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We report a rare case of Tolosa-Hunt syndrome with recurrence of multiple cranial nerve palsy and its response to steroids.
Group III--Focal necrosis in brainstem nuclei and Group IV--Primary myopathy with no central nervous system (CNS) or cranial nerve lesions.
Idiopathic associated paralysis of the Xth and XIIth cranial nerves [in Spanish].
The persistence of Adie's pupil after remission from ophthalmoplegic migraines in this patient was similar to two reported cases: one patient (20) exhibited transient Adie's pupil associated with migraine with aura, and another manifested a permanent deficit of the third cranial nerve after an ophthalmoplegic-migraine attack.
The facial nerve is the most common of the cranial nerves involved.
Despite reports of cranial neuropathy, including higher rates of facial palsy, ophthalmoplegia, and dysphagia, we observed no substantial pathologic findings in the patient's cranial nerves I, II, III, V, VI, or VII.
Cranial magnetic resonance imaging (MRI) and contrast-enhanced MRI of the temporal bone revealed no pathologic finding in the brain parenchyma and cranial nerves.
Cranial Nerve Lymphomatosis Magnetic Resonance Imaging Findings in a Case of Mantle Cell Lymphoma.
Because the trochlear nerve lies in close vicinity to the oculomotor nerve at the lateral wall of the cavernous sinus, these two cranial nerves are generally involved together.
With further brainstem compression, contralateral long tract signs, severe gait disturbance, lower cranial nerve palsies, and signs of intracranial hypertension appear.
Patients with simultaneous or serial involvement of two or more different cranial nerves were included in the study.
Ophthalmoparesis ensues when granulomatous inflammation in the cavernous sinus extends to oculomotor, trochlear, and abducens cranial nerves, whereas paresthesia of the forehead occurs with involvement of the superior division of the trigeminal nerve.