This case report describes a case of concomitant abducens and contralateral lower motor neuron facial nerve palsies following blunt head trauma
associated with left temporal bone fracture. A 11year old boy was brought to the emergency department with alleged history of fall from swing set.
Detailed ocular examination and assessment of function of all the twelve cranial nerves of the patient revealed left oculomotor nerve paresis, left
abducens nerve palsy and right sided lower motor neuron (LMN) facial nerve palsy. The patient was run through various neuroimaging
investigations which showed longitudinal fracture of the left temporal bone. The patient was treated aggressively with systemic and oral steroids.
On discharge, the left oculomotor nerve paresis had healed completely with no improvement in the other two affected cranial nerves. During one
month follow up, the abducens and facial nerve palsies still persisted.
Endometriosis is a disease restricted usually to the female genital tract. Involvement of the bowel by this disease can lead to a diagnostic dilemma due to the great variation in the symptomatology. Awareness of the pathophysiology, clinical features and diagnostic modalities is of utmost importance to decide the modality of treatment. Hormonal manipulation and surgical resection are the two modalities of treatment. The choice depends upon critical analysis of clinical and radiological findings and the desire to have pregnancy in cases associated with infertility.
With growing industrialization and mechanization of every household electrical injuries are becoming quite common. Electrical injuries are quite intricate with the damage caused. They cause not only external burns injury but a wide spectrum of visceral injuries which in many cases is difficult to diagnose and manage. Therefore, a sound understanding of the engineering aspects is pivotal in diagnosing and managing these cases. A brief review of the pathophysiology and management of electrical injuries is presented.
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