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Microvascular Cranial Nerve Palsy Your doctor thinks that you have
Microvascular Cranial Nerve Palsy Your doctor thinks that you have

... whether it fits an expected pattern and whether it is "isolated." While it is possible for multiple cranial nerve palsies to have a microvascular cause all patients with more than a single nerve palsy or with other neurologic findings must have a work up (neurologic examination and imaging study) be ...
as a PDF
as a PDF

... fracture. Two cases were also reported as a complication of forearm oedema which occurred after intravenous infusion(1-4). Anterior interosseous nerve palsy is often misdiagnosed for several reasons. Firstly, it is not encountered commonly, comprising less than 1% of all upper limb nerve palsies. Se ...
Microvascular Cranial Nerve Palsy
Microvascular Cranial Nerve Palsy

... nerve palsies are not necessarily at risk for other types of stroke. On the other hand, some of the risk factors that increase the chance of a microvascular palsy (such as diabetes, high blood pressure, and smoking) also increase the risk of stroke. It is important that your doctor check to make sur ...
New Approach of Ultrasound-Guided Genitofemoral Nerve Block in
New Approach of Ultrasound-Guided Genitofemoral Nerve Block in

... The technical difficulty in identifying and selectively blocking the nerves concerned makes the subject to be studied in detail. In particular ilioinguinal/iliohypogastric (II/IH) nerve block has widely been used for inguinal hernia repair. The sensory innervations from genitofemoral (GF) nerve to t ...
PRACTICE
PRACTICE

... muscle weakness is progressive and develops rapidly. Some cases are associated with the Eaton-Lambert Syndrome that may occur in some patients with lung or other cancers. In the Eaton-Lambert syndrome, however, the muscles get stronger rather than weaker with activity. A facial palsy may have a know ...
Snydsman, Brian - American Academy of Optometry
Snydsman, Brian - American Academy of Optometry

... Due to the proximity of the clivus to the brain stem, cranial nerve palsies commonly cause presenting symptoms of chordoma. Diplopia is the most commonly found symptom, occurring in 7080% of patients. Of the cranial nerves that control the extra-ocular muscles, the left sixth nerve is the most like ...
Brachial Plexus Surgery - My Shepherd Connection
Brachial Plexus Surgery - My Shepherd Connection

... • Brachial  Plexus  Surgery:    Depending  on  the  type  and  location  of  the  brachial  plexus  injury,   surgery  may  be  recommended  to  repair  the  brachial  plexus.  Microsurgical  techniques  are  used  to   improve  brachial ...
Facial nerve paralysis: report of two cases of Bell`s palsy
Facial nerve paralysis: report of two cases of Bell`s palsy

... et al. (1981) evaluated 170 children over a 17-yearperiod (1963-80) and found that Bell’s palsy accounted for 42%of the facial nerve paralyses. The remaining causes in children were trauma (21%), otitis media (13%), syndromes (13%), congenital (8%), and (2%) (May et al. 1981). Depending on the cause ...
sural nerve, biopsy - The Podiatry Institute
sural nerve, biopsy - The Podiatry Institute

... sarcoidosis, Ieprosy, and tumor infilration.' It may also be useful in distinguishing certain inherited myelinopathies and some axonopathies. LJnfortunately, the biopsy may show nonspecific results in many cases such as when the peripherai neuropathy is secondary to a metabolic or nutritional disord ...
Facial and Eyelid “Twitch” Disorders
Facial and Eyelid “Twitch” Disorders

... than one eyelid at different times. “Myokymia” is probably a bad name for this problem, as the term is also commonly used to describe another, very different disorder. Hemifacial Spasm Spastic contractions of muscles involving an entire half of the face. Often progresses to show some weakness of the ...
Peripheral Nerve Blocks: How to Spot Problems in the PACU
Peripheral Nerve Blocks: How to Spot Problems in the PACU

...  19 F with mild asthma admitted to PACU after elbow debridement under infraclavicular nerve block and GA  Patient reports anxiety and chest discomfort. The O2 saturation is >92% with deep breathing, but falls to 90% while she is breathing quietly  The patient returns to hospital 2 days later with ...
Meralgia Paraesthetica
Meralgia Paraesthetica

... Rarer causes include a neuroma. Neuromas are non-cancerous (benign) growths (tumours) on a nerve. Pelvic or intra-abdominal tumours (including cancerous ones) could also compress the nerve and cause this problem. This is rare. Other possible causes include lying down for long periods of time in a cu ...
Peripheral Injuries
Peripheral Injuries

... o Pressure caused by hanging the arm over the back of a chair (for example, falling asleep in that position) o Pressure to the upper arm from arm positions during sleep or coma o Pinching of the nerve during deep sleep, such as when a person is intoxicated • Long-term pressure on the nerve, usually ...
Investigating the hoarse voice Hoarseness Clinical Examination
Investigating the hoarse voice Hoarseness Clinical Examination

... aortic arch is the investigation of choice in  adults with vocal cord paralysis • For staging head and neck malignancies, the  scan should cover the anatomy from the skull  base to at least the level of the left  innominate vein to ensure that all the  ...
cervical and lumbar facet rhizotomy sur712.005
cervical and lumbar facet rhizotomy sur712.005

... Facet Rhizotomy is performed on patients who have successfully undergone two successive facet nerve blocks. The facet blocks are not a treatment but rather a diagnostic test to determine if the patient had a placebo effect from the first nerve block. Facet rhizotomy is performed on an outpatient bas ...
tennis elbow-a radial tunnel syndrome?
tennis elbow-a radial tunnel syndrome?

... is functional and caused by an increase of pain on testing. Moreover the variability of the muscular strength within a few minutes is typical of a deficit, in contrast from a peripheral ...
Child Neurologic Examination
Child Neurologic Examination

... -Abnormal responses occur when this response is sustained or if it occurs differently when the head is turned to the right or left Palmar and plantar grasp reflexes The palmar grasp reflex should disappear by 6 months; the plantar by 9 to 10 months. Parachute response A normal response should be see ...
facial_nerve_paresis_paralysis
facial_nerve_paresis_paralysis

... • Superficial loss of tissue on the surface of the cornea (the clear outer layer of the front of the eye), frequently with inflammation (corneal ulcers); corneal ulcer may rupture, leading to surgical removal of the eye (known as “enucleation”) • Severe deviation of the face toward the affected side ...
Vidian Neurectomy
Vidian Neurectomy

... lacrimal gland Incidence in literature of 12-30% Jang TY * Shirmers test pre op, day 1 , 1& 2 months post op. All patients dry eye but improved by 2 months ...
Quick links
Quick links

... Methods: Forty-five hemipelves from Thirty-nine cadavers (19 female, 20 male) with no previous lower limb surgery and a mean age at death of 83.9 years were dissected. The LCFN was identified proximal to the inguinal ligament, and its path in the thigh identified. The positions of the nerve and its ...
Ulnar nerve palsy
Ulnar nerve palsy

... • "Claw-like" deformity (in severe cases) • Difficulty moving the fingers • Wasting of the hand muscles (in severe cases) • Weakness of hand flexing ...
FOOT DROP/ DROP FOOT DID YOU KNOW? Foot drop can stem
FOOT DROP/ DROP FOOT DID YOU KNOW? Foot drop can stem

... Foot drop can stem from weakness or paralysis of the muscles that lift the foot. Foot drop is a symptom of an underlying temporary or permanent problem, rather than a disease. Some causes of foot drop include:  nerve injury (damage to the peroneal nerve)  brain of spinal disorders  muscle disorde ...
Invasive treatment of TN
Invasive treatment of TN

... vessel, and when one is found, the vessel and nerve are separated or "decompressed" with a small pad, usually made from an inert surgical material such as Teflon. When successful, MVD procedures can give permanent pain relief with little to no facial numbness. ...
Imagine that you are a grocery store manager in your town
Imagine that you are a grocery store manager in your town

... To expand this lesson, pair students and ask them to locate their partner’s carotid artery. This artery is to the left and right side of the windpipe. (If touching activities are forbidden in your school district, go to the next expanded activity.) To expand this lesson further, ask students to writ ...
nerve aGenT TreaTMenT nerve aGenT TreaTMenT
nerve aGenT TreaTMenT nerve aGenT TreaTMenT

... MCI/ Disaster/ WMD ...
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Smile surgery



Smile surgery or smile reconstruction is a surgical procedure that restores the smile for people with facial nerve paralysis. Facial nerve paralysis is a relatively common condition with a yearly incidence of 0.25% leading to function loss of the mimic muscles. The facial nerve gives off several branches in the face. If one or more facial nerve branches are paralysed, the corresponding mimetic muscles lose their ability to contract. This may lead to several symptoms such as incomplete eye closure with or without exposure keratitis, oral incompetence, poor articulation, dental caries, drooling, and a low self-esteem. This is because the different branches innervate the frontalis muscle, orbicularis oculi and oris muscles, lip elevators and depressors, and the platysma. The elevators of the upper lip and corner of the mouth are innervated by the zygomatic and buccal branches. When these branches are paralysed, there is an inability to create a symmetric smile.Smile surgery is performed as a static or dynamic reconstruction. An example of static reconstruction is upper and lower lip shortening or thickening with commissure preservation. Dynamic smile reconstruction procedures restore the facial nerve activity.
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