Left abducens nerve palsyCranial nervePalsyOculomotor and abducensDisordersBilateralTrochlear nerveCavernous sinusInnervationEndothelialSciatic nerveTraumaPathologiesPeripheralCongenitalMotor nervesMyelin sheathSympatheticFacialDamageMovementsDiseasesInfraorbital nerveSixthDiplopiaClinicalSpinal Cord IOcularLateral rectusIpsilateralNeurologicalBrainstemPathwayFibersArterialDeafnessBrain stemNucleiInflammationDisorder
Left abducens nerve palsy3
- A physical examination revealed isolated left abducens nerve palsy. (hindawi.com)
- He was found to have isolated left abducens nerve palsy. (hindawi.com)
- A 53-year-old male patient with diabetes presented 6 weeks after lumbar disc surgery with persistent headache, a fluctuant swelling at the operated site, and diplopia secondary to left abducens nerve palsy. (symptoma.com)
Cranial nerve9
- Multiple cranial nerve deficits or bilateral abducens nerve palsy associated with ENKL have been reported [ 3 ], but isolated unilateral abducens palsy is rarely reported. (hindawi.com)
- The abducens nerve (cranial nerve VI) is known for its very long travel from the brainstem to the ipsilateral lateral rectus muscle, where it provides an important function by stimulating abduction of the eye [1] [2]. (symptoma.com)
- For the internal strabismus, the defect sometimes is due to any damage to the abducent nerve, the sixth cranial nerve. (brainmadesimple.com)
- The abducent or abducent nerve is the sixth cranial nerve (CN VI). (brainmadesimple.com)
- It also interacts with the third and fourth cranial nerves, oculomotor and trochlear, respectively, as well as with the eighth cranial nerve (vestibulocochlear nerve) to perform conjugate eye movements (discussed later). (brainmadesimple.com)
- The nuclei of the cranial nerves are the collection of cell bodies of axons forming that cranial nerve. (brainmadesimple.com)
- Disruptions in the third cranial nerve, the red nucleus, the corticospinal tracts, the brachium conjunctivum, and the superior cerebellar peduncle decussation are normally associated with BS manifestations [1]. (symptoma.com)
- The oculomotor nerve is the third cranial nerve (CNIII). (physio-pedia.com)
- With unilateral third cranial nerve palsy (ie, oculomotor nerve palsy), the involved eye usually is deviated "down and out" (ie, infraducted and abducted), and there may be partial or complete ptosis. (physio-pedia.com)
Palsy17
- This report is unique in two aspects: the unilateral abducens nerve palsy as the initial and isolated symptom of ENKL, and the primary sphenoidal sinus ENKL. (hindawi.com)
- Abducens nerve palsy is a common clinical finding in neurology practice and the etiology of the palsy is complicated. (hindawi.com)
- The common causes of unilateral abducens nerve palsy are neoplasm and vascular disease in middle-aged people [ 1 ]. (hindawi.com)
- Herein we report a case with unilateral abducens nerve palsy as initial symptom in the primary sphenoidal sinus ENKL and investigated the clinical feature of the diagnosis and therapy. (hindawi.com)
- Abducens nerve palsy may occur due to a myriad of infectious, inflammatory, genetic, or malignant diseases. (symptoma.com)
- In fact, abducens nerve palsy is one of the most frequent nerve palsies encountered in clinical practice, with an established incidence rate of 11.3 per 100 000 individuals [3]. (symptoma.com)
- Certain authors have divided the pathologies that cause abducens nerve palsy according to their anatomical sites (the brain stem, subarachnoid space, the petroclival region, the cavernous sinus , and the orbit), and numerous conditions, both localized and systemic, may cause this condition [1] [2]. (symptoma.com)
- The principal symptom of abducens nerve palsy is the presence of binocular horizontal diplopia , as the eye is not able to perform abduction, resulting in lateral displacement [4] [5]. (symptoma.com)
- For example, contralateral hemiparesis , ipsilateral palsy of the facial, but also trigeminal and vestibulocochlear nerves is seen in conditions affecting the brainstem, such as Raymond's syndrome, Millard-Gubler syndrome and Foville's syndrome [1]. (symptoma.com)
- On the other hand, epistaxis , rhinorrhea , and serous otitis media , typically encountered in nasopharyngeal carcinoma , can also be seen together in abducens nerve palsy [1]. (symptoma.com)
- ie, left eye), complete oculomotor nerve palsy OS, and partial abducens nerve palsy OS. (medscape.com)
- Evidence of incomplete third nerve palsy with or without pupillary sparing may be present. (medscape.com)
- A painful oculomotor nerve palsy is considered a neurosurgical emergency. (surgical-neurology.com)
- Benedict syndrome (BS) is caused by a stroke in the midbrain and usually presents as an ipsilateral oculomotor nerve palsy with contralateral hemi- tremor . (symptoma.com)
- [2] Damage to the oculomotor nerve or any of its branches could lead to oculomotor motor nerve palsy (Third nerve palsy). (physio-pedia.com)
- [8] A complete third nerve palsy presents with ipsilateral mydriasis, bilateral ptosis, contralateral elevation deficit, and ipsilateral adduction and depression deficits. (physio-pedia.com)
- Total oculomotor nerve palsy implies involvement of all muscles innervated by the oculomotor nerve with pupillary involvement. (physio-pedia.com)
Oculomotor and abducens2
- The oculomotor and abducens nerves are most commonly affected. (medscape.com)
- On neurologic examination, she had mild right oculomotor and abducens nerve weakness and marked left upper extremity and moderate left lower extremity upper motor neuron-type paresis. (sciencegate.app)
Disorders6
- Nerve Root Injury and Plexus Disorders (incl. (sharecare.com)
- However, the use and outcome of Facial Nerve monitoring in specific clinical disorders is beyond the scope of this chapter. (evokedpotential.com)
- Optic neuritis is an inflammatory injury of the optic nerve that causes vision loss, which is common in MS and other CNS inflammatory disorders. (medscape.com)
- These disorders affect the intricate relationship between the eyes, optic nerves, and the brain, leading to various visual symptoms and eye-related abnormalities. (rthm.com)
- Some disorders can also affect cranial nerves. (msdmanuals.com)
- Disorders that affect the brain, spinal cord, and nerves are called neurologic disorders. (merckmanuals.com)
Bilateral1
- Von Graefe and Möbius accepted only cases with congenital facial diplegia and bilateral abducens nerve palsies as constituting Möbius syndrome. (medscape.com)
Trochlear nerve4
- All the extraocular muscles are innervated by the oculomotor nerve (CN III) except the superior oblique and lateral rectus muscles, which are innervated by the trochlear nerve (CN IV) and abducent nerve (CN VI), respectively. (brainmadesimple.com)
- The trochlear nerve is a pure motor nerve having no sensory component. (brainmadesimple.com)
- This fasciculus connects the abducent nerve nucleus with the nuclei of the oculomotor nerve (CN III), trochlear nerve (CN IV), and vestibulocochlear nerve (CN VIII). (brainmadesimple.com)
- The cranial nerves that control eye movements (e.g., oculomotor nerve, trochlear nerve, abducens nerve) can be affected by neurological conditions, leading to eye movement abnormalities or double vision. (rthm.com)
Cavernous sinus5
- patients experience unilateral onset of acute orbital pain and ophthalmoparesis, and the disorder may threaten sight if untreated inflammation extends beyond the cavernous sinus to affect the optic nerve. (medscape.com)
- This is noted if the inflammation extends into the orbit to affect the optic nerve, and it is not a factor in disease limited to the cavernous sinus. (medscape.com)
- Conversely, inflammatory involvement of the sympathetic nerves passing through the interior of the cavernous sinus may produce Horner syndrome with miosis. (medscape.com)
- If the oculomotor nerve is affected in concert with the other nerves controlling the globe of the eye- the trochlear and abducens nerves- then the aneurysm is most likely to be located in the skull base (see below under Cavernous Sinus Syndromes. (surgical-neurology.com)
- The oculomotor nerve divides into superior and inferior branches in the anterior part of the cavernous sinus. (physio-pedia.com)
Innervation3
- The sensory and motor innervation to the structures in the head and neck region of the body is exclusively provided by the cranial nerves. (brainmadesimple.com)
- The Vagus nerve is one exception that provides innervation to structures in the head and neck region as well as in the abdomen and chest cavity. (brainmadesimple.com)
- If this results in lateral motion of the lower jaw on the percussed side, then the reflex is positive, indicating damage to the cortical innervation of the motor portion of the Trigeminal Nerve. (legalsoftsolution.com)
Endothelial3
- The advantages of this method were good and free control of the vascular caliber and shape during vascular anastomosis and a diminishment of endothelial damage. (go.jp)
- 3 In the current study, we show that S protein alone can damage vascular endothelial cells (ECs) by downregulating ACE2 and consequently inhibiting mitochondrial function. (cov19longhaulfoundation.org)
- We investigated a dysfunctional phenotype of vascular endothelial cells in the lungs during COVID-19. (cov19longhaulfoundation.org)
Sciatic nerve2
- The pudendal nerve, derived from S2, S3 and S4, leaves the pelvis m edial to the sciatic nerve via the higher sciatic foram en. (dnahelix.com)
- Sciatic nerve transection, early after birth, results in significant degeneration of spinal motoneurons as well as sensory neurons present in the dorsal root ganglia. (hindawi.com)
Trauma2
- The most common mechanism triggering the bleeding event is trauma (e.g., closed head injury) causing a tearing injury to the extracerebral "bridging" veins. (lecturio.com)
- Head injuries can be classified as open (penetrating) or closed (blunt), and primary (from the initial trauma) or secondary (indirect brain injury), and range from mild to severe and life-threatening. (lecturio.com)
Pathologies2
- The oculomotor nerve can be susceptible to pathologies just like any nerve in the body. (physio-pedia.com)
- Knowing the most important pathologies that may affect these cranial nerves, and Horner, syndrome, their clinical presentation, their diagnosis, treatment and outcome. (wizzvet.com)
Peripheral9
- Week 9 Shadow Health Comprehensive SOAP Note Template Patient Initials: _TJ_ Age: _28_ Gender: _Female_ SUBJECTIVE DATA: Chief Heart/Peripheral Vascular: Rhythm and rate regular, S1, S2, These questions are from Tina Jones Health History Assessment in Shadow Health. (inyectayahorra.es)
- Conditions affecting the optic nerve, such as optic neuritis or optic neuropathy, can lead to visual symptoms such as reduced color vision, loss of peripheral vision (typically in a specific pattern, e.g., central scotoma), or visual field defects. (rthm.com)
- Therefore, this study evaluated neuroprotection and regeneration after neonatal peripheral nerve coaptation with fibrin sealant. (hindawi.com)
- Overall, the present data suggest that acute repair of neonatal peripheral nerves with fibrin sealant results in neuroprotection and regeneration of motor and sensory axons. (hindawi.com)
- Experimentally, a well-accepted model to mimic axotomy injury retrograde repercussion to spinal neurons is the neonatal peripheral nerve axotomy [ 13 - 18 ]. (hindawi.com)
- To date, neonatal peripheral nerve repair following neurotmesis is largely limited due to technical drawbacks. (hindawi.com)
- Many neurologists believe that GBS only affects the peripheral nerves, but this is not always the case, as 10% of patients display normal or even brisk deep tendon reflexes during the disease course. (bmj.com)
- The nervous system has two distinct parts: the central nervous system (the brain and spinal cord) and the peripheral nervous system (the nerves outside the brain and spinal cord). (merckmanuals.com)
- The nervous system consists of the brain, spinal cord, and nerves that connect the brain and spinal cord to the rest of the body ( peripheral nerves). (merckmanuals.com)
Congenital1
- Many factors can increase the incidence of iatro genic Facial Nerve injury, including congenital anomalies, revision surgery, tumors, and severe inflammatory processes. (evokedpotential.com)
Motor nerves3
- In addition to the optic and trigeminal nerves (V1, rarely V2 distribution), any of the ocular motor nerves may be involved. (medscape.com)
- Multiple channel systems are recommended as they allow monitoring of multiple divisions of the Facial Nerve independently, as well as other cranial motor nerves if needed. (evokedpotential.com)
- For more complex surgical cases, where auditory brainstem response (ABR) may be monitored as well as multiple cranial motor nerves, a multichannel system with averaging capabilities should be used. (evokedpotential.com)
Myelin sheath4
- Iatrogenic injury can also occur by stretching the nerve during dissection which can interrupt the myelin sheath, cause variable degree of axonal damage, or compromise the blood supply of the nerve. (evokedpotential.com)
- A mild transient injury may result from interruption of the myelin sheath covering the nerve leading to delayed latency of the recorded compound muscle action potential (CMAP) recorded from the facial muscles. (evokedpotential.com)
- Much like the insulation around an electrical wire, the myelin sheath enables nerve signals (electrical impulses) to be conducted along the nerve fiber with speed and accuracy. (merckmanuals.com)
- When the myelin sheath is damaged, nerves do not conduct electrical impulses normally. (merckmanuals.com)
Sympathetic3
- Pupillary dysfunction may be present and is related to injury to the sympathetic fibers in the cavernous portion of ICA or parasympathetic fibers that surround the oculomotor nerve. (medscape.com)
- The internal carotid artery, along with its sympathetic plexus and abducents nerve, is wrapped in a sheath called a carotid sheath. (brainmadesimple.com)
- The oculomotor nerve has no direct function, but sympathetic fibres run with the oculomotor nerve to innervate the superior tarsal muscle (helps to raise the eyelid). (physio-pedia.com)
Facial15
- The anatomy of the temporal branches of the facial nerve (FN) has been widely described in the neurosurgical literature because of its relevance in anterolateral approaches to the skull base and implication in frontalis palsies from these approaches. (thejns.org)
- Abducens nerve emerges from the brain stem in the posterior cranial fossa from a groove at the junction of the pons and medulla oblongata medial to the facial nerve exit. (brainmadesimple.com)
- There is only one nucleus for each of the abducent nerves that is present in the upper pons (seen in the cut section of upper pons) at the level of facial colliculi. (brainmadesimple.com)
- Facial colliculi are actually rounded, bulged structures that are formed by the winding of fibers of the facial nerve around the nuclei of abducent nerves. (brainmadesimple.com)
- Other conflicts with cranial nerves are rare but are known to occur e.g.: visual loss as a result of compression of the optic nerve and facial pain resulting from trigeminal nerve compression. (surgical-neurology.com)
- The use of intraoperative monitoring improves postoperative facial nerve (Facial Nerve) function and is an indispensable tool for facilitating surgery involving the Facial Nerve. (evokedpotential.com)
- This chapter will consider the technical aspects of Facial Nerve monitoring. (evokedpotential.com)
- The different techniques used to monitor the Facial Nerve are discussed with emphasis on how to conduct the technique and solve common problems to ensure successful monitoring. (evokedpotential.com)
- Several intraoperative events can pose an increased risk of injury to the Facial Nerve. (evokedpotential.com)
- These factors may distort normal anatomical relations, or cause the Facial Nerve to be thinned and attenuated thus making dissection around the nerve a more difficult task ( May et al. (evokedpotential.com)
- Whatever the mechanism, iatrogenic injury can produce variable effects ranging from mild transient to severe irreversible damage to the Facial Nerve. (evokedpotential.com)
- Therefore, when assessing the integrity of the Facial Nerve after an injurious event, it is essential to ensure that the stimulator is placed proximal to the site of injury. (evokedpotential.com)
- The instrumentation requirements for Facial Nerve monitoring are basically similar to those used for electrodiagnostic purposes. (evokedpotential.com)
- Even in cases where only the Facial Nerve is at risk, the extra channels can be hooked to the contralateral facial muscles to provide a valuable control for nonspecific increases in EMG activity due to light anesthesia or other nonsurgical factors. (evokedpotential.com)
- To know the function and some of the anatomic pathway of the facial and vestibulo-cochlear nerves. (wizzvet.com)
Damage3
- Last but not least, we shall have a look at the diseases caused by damage to the abducent nerve. (brainmadesimple.com)
- 2000 ). The lack of an epineural covering in the intracranial segment of the nerve is an additional factor that makes it more vulnerable to injury where even mild stretching may produce significant damage to the nerve. (evokedpotential.com)
- These include optic neuritis (inflammation of the optic nerve), optic neuropathies (damage to the optic nerve), and compressive optic neuropathies caused by conditions like tumors or aneurysms. (rthm.com)
Movements3
- Optic nerve swelling or jumpy eye movements (nystagmus) may occur at any age and warrants immediate work-up for a central nervous system tumor. (symptoma.com)
- Ophthalmoparesis or disordered eye movements occur when cranial nerves III, IV, and VI are damaged by granulomatous inflammation. (medscape.com)
- Occasionally an aneurysm will present by irritating one of the nerves that control movements of the eye. (surgical-neurology.com)
Diseases1
- Procedures used to treat and correct deformities, diseases, and injuries to the MUSCULOSKELETAL SYSTEM, its articulations, and associated structures. (lookformedical.com)
Infraorbital nerve3
- The infraorbital sulcus crosses the floor of the orbit and carries the infraorbital artery, infraorbital vein, and infraorbital nerve from the inferior orbital fissure to the infraorbital foramen. (medscape.com)
- The infraorbital nerve is a branch of the maxillary division of the trigeminal nerve . (radiopaedia.org)
- The infraorbital nerve divides off the maxillary division in the pterygopalatine fossa just after it gives off the the posterior superior alveolar nerve . (radiopaedia.org)
Sixth1
- Abducens nerve palsies, or sixth nerve palsies, results in weakness of the ipsilateral lateral rectus muscle. (symptoma.com)
Diplopia1
- Dysfunction of the nerve causes lateral rectus muscle weakness , resulting in horizontal diplopia that is maximal when the affected eye is abducted and esotropia. (symptoma.com)
Clinical1
- Clinical application of this method of vascular replacement is expected in the near future. (go.jp)
Spinal Cord I1
- Multiple Sclerosis (MS) is a CNS disorder that is characterized by both inflammatory and neurodegenerative mechanisms of brain and spinal cord injury. (medscape.com)
Ocular1
- The oculomotor nerve is the chief motor nerve to the ocular and extraocular muscles . (physio-pedia.com)
Lateral rectus2
- [1] The oculomotor nerves send somatic motor fibres to all extraocular muscles, except the superior oblique and lateral rectus. (physio-pedia.com)
- The superior oblique and the lateral rectus are supplied by the trochlear and abducens nerves respectively. (physio-pedia.com)
Ipsilateral1
- Evidence of trigeminal nerve involvement is suggested by loss of the ipsilateral corneal reflex. (medscape.com)
Neurological1
- To become familiar with the most common tests used to evaluate the cranial nerves, during the neurological examination. (wizzvet.com)
Brainstem1
- The oculomotor nerve exits the brainstem near midline at the base of the midbrain just caudal to the mammillary bodies. (physio-pedia.com)
Pathway3
- But because the nerve is quite long, it can be damaged at various points along its pathway. (symptoma.com)
- To know the function and some of the anatomic pathway of the oculomotor, trochlear, trigeminal and abducens nerves. (wizzvet.com)
- To know the function and some of the anatomic pathway of the olfactory and optic nerves. (wizzvet.com)
Fibers2
- Most nerve fibers inside and outside the brain are wrapped with many layers of tissue composed of a fat (lipoprotein) called myelin. (merckmanuals.com)
- Sometimes the nerve fibers are also damaged. (merckmanuals.com)
Arterial2
- It took about 5 minutes for end-to-end arterial anastomosis and about 10 to 15 minutes for vascular replacement. (go.jp)
- The spleen is highly vascular, and its arterial supply is mainly provided by the splenic artery, which runs laterally along the superior aspect of the pancreas within the splenorenal ligament. (shiken.ai)
Deafness1
- If no sound is heard in the covered ear, then the test is considered positive, indicating nerve deafness. (legalsoftsolution.com)
Brain stem1
- Most of the cranial nerves originate from the brain stem. (brainmadesimple.com)
Nuclei1
- Möbius himself believed that the condition was degenerative or toxic in origin and that it involved the nuclei of the affected nerves. (medscape.com)
Inflammation1
- If your provider diagnoses swelling or inflammation of, or around the nerve, medicines called corticosteroids may be used. (symptoma.com)
Disorder1
- Electrodiagnostic tests should always be done to classify the nerve structures involved, distribution, and severity of the disorder and thus help identify the cause. (msdmanuals.com)