete lesion ...
Katchen M S - - 1990
Isolated hypoglossal (XIIth cranial nerve) neurapraxia is a rare clinical presentation. We present a case of an isolated hypoglossal neurapraxia following exposure to +7.2 Gz in a human centrifuge. Although a variety of cervical spine injuries have been reported as a result of G exposure in an aircraft, no cranial ...
Bell J A - - 1990
Lateral rectus palsy is an uncommon event following contrast myelography. We report such a case, which fortunately proved to be transient, and speculate on its aetiology in terms of the anatomy of the sixth cranial nerve and the possible toxic effects of the contrast agent Iopamidol (Isovue; ER Squibb and ...
Lesser T H - - 1990
The manifestations of Lyme disease as they may present to the ENT surgeon are discussed. The most important ENT symptom is facial palsy. Particularly when combined with other cranial palsies, systemic illness or signs of meningeal irritation, the diagnosis must be considered. Three case reports are used to illustrate the ...
Federico A - - 1990
We report an 8-year-old patient with clinical features suggesting Leigh's syndrome and with a decreased activity of the E1 component of the pyruvate dehydrogenase complex in cultured skin fibroblasts. A nerve biopsy showed the presence of severe peripheral neuropathy, rarely described in the literature. The partial correction of lactic acidosis ...
Watnick R L - - 1989
An 11-year-old boy with a juvenile nasopharyngeal angiofibroma developed optic disc pallor in one eye and optic disc edema in the other eye (Foster Kennedy Syndrome [FKS]). The mechanism was believed to be bilateral, asymmetric optic nerve compression. Review of the 36 previously reported cases of FKS revealed that 12 ...
Bowerman L S - - 1989
Migraine is responsible for a variety of monocular and binocular transient visual field phenomena. These disturbances can mimic symptoms of serious neurologic disease. This paper presents three cases of transient migrainous vision loss and highlights current knowledge regarding migraine. Conditions to be considered in the differential diagnosis of transient field ...
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