Cavernous sinus subarachnoid diverticulum and sixth nerve palsy

1987 ◽  
Vol 29 (3) ◽  
pp. 306-307 ◽  
Author(s):  
Tatsuya Kobayashi ◽  
Makoto Negoro ◽  
Shinobu Awaya
Keyword(s):  
Cavernous Sinus ◽  
Nerve Palsy ◽  
Sixth Nerve Palsy ◽  
Sixth Nerve

Sixth nerve schwannomas

1991 ◽  
Vol 75 (4) ◽  
pp. 638-641 ◽  
Author(s):  
Howard Tung ◽  
Thomas Chen ◽  
Martin H. Weiss
Keyword(s):  
Cavernous Sinus ◽  
Cranial Nerve ◽  
Nerve Palsy ◽  
Obstructive Hydrocephalus ◽  
Surgical Excision ◽  
Type I ◽  
Sixth Cranial Nerve ◽  
Content Type ◽  
Sixth Nerve Palsy ◽  
Sixth Nerve

✓ Two cases of sixth cranial nerve schwannoma are presented with a review of four other cases from the literature. The clinical spectrum, neuroradiological findings, and surgical outcome of the six cases are discussed. There are two distinct clinical presentations for sixth cranial nerve schwannomas. Type I sixth nerve schwannomas present with sixth nerve palsy and diplopia and arise from the cavernous sinus. In contrast, type II sixth nerve schwannomas have a more severe presentation with obstructive hydrocephalus, raised intracranial pressure, sixth nerve palsy, and diplopia. This type arises along the course of the sixth cranial nerve in the prepontine area. Cavernous sinus involvement in either type may preclude total surgical excision and indicate an increased possibility for recurrence.

scholarly journals Isolated Sixth Nerve Palsy as the First Manifestation of Cavernous Sinus Metastasis From Primary Breast Cancer

Cureus ◽  
2021 ◽  
Author(s):  
Anupam Singh ◽  
Pallavi Sharma ◽  
Himani Pal ◽  
Srishti Sharma ◽  
Aditi Dixit
Keyword(s):  
Breast Cancer ◽  
Cavernous Sinus ◽  
Primary Breast Cancer ◽  
Nerve Palsy ◽  
Sixth Nerve Palsy ◽  
Sixth Nerve

scholarly journals Nasopharyngeal carcinoma presenting as a sixth nerve palsy and Horner’s syndrome

2019 ◽  
Vol 12 (10) ◽  
pp. e232291 ◽  
Author(s):  
Hatim Batawi ◽  
Jonathan A Micieli
Keyword(s):  
Cavernous Sinus ◽  
Nerve Palsy ◽  
Disease Process ◽  
Endoscopic Biopsy ◽  
Horner’S Syndrome ◽  
Horner's Syndrome ◽  
Tissue Mass ◽  
Barr Virus ◽  
Sixth Nerve Palsy ◽  
Sixth Nerve

The combination of a sixth nerve palsy and ipsilateral Horner’s syndrome localises the disease process to the posterior cavernous sinus and can be a result of various pathologies in this region. A 74-year-old Chinese woman presented with a 9-month history of binocular horizontal diplopia worse when looking left. She was found to have a left sixth nerve palsy and Horner’s syndrome and MRI revealed an enhancing soft tissue mass in the nasopharynx with involvement of the bones of the skull base and invasion of the left cavernous sinus. Endoscopic biopsy of the mass confirmed the diagnosis of non-keratinising squamous cell carcinoma, which was Epstein-Barr virus positive. She was treated with radiation therapy. Patients with a sixth nerve palsy and ipsilateral Horner’s syndrome should have urgent neuroimaging with careful attention to the cavernous sinus since sympathetic fibres join the sixth nerve for a short distance in this location.

scholarly journals Augmented superior rectus muscle transposition in management of defective ocular abduction

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mohamed F. Farid ◽  
Ahmed E. M. Daifalla ◽  
Mohamed A. Awwad
Keyword(s):  
Nerve Palsy ◽  
Rectus Muscle ◽  
Muscle Transposition ◽  
Primary Position ◽  
Superior Rectus ◽  
Sixth Nerve Palsy ◽  
Abnormal Head ◽  
Duane Retraction Syndrome ◽  
Sixth Nerve ◽  
Superior Rectus Muscle

Abstract Background Superior rectus muscle transposition (SRT) is one of the proposed transposition techniques in the management of defective ocular abduction secondary to chronic sixth nerve palsy and esotropic Duane retraction syndrome (Eso-DRS). The aim of the current study is to report the outcomes of augmented SRT in treatment of Eso-DRS and chronic sixth nerve palsy. Methods a retrospective review of medical records of patients with Eso-DRS and complete chronic sixth nerve palsy who were treated by augmented full tendon SRT combined with medial rectus recession (MRc) when intraoperative forced duction test yielded a significant contracture. Effect on primary position esotropia (ET), abnormal head posture (AHP), limitation of ocular ductions as well as complications were reported and analyzed. Results a total of 21 patients were identified: 10 patients with 6th nerve palsy and 11 patients with Eso-DRS. In both groups, SRT was combined with ipsilateral MRc in 18 cases. ET, AHP and limited abduction were improved by means of 33.8PD, 26.5°, and 2.6 units in 6th nerve palsy group and by 31.1PD, 28.6°, and 2 units in Eso-DRS group respectively. Surgical success which was defined as within 10 PD of horizontal orthotropia and within 4 PD of vertical orthotropia was achieved in 15 cases (71.4%). Significant induced hypertropia of more than 4 PD was reported in 3 patients (30%) and in 2 patients (18%) in both groups, respectively. Conclusion augmented SRT with or without MRc is an effective tool for management of ET, AHP and limited abduction secondary to sixth nerve palsy and Eso-DRS. However, this form of augmented superior rectus muscle transposition could result in high rates of induced vertical deviation.

Pseudo-sixth-nerve palsy with thalamo-mesencephalic junction lesion Report of two cases

1990 ◽  
Vol 10 (2) ◽  
pp. 69-72 ◽  
Author(s):  
I. J. Namer ◽  
M. F. Oztekin ◽  
T. Kansu ◽  
T. Zileli
Keyword(s):  
Nerve Palsy ◽  
Sixth Nerve Palsy ◽  
Sixth Nerve

Sixth nerve palsy in pediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2 infection

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Elena Hernandez-Garcia ◽  
Pedro Arriola-Villalobos ◽  
Barbara Burgos-Blasco ◽  
Laura Morales-Fernandez ◽  
Rosario Gomez-de-Liaño
Keyword(s):  
Nerve Palsy ◽  
Sixth Nerve Palsy ◽  
Sixth Nerve
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