The Experts below are selected from a list of 1365 Experts worldwide ranked by ideXlab platform

A B Scott - One of the best experts on this subject based on the ideXlab platform.

  • lateral rectus muscle disinsertion and reattachment to the lateral orbital wall
    British Journal of Ophthalmology, 2005
    Co-Authors: Y Morad, Lionel Kowal, A B Scott
    Abstract:

    Background/aims: Surgical correction of ocular alignment in patients with third Cranial Nerve Paralysis is challenging, as the unopposed lateral rectus muscle often pulls the eye back to exotropia following surgery. The authors present a simple surgical approach to overcome this difficulty. This approach is also applicable to removal of unwanted overactivity of the lateral rectus in Duane syndrome. Methods: A review was made of the records of four patients with third Cranial Nerve Paralysis and one with Duane syndrome with exotropia in which the lateral rectus muscle was removed from its scleral insertion and reattached to the orbital wall. Additional surgery to bring the eye to the midline included medial rectus resection, medial transposition of the vertical recti, and passive suturing of the eye to the medial orbit wall. Results: All patients achieved satisfactory ocular alignment following surgery. Ocular ductions were limited. These results were stable for 1.5–4 years of follow up. No major complications occurred. Conclusion: Lateral rectus muscle disinsertion and reattachment to the orbital wall to absorb its force and thus remove abduction torque was a simple and safe surgical procedure for restoring ocular alignment in four patients with third Cranial Nerve Paralysis and in one patient with Duane syndrome with severe exotropia.

Lihua Dong - One of the best experts on this subject based on the ideXlab platform.

  • bulbar Paralysis and facial Paralysis due to metastatic hepatocellular carcinoma a case report and literature review
    Medicine, 2016
    Co-Authors: Min Liu, Shixin Liu, Bailong Liu, Bin Liu, Liang Guo, Xu Wang, Qiang Wang, Shuo Yang, Lihua Dong
    Abstract:

    Skull-base metastasis (SBM) from hepatocellular carcinoma (HCC) is extremely rare, and multiple Cranial Nerve Paralysis due to SBM from HCC is also rare. We report a case of bulbar and facial Paralysis due to SBM from HCC. A 46-year-old Chinese man presented with a hepatic right lobe lesion that was detected during a routine physical examination. After several failed attempts to treat the primary tumor and bone metastases, neurological examination revealed left VII, IX, X, and XI Cranial Nerve Paralysis. Computed tomography of the skull base subsequently revealed a large mass that had destroyed the left occipital and temporal bones and invaded the adjacent structure. After radiotherapy (27 Gy, 9 fractions), the patient experienced relief from his pain, and the Cranial Nerve dysfunction regressed. However, the patient ultimately died, due to the tumor's progression. Radiotherapy is usually the best option to relieve pain and achieve regression of Cranial Nerve dysfunction in cases of SBM from HCC, although early treatment is needed to achieve optimal outcomes. The present case helps expand our understanding regarding this rare metastatic pathway and indicates that improved awareness of SBM in clinical practice can help facilitate timely and appropriate treatment.

Fangliang Huang - One of the best experts on this subject based on the ideXlab platform.

  • a review of eight cases of cavernous sinus thrombosis secondary to sphenoid sinusitis including a12 year old girl at the present department
    Infectious diseases, 2017
    Co-Authors: Yunhu Wang, Poyen Chen, Peiju Ting, Fangliang Huang
    Abstract:

    Cavernous sinus thrombosis (CST) is a severe disease which can result from infection of any of the tissues drained by the cavernous sinus. We here review eight cases, including a 12-year-old girl, all secondary to sphenoid sinusitis. The clinical manifestations, laboratory data, imaging findings, pathogens, medications, surgical treatment and clinical outcomes were analyzed. All eight patients had headache and five of them fever. All cases were associated with one or more ophthalmic symptoms. In four cases, computed tomography/magnetic resonance imaging showed isolated sphenoid sinusitis. In three cases, streptococci were isolated from blood culture and two cases showed Staphylococcus aureus in blood and sinus cultures. In seven cases, surgery was undertaken. All eight subjects received antibiotics, and 5 were administered intravenous ceftriaxone and metronidazole. Six subjects received anticoagulation therapy and one received corticosteroids. No mortality was recorded. Three cases showed sequelae, including Lemierre syndrome, ophthalmic complaints, and Cranial Nerve Paralysis. In conclusion, the management of CST should include intravenous antibiotic therapy, combined with endonasal sinus surgery.

Y Morad - One of the best experts on this subject based on the ideXlab platform.

  • lateral rectus muscle disinsertion and reattachment to the lateral orbital wall
    British Journal of Ophthalmology, 2005
    Co-Authors: Y Morad, Lionel Kowal, A B Scott
    Abstract:

    Background/aims: Surgical correction of ocular alignment in patients with third Cranial Nerve Paralysis is challenging, as the unopposed lateral rectus muscle often pulls the eye back to exotropia following surgery. The authors present a simple surgical approach to overcome this difficulty. This approach is also applicable to removal of unwanted overactivity of the lateral rectus in Duane syndrome. Methods: A review was made of the records of four patients with third Cranial Nerve Paralysis and one with Duane syndrome with exotropia in which the lateral rectus muscle was removed from its scleral insertion and reattached to the orbital wall. Additional surgery to bring the eye to the midline included medial rectus resection, medial transposition of the vertical recti, and passive suturing of the eye to the medial orbit wall. Results: All patients achieved satisfactory ocular alignment following surgery. Ocular ductions were limited. These results were stable for 1.5–4 years of follow up. No major complications occurred. Conclusion: Lateral rectus muscle disinsertion and reattachment to the orbital wall to absorb its force and thus remove abduction torque was a simple and safe surgical procedure for restoring ocular alignment in four patients with third Cranial Nerve Paralysis and in one patient with Duane syndrome with severe exotropia.

Ali Bulgan - One of the best experts on this subject based on the ideXlab platform.

  • temporary Cranial Nerve Paralysis due to carotid cavernous fistula
    Kafkas Journal of Medical Sciences, 2014
    Co-Authors: Halil Huseyin Cagatay, Metin Ekinci, Yaran Koban, Zeliha Yazar, Ozlem Daraman, Seyho Cem Yucetas, Ali Bulgan, Sukru Oguz
    Abstract:

    Yard. Doc. Dr. Halil Huseyin Cagatay, Kars, Turkiye Tel. 0474 225 11 91 Email. drhhcgty@gmail.com Gelis Tarihi: 07.01.2014 • Kabul Tarihi: 27.03.2014 ABSTRACT Carotid cavernous fi stulas are abnormal vascular shunts between the carotid artery system and the cavernous sinus, which may result in life threatening conditions. Carotid cavernous fi stulas are usually classifi ed as direct or indirect. The etiologies of direct carotid cavernous fi stulas are frequently trauma, ruptured cavernous carotid artery aneurysm, arterial dissection or iatrogenic causes. Endovascular treatment techniques are the fi rst choice for treatment. Embolization of a direct carotid cavernous fi stula by transarterial balloon detachment is a well-known treatment procedure. Herein, we present a case of carotid cavernous fi stula and discuss its etiology, diagnosis, potential complications and treatment choices in the light of the current literature.

  • temporary Cranial Nerve Paralysis due to carotid cavernous fistula karotiko kavernoz fistule bagli gecici kranyal sinir paralizileri
    2014
    Co-Authors: Olgu Sunumu, Metin Ekinci, Yaran Koban, Zeliha Yazar, Ozlem Daraman, Halil Huseyin, Ali Bulgan
    Abstract:

    Carotid cavernous fi stulas are abnormal vascular shunts between the carotid artery system and the cavernous sinus, which may result in life threatening conditions. Carotid cavernous fi stulas are usually classifi ed as direct or indirect. The etiologies of direct carotid cavernous fi stulas are frequently trauma, ruptured cavernous carotid artery aneurysm, arterial dissection or iatrogenic causes. Endovascular treatment techniques are the fi rst choice for treatment. Embolization of a direct carotid cavernous fi stula by transarterial balloon detachment is a well-known treatment procedure. Herein, we present a case of carotid cavernous fi stula and discuss its etiology, diagnosis, potential complications and treatment choices in the light of the current literature.