Welcome to Journal of the Association of Physicians of India

Otologic manifestations include otitis externa, otitis media, Kaposi’s sarcoma and sensorineural hearing loss. Meaning, you can develop retinoblastoma in the pineal gland, i.e. Varicella zoster virus (VZV) causes two distinct entities i.e. Review of systems was negative. Received April 11, 2016; Revised May 18, 2016; Accepted June 16, 2016. On examination, he was afebrile. Given the metabolic vulnerability of deep gray nuclei, other than bi-thalamic infarction, it follows that toxic-metabolic and hypoxic-ischemic events account for the majority of cases.

There is no neurologic deficit associated with this pain. Tolosa-Hunt syndrome (THS) describes a rare, granulomatous inflammatory process adjacent to the cavernous sinus or within the superior orbital fissure and/or orbital apex. To the best of our knowledge, there has been no report of a case of sympathetic vestibular failure. A dermatome also refers to the part of an embryonic somite. Innervates forehead, upper eyelid, cornea (thus the corneal reflex), conjunctiva, dorsum of the nose, and dura of some of the anterior cranial fossa. Based on the location of an abnormality, other neurologic structures may be involved with the pathology related to this nerve. A review of the somatosensory nervous system anatomy involved in neuropathic pain is also included.

Received April 11, 2016; Revised May 18, 2016; Accepted June 16, 2016. A 6-year-old boy visited his local emergency department with a history of sudden painless bilateral visual loss. A chalazion, or meibomian cyst, is a focus of granulomatous inflammation in the eyelid arising from a blocked meibomian gland (or tarsal gland)[1]. There was no evidence of skin lesions to suggest a recent zoster infection. They can occur at any stage of the disease and can affect any level of the central or peripheral nervous systems. A 24-year-old male presented as an outpatient with a 2-day history of deterioration of vision in both eyes, headache, stiff neck, and general malaise. Leukemia cutis (LC) is an uncommon manifestation of CLL.

Involvement of the facial region is predominantly due to type I herpes virus, with the exception of newborns, in whom overwhelming exposure to the type II variety during birth can result in development of typical skin lesions during the first few days of life, often associated with devastating CNS and systemic involvement. We report a case of zosteriform cutaneous metastases masquerading as lymphangioma without prior presentation of the primary malignancy. Although this is one cause of this condition, a thorough history and examination with a sound understanding of the neuroanatomy can help decipher the underlying cause and direct appropriate treatment. This review aims at summarizing and discussing diseases affecting LCN. This sensation had progressively worsened, slowly migrating up the right arm to her right shoulder, with further progression to shooting sensations down her right leg. Elevated anti-mumps and anti-varicella zoster virus IgM antibodies in serological testing indicated recent infection of mumps and reactivation of VZV. The authors outline and describe common themes found in the symptoms and diagnoses of PNS dysfunctions.

Radiologic examination of the chest, ophthalmologic screening and calcemia were normal, which lead to the diagnosis of a sarcoidosis in previous scars without systemic involvement. The present eruption started after the herpetic lesions had healed. Most patients have a progressive relentless downhill course resulting in blindness. Long-term treatment with corticosteroids likely potentiated VZV infection. Its most common symptoms are bilateral hilar adenopathies, pulmonary infiltrates and skin and eye lesions. Although precise epidemiologic data are difficult to establish, the prevalence of lumbosacral radiculopathy is approximately 3% to 5%, distributed equally in men and women. Most of the earlier literature on VZV vasculopathy describe it as a disease affecting predominantly large arteries causing strokes and transient ischemic attack.2 More recent studies have expanded the clinical spectrum of VZV vasculopathy to include aneurysms, dissection, ischemic cranial neuropathies, cerebral venous sinus thrombosis, and spinal cord infarction.3 Though the exact pathogenic mechanism of vasculopathy is unclear, evidence points to productive viral infection within the vascular endothelium, leading to inflammation and vascular wall remodeling, which promote thrombosis.4 An acquired hypercoagulable state resulting from decreased levels of natural anticoagulants in the viremic phase of the infection is also postulated to provoke thrombosis.5-7 We report herein a rare occurrence of CVST in a septuagenarian during an episode of shingles.

Indian Pediatr 47: 157-164. The most common pathologic cause of galactorrhea is a pituitary tumor. While some species (e.g. Let’s start our USMLE Review with Anatomy from the Gold Standard USMLE Step 1 Audio Review program. Sensorineural hearing loss (SNHL) is a type of hearing loss, or deafness, in which the root cause lies in the inner ear or sensory organ (cochlea and associated structures) or the vestibulocochlear nerve (cranial nerve VIII) or neural part. Jung Woong Shin, M.D., Dae-Hyun Kim, M.D., Kyu Uang Whang, M.D., Jongsuk Lee, M.D., Younglip Park, M.D., Moon Kyun Cho, M.D., Sanghoon Lee, M.D., and Sung Yul Lee, M.D.

Leave a Reply