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ETIOLOGY AND PATHOLOGY OF PARALYSIS OF THE ABDUCENS NERVE ASSOCIATED WITH SINUS THROMBOPHLEBITIS: REPORT OF A CASE OF THROMBOSIS OF THE LATERAL SINUS AND BILATERAL PARALYSIS OF THE ABDUCENS NERVE; OPERATION AND RECOVERY

ETIOLOGY AND PATHOLOGY OF PARALYSIS OF THE ABDUCENS NERVE ASSOCIATED WITH SINUS THROMBOPHLEBITIS:... Abstract Paralysis of the abducens nerve is the commonest of isolated oculoorbital palsies.1 Bilateral occurrence is exceedingly rare. In regard to the etiologic factors, reference is here made solely to those peripheral causes which may involve the nerve trunk in its intracranial course after leaving the brain stem. The occurrence of this condition secondary to disease of the petrous tip is fairly common and has of late occupied no small share in otologic literature. Gradenigo,2 in 1904, first identified palsy of the external rectus with suppurations of the middle ear and thereby established the clinical entity or syndrome which was accepted by otologists for many years. Perkins,3 in 1910, outlined rather generally the various pathways through which infection from the tympanum and mastoid gained access to the petrous pyramid. As time went by, the conception of the pathologic processes involved became more and more lucid as a result References 1. Sears, W. H.: Isolated Paralysis of External Rectus Muscle in Acute Suppurative Otitis Media , Pennsylvania M. J. 13:844, 1910. 2. Gradenigo, G.: Ueber die Paralyse des Nervens Abducens bei Otitis , Arch. f. Ohrenh. 74:149, 1904.Crossref 3. Perkins, C. E.: Ann. Otol., Rhin. & Laryng. 19:692, 1910. 4. Wilkinson, G. B.: A Case of Paralysis of the External Rectus Muscle Due to the Presence of an Abscess in the Apex of the Petrous Pyramid , J. Laryng. 29:409, 1914. 5. Wheeler, J. M.: Paralysis of the Sixth Nerve Associated with Otitis Media , Tr. Sect. Ophth., A. M. A. , 1918, p. 51. 6. Boonacker, A. A., and Huizinga, E.: Ueber Abducenslähmung bei akuter Mittelohrentzündung , Zentralbl. f. Hals-, Nasen- u. Ohrenh. 11:207, 1927-1928. 7. Profant, H. J.: Gradenigo's Syndrome, with a Consideration of "Petrositis," Arch. Otolaryng. 13:347 ( (March) ) 1931. 8. Lillie, H. I., and Williams, H. L.: Suppuration of the Petrous Pyramid , Arch. Otolaryng. 15:692 ( (May) ) 1932. 9. Eagleton, W. P.: (a) Unlocking of the Petrous Pyramid for Localized Bulbar (Pontile) Meningitis Secondary to Suppuration of the Petrous Apex , Arch. Otolaryng. 13:386 ( (March) ) 1931; 10. personal communication, March 15, 1933. 11. Kopetzky, S. J., and Almour, R.: Suppuration of the Petrous Pyramid, Pathology, Symptomatology and Surgical Treatment , Ann. Otol., Rhin. & Laryng. 39:996, 1930; 12. 40:157, 1931. 13. Friesner, I., and Druss, J. G.: Osteitis of the Petrous Pyramid of the Temporal Bone , Arch. Otolaryng. 12:342 ( (Sept.) ) 1930. 14. Vail, H. H.: Anatomic Studies of Dorello's Canal , Laryngoscope 32:569, 1922. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

ETIOLOGY AND PATHOLOGY OF PARALYSIS OF THE ABDUCENS NERVE ASSOCIATED WITH SINUS THROMBOPHLEBITIS: REPORT OF A CASE OF THROMBOSIS OF THE LATERAL SINUS AND BILATERAL PARALYSIS OF THE ABDUCENS NERVE; OPERATION AND RECOVERY

GREENFIELD, SAMUEL D.
Archives of Otolaryngology , Volume 19 (3) – Mar 1, 1934
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References (6)

Publisher
American Medical Association
Copyright
Copyright © 1934 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1934.03790030041006
Publisher site
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Abstract

Abstract Paralysis of the abducens nerve is the commonest of isolated oculoorbital palsies.1 Bilateral occurrence is exceedingly rare. In regard to the etiologic factors, reference is here made solely to those peripheral causes which may involve the nerve trunk in its intracranial course after leaving the brain stem. The occurrence of this condition secondary to disease of the petrous tip is fairly common and has of late occupied no small share in otologic literature. Gradenigo,2 in 1904, first identified palsy of the external rectus with suppurations of the middle ear and thereby established the clinical entity or syndrome which was accepted by otologists for many years. Perkins,3 in 1910, outlined rather generally the various pathways through which infection from the tympanum and mastoid gained access to the petrous pyramid. As time went by, the conception of the pathologic processes involved became more and more lucid as a result References 1. Sears, W. H.: Isolated Paralysis of External Rectus Muscle in Acute Suppurative Otitis Media , Pennsylvania M. J. 13:844, 1910. 2. Gradenigo, G.: Ueber die Paralyse des Nervens Abducens bei Otitis , Arch. f. Ohrenh. 74:149, 1904.Crossref 3. Perkins, C. E.: Ann. Otol., Rhin. & Laryng. 19:692, 1910. 4. Wilkinson, G. B.: A Case of Paralysis of the External Rectus Muscle Due to the Presence of an Abscess in the Apex of the Petrous Pyramid , J. Laryng. 29:409, 1914. 5. Wheeler, J. M.: Paralysis of the Sixth Nerve Associated with Otitis Media , Tr. Sect. Ophth., A. M. A. , 1918, p. 51. 6. Boonacker, A. A., and Huizinga, E.: Ueber Abducenslähmung bei akuter Mittelohrentzündung , Zentralbl. f. Hals-, Nasen- u. Ohrenh. 11:207, 1927-1928. 7. Profant, H. J.: Gradenigo's Syndrome, with a Consideration of "Petrositis," Arch. Otolaryng. 13:347 ( (March) ) 1931. 8. Lillie, H. I., and Williams, H. L.: Suppuration of the Petrous Pyramid , Arch. Otolaryng. 15:692 ( (May) ) 1932. 9. Eagleton, W. P.: (a) Unlocking of the Petrous Pyramid for Localized Bulbar (Pontile) Meningitis Secondary to Suppuration of the Petrous Apex , Arch. Otolaryng. 13:386 ( (March) ) 1931; 10. personal communication, March 15, 1933. 11. Kopetzky, S. J., and Almour, R.: Suppuration of the Petrous Pyramid, Pathology, Symptomatology and Surgical Treatment , Ann. Otol., Rhin. & Laryng. 39:996, 1930; 12. 40:157, 1931. 13. Friesner, I., and Druss, J. G.: Osteitis of the Petrous Pyramid of the Temporal Bone , Arch. Otolaryng. 12:342 ( (Sept.) ) 1930. 14. Vail, H. H.: Anatomic Studies of Dorello's Canal , Laryngoscope 32:569, 1922.

Journal

Archives of Otolaryngology – American Medical Association

Published: Mar 1, 1934

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