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Related Concept Videos

Cranial Nerves: Types Part I01:14

Cranial Nerves: Types Part I

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Cranial nerves are responsible for transmitting motor and sensory information between the brain and various parts of the body. There are twelve pairs of cranial nerves, with the first six being essential in sensory perception, motor control, and autonomic functions related to the head and neck.
Olfactory Nerve (Cranial Nerve I)
The olfactory nerve, or cranial nerve I, is unique as it is purely sensory and dedicated to the sense of smell. This nerve originates in the olfactory epithelium of the...
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Cranial Nerves: Types Part II01:22

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Cranial nerves are responsible for transmitting motor and sensory information between the brain and various parts of the body. There are twelve pairs of cranial nerves. While the first six innervate the head and neck, the latter six nerves innervate the head and neck, as well as organs and tissues in the thoracic and abdominal cavities. They facilitate communication, expression, and autonomic control within the human body.
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Cranial nerve VII, or the facial nerve,...
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Cranial Nerves: Overview and Anatomy01:19

Cranial Nerves: Overview and Anatomy

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The cranial nerves are an important part of the complex network of nerves in the human body. These nerves emerge directly from the brain and are responsible for transmitting essential information between the brain and various parts of the head and neck. There are 12 pairs of cranial nerves, systematically numbered using Roman numerals from I to XII, beginning from the anterior and moving to the posterior of the brain. Each cranial nerve is uniquely identified by names that reflect its function...
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Tonsillitis I: Introduction01:30

Tonsillitis I: Introduction

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Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
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Myasthenia Gravis: Overview and Treatment01:20

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Myasthenia gravis is a neuromuscular transmission disorder characterized by weakness and increased fatigability of skeletal muscles. It is an autoimmune disease affecting approximately one in 2000 people, where antibodies against the α1 subunit of nicotinic acetylcholine receptors are produced.
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Related Experiment Video

Updated: Jun 28, 2025

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
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Scrub Typhus Presenting as Bilateral Sixth Nerve Palsy.

Sukriti Bhattacharjee1, Bibhu Debbarma1, Rajesh K Debbarma1

  • 1Internal Medicine, Agartala Government Medical College, Agartala, IND.

Cureus
|April 22, 2024
PubMed
Summary

Scrub typhus, a tropical rickettsial infection, can cause unusual neurological symptoms like double vision. Early diagnosis and doxycycline treatment are crucial for recovery, even without a visible skin eschar.

Keywords:
bilateral sixth nerve palsyno eschar in scrubscrub infection in indiascrub typhus case reportsixth cranial nerve palsy

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Area of Science:

  • Neurology
  • Infectious Diseases
  • Ophthalmology

Background:

  • Scrub typhus is a tropical rickettsial disease known for diverse neurological complications.
  • Neurological manifestations can be the primary presentation, posing diagnostic challenges.

Observation:

  • A 19-year-old female presented with fever, headache, and diplopia.
  • Examination revealed bilateral sixth nerve palsy and papilledema.
  • Cerebrospinal fluid and initial brain imaging were normal.

Findings:

  • High titers of Orientia tsutsugamushi antibody confirmed scrub typhus.
  • No eschar was detected on physical examination.
  • Treatment with doxycycline led to significant clinical improvement and partial recovery of ocular motility.

Implications:

  • Highlights the importance of considering scrub typhus in atypical neurological presentations.
  • Emphasizes the need for high clinical suspicion in endemic areas.
  • Suggests doxycycline as an effective treatment for neuro-scrub typhus.