Journal Reviews
EP in a case of abducens nerve palsy
Ecchordosis physaliphora (EP) is a rare non-malignant mass that originates from remains of the notochord and is typically asymptomatic. Symptomatic cases are extremely rare, and the majority are managed by surgical resection. This case study reports a 42-year-old male who...
Imaging requests for CNP
The authors sought to answer the question of to what extent do differences in policy exist between ophthalmologists and neurologists regarding imaging by MRI of patients with acquired ocular cranial nerve palsy (CNP). They conducted a literature review leading to...
Ocular motor score in spastic hemiplegia
The authors aimed to assess the oculomotor functions in children with spastic hemiplegia (SH) caused by different brain pathologies and evaluate the results obtained by the ocular motor score (OMS). The study included 34 children with a median age of...
Gradenigo syndrome
The authors report four cases of Gradenigo syndrome (GS) with patients aged five to 70 years; three with classic acute presentation and one with presentation of chronic suppurative otitis media, cholesteatoma and sixth nerve palsy. The authors discuss anatomy, neuroimaging,...
Medial rectus surgery with development delay
The long-term results of bilateral medial rectus surgery are evaluated in 42 children with development delay. Mean age pre-surgery was 2.9 years with a mean follow-up of 4.6 years. Mean angle of esotropia was 44.29±13.9PD; 57% achieved surgical success; 31%...
Supranuclear palsy
This paper reports the results of surgery for supranuclear monocular elevation deficiency. Contralateral superior rectus maximal recession was undertaken without interfering with the superior oblique tendon position, transection of the superior oblique to the superior rectus frenulum and directly suturing...
Characteristics and incidence of sixth nerve palsy in children with intracranial hypertension
The authors report the incidence and characteristics of sixth cranial nerve palsy in paediatric patients with intracranial hypertension. A retrospective review of records was performed in central Ohio over a three year period and nine children were found to have...
An unusual third nerve palsy case report
The authors present the unusual case of a 23-year-old male presenting to hospital with right eye pain, right upper eyelid ptosis, blurred vision and diplopia, developing immediately after a penetrating injury to his right upper eyelid. On assessment he was...
An unusual case of partial oculomotor nerve palsy
The authors present an unusual case of intra-axial oculomotor nerve involvement due to midbrain infarction. The 65-year-old male patient presented with unilateral complete blepharoptosis and slight limitation of upgaze. Neurological examination revealed a complete ptosis of the left eyelid, slight...
BT outcome for CP and ET
The authors evaluate the clinical outcome of botulinum toxin (BT) injection in the correction of esotropia in 44 patients with cerebral palsy (CP). BT was injected under general anaesthesia without EMG guidance. Of the children, 47.7% were male and mean...
A case of progressive supranuclear palsy-like syndrome following aortic aneurysm repair
This original article illustrates the case of an 18-year-old woman who developed progressive supranuclear palsy-like syndrome following an uneventful aortic aneurysm repair. The patient was unaffected for the first 48 hours after surgery and then developed dysarthria, dysphagia (requiring a...
Surgical outcomes in third nerve palsy
The authors of this article explore the factors associated with successful surgical outcomes in third nerve palsy, which is known to be difficult to treat. A number of case notes were reviewed for patients who underwent surgery or botulinum toxin...
