Document Detail

Eye twist and tongue twist: a rare neurological syndrome.
MedLine Citation:
PMID:  22689848     Owner:  NLM     Status:  In-Data-Review    
A 27-year-old man presented with diplopia without features of raised intracranial pressure. He had left sixth cranial nerve (CN) palsy. Initial investigations in the form of blood tests, cerebrospinal fluid (CSF) opening pressure including CSF analysis and CT head were normal. He represented with paraparesis after 3 weeks. Examination revealed sixth CN palsy (eye twist) and new left-sided twelfth CN palsy (tongue twist), and hence Godtfredsen syndrome was diagnosed. MRI showed vertebral and clivus metastases. He showed partial response to high dose steroid. The statement 'sixth CN palsy may be a false localising sign' in neurology, should be followed by ' can also be a true initial sign of clivus mass.'
Lekhjung Thapa; Raju Paudel; Pramod Chhetri; Pvs Rana
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Publication Detail:
Type:  Journal Article     Date:  2011-07-28
Journal Detail:
Title:  BMJ case reports     Volume:  2011     ISSN:  1757-790X     ISO Abbreviation:  BMJ Case Rep     Publication Date:  2011  
Date Detail:
Created Date:  2012-06-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101526291     Medline TA:  BMJ Case Rep     Country:  England    
Other Details:
Languages:  eng     Pagination:  -     Citation Subset:  IM    
Department of Neurology, College of Medical Sciences-Teaching Hospital, Bharatpur, Nepal.
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