scholarly journals COVID-19 pansinusitis with abducens paralysis

2022 ◽  
Vol 8 (1) ◽  
pp. 122-125
Author(s):  
Meral SEFEROGLU ◽  
Nizameddin KOCA ◽  
Yasemin COŞKUN ◽  
Bahattin HAKYEMEZ
Keyword(s):  
Abducens Paralysis

scholarly journals Acute Bilateral Abducens Paralysis Due to Oxaliplatin

2003 ◽  
Vol 95 (6) ◽  
pp. 488-489 ◽  
Author(s):  
E. Winquist ◽  
M. Vincent ◽  
W. Stadler
Keyword(s):  
Abducens Paralysis ◽  
Bilateral Abducens

A Case of ALK+ Anaplastic Large T Cell Lymphoma (ALCL) with Lymphomatous Meningitis

Blood ◽  
2011 ◽  
Vol 118 (21) ◽  
pp. 5226-5226
Author(s):  
Bongi A. Rudder ◽  
Nidhi Mishra ◽  
Albert S. Braverman ◽  
Michael Geraghty ◽  
Elpidio Jimenez
Keyword(s):  
T Cell ◽  
Skin Disease ◽  
Cell Lymphoma ◽  
T Cell Lymphoma ◽  
Whole Body ◽  
Axillary Lymph ◽  
Lymphomatous Meningitis ◽  
Beam Radiation ◽  
Abducens Paralysis ◽  
Cutaneous Nodule

Abstract Abstract 5226 Background: Anaplastic large T cell lymphoma may present with indolent cutaneous T cell infiltration, progressing to more aggressive skin disease and systemic involvement. In adults lymphomatous meningitis is very rare complication. Case Report: A 62 year old Jamaican woman had been diagnosed with biopsy proven psoriasis when 42 years of age. Ustekinumab had been initiated without effect two months prior to her presentation to us. A new cutaneous nodule on her left neck was then found, shave biopsy of which revealed psoriasiform dermatitis with epidermotropism, suspicious for early patch stage mycosis fungoides. The lesion was CD30+, suggestive of ALCL and was positive for ALK. Positron emission tomography revealed an SUV of 6.0 in the neck mass, but lymph nodes in all regions had an SUV of <2.3. Axillary lymph node biopsy, bone marrow biopsy and flow cytometry were negative. Local electron beam radiation was administered to the left supraclavicular space with complete resolution of the cutaneous nodule. About 2 months following completion of radiation therapy she noted anorexia, 30 lb weight loss, night sweats and left hip pain. Physical examination revealed a sick woman, with whole body scaling red-brown macules and plaques. CBC was normal except for Hb of 10 g/dl, platelets 453,000/dl. Hepatic and renal function studies were normal. ESR was 84 mm/hr, lactic dehydrogenase 670 IU (reference range 300–600 IU) and calcium 15.1 mg/dl. HTLV1, HIV, hepatitis panel and anti-nuclear antibody serologies were negative. Computer automated tomography of the pelvis demonstrated 6×2×8 cm soft tissue mass on the sacrum invading left sacro-iliac joint and ilium. Biopsy revealed ALCL, positive for CD43, CD2dim, CD7dim, CD30, and nuclear and cytoplasmic ALK1, while negative for CD43, 3, 4, 5, 8, 19,20, 34, 138, PAX5, AE1/AE3, Cam5, S100 and TdT. The mass was irradiated with alleviation of pain, but cutaneous nodules progressively appeared and continuous fever developed with negative blood cultures. There was increasing confusion, blurred vision and bilateral abducens paralysis. Magnetic resonance imaging of the head and spine revealed dural enhancement and multiple extra- and intercranial interosseous masses, one of which involved the posterior sella turcica. Cyclophosphamide, doxorubicin, vincristine and prednisone were initiated; lumbar puncture was refused. Within 2 days after treatment initiation the cutaneous nodules disappeared, fever subsided, the left abducens palsy resolved completely while the right improved. Conclusion: Our patient's long standing indolent skin disease abruptly progressed to cutaneous and systemic ALCL, with evidence of lymphomatous meningitis. The response of her abducens palsies and other CNS findings to systemic chemotherapy alone suggests that her meningeal involvement may have arisen from that of adjacent bones. Involvement of CNS in ALK positive systemic anaplastic large cell lymphoma is rare and reported in mainly pediatric cases. Disclosures: No relevant conflicts of interest to declare.

Abducens nerve palsy as the sole presenting symptom of petrous apicitis

2002 ◽  
Vol 116 (9) ◽  
pp. 726-729 ◽  
Author(s):  
T. Price ◽  
G. Fayad
Keyword(s):  
Otitis Media ◽  
Facial Pain ◽  
Nerve Palsy ◽  
Abducens Nerve ◽  
Fatal Complication ◽  
Suppurative Otitis Media ◽  
Abducens Paralysis ◽  
Delayed Recognition ◽  
Petrous Apicitis ◽  
Reliable Sign

Petrous apicitis as a potentially fatal complication of suppurative otitis media presents in a variety of forms. Gradenigo’s triad of abducens paralysis, deep facial pain due to trigeminal involvement and acute suppurative otitis media rarely occurs. The conflicting symptoms reported in the literature usually result in the delayed recognition of the condition with potentially disastrous consequences. The VIth nerve palsy is considered to be the least reliable sign as it is least often present. We present a case in which it was the sole presenting symptom.

Congenital Abducens Paralysis

1939 ◽  
Vol 22 (2) ◽  
pp. 169-173 ◽  
Author(s):  
Carl Apple
Keyword(s):  
Abducens Paralysis

scholarly journals Pseudotumor Cerebri Syndrome as a Neurologic Involvement of Multisystem Inflammatory Syndrome in Children: A Case Report

2021 ◽  
Vol 67 (4) ◽  
Author(s):  
Ayşe İrem Sofuoğlu ◽  
Nihal Akçay ◽  
Esra Şevketoğlu ◽  
Gonca Bektaş
Keyword(s):  
Brain Magnetic Resonance Imaging ◽  
Pseudotumor Cerebri ◽  
Immunoglobulin M ◽  
Disturbance Of Consciousness ◽  
Pseudotumor Cerebri Syndrome ◽  
Abducens Paralysis ◽  
Grade 3 ◽  
Inflammatory Syndrome ◽  
Possible Cause ◽  
Post Infectious

Abstract Background Coronavirus disease 2019 may have neurological manifestations including meningitis, encephalitis, post-infectious brainstem encephalitis and Guillain-Barre syndrome. Neuroinflammation has been claimed as a possible cause. Here, we present a child with multisystem inflammatory syndrome in children (MIS-C) who developed pseudotumor cerebri syndrome (PTCS) during the disease course. Case A 11-year-old girl presented with 5 days of fever, headache and developed disturbance of consciousness, respiratory distress, conjunctivitis and diffuse rash on her trunk. Immunoglobulin M and G antibodies against severe acute respiratory syndrome coronavirus 2 were positive in her serum. She was diagnosed with MIS-C. On day 10, she developed headache and diplopia. Left abducens paralysis and bilateral grade 3 papilledema were observed. Brain magnetic resonance imaging revealed optic nerve head protrusion, globe flattening. She was diagnosed with secondary PTCS. Papilledema and abducens paralysis improved under acetazolamide and topiramate. Neurological examination became normal after 2 months. Conclusion PTCS may emerge related to MIS-C.

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