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Updated: Jun 28, 2025

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
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Lethal mycotic pseudoaneurysm presenting as isolated sixth nerve palsy

Rasna Bhanuman1, Shriram Varadharajan2, Karthik Kumar1

  • 1Neuro-Ophthalmology Department, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Coimbatore, Tamil Nadu, India.

Digital Journal of Ophthalmology : DJO
|April 11, 2024
PubMed

Insights

Skull base osteomyelitis (SBO) can cause internal carotid artery pseudoaneurysms in diabetic patients, leading to cranial nerve palsy. Early diagnosis and management are crucial for preventing severe complications.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Vascular Surgery

Background:

  • Skull base osteomyelitis (SBO) is a rare but serious infection.
  • Internal carotid artery pseudoaneurysms are life-threatening complications of SBO, particularly in immunocompromised individuals like those with diabetes mellitus.
  • Cranial nerve involvement, especially the abducens nerve (sixth cranial nerve), is a frequent complication associated with poor prognosis.

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