Vertical muscle transposition with silicone band belting in VI nerve palsy

Leite, R; Freitas, Cristina; Guimarães, Sandra

doi:10.1136/bcr-2016-216722

Cited by 6 publications

(5 citation statements)

References 8 publications

(7 reference statements)

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“…Our patient had a full recovery within one week of presentation. This is consistent with the clinical course described in case reports, especially those involving small acute infarcts [2,4,6,7,9,10].…”

Section: Discussionsupporting

confidence: 91%

“…Millard-Gubler syndrome, also known as ventral pontine syndrome or facial abducens hemiplegia syndrome, was first described in 1858, and was classically associated with a pontine mass [8]. Subsequent reports, however, have involved cases caused by bleeding and infarcts, and rarely neurocysticercosis [2][3][4][5][6][7]9,10]. The lesion lies above the level of the decussation of the pyramidal and spinothalamic tracts.…”

Section: Discussionmentioning

confidence: 99%

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Pontine Infarct Resulting in Millard-Gubler Syndrome: A Case Report

Patel¹,

BHAKTA²,

Wortsman³

et al. 2023

Cureus

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Millard-Gubler syndrome is a crossed brainstem syndrome involving the facial nerve, abducens nerve, and the pyramidal tracts, typically resulting in ipsilateral facial weakness and contralateral hemiparesis. Here we report the case of a 76-year-old female with no pertinent past medical history who presented to the emergency department with acute left-sided facial droop and right upper extremity sensory loss. A pontine infarction was identified on imaging and she was managed medically with complete recovery. Pontine infarction can result in Millard-Gubler syndrome and present with facial weakness and subtle contralateral limb symptoms.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Pontine Infarct Resulting in Millard-Gubler Syndrome: A Case Report

Patel¹,

BHAKTA²,

Wortsman³

et al. 2023

Cureus

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“…It is characterized by paralysis affecting the face and the abducent nerve on the side of the lesion and central hemiplegia on the opposite side[1]. It has been reported that MGS could be found in patients with brainstem tumor such as cavernous angioma[2-4], rimary meningeal hemangiopericytoma[5], neurocysticercosis[6]. As far as we know, only five cases of MGS caused by cerebral infarction have been reported[1,7-10].…”

Section: Introductionmentioning

confidence: 99%

Vertebrobasilar artery dissection manifesting as Millard-Gubler syndrome in a young ischemic stroke patient: A case report

Li¹,

Yuan²,

Hu³

2019

WJCC

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BACKGROUNDMillard-Gubler syndrome (MGS) is caused by a lesion in the brainstem at the level of the facial nerve nucleus, and it is also a rare ventral pontine syndrome. Vertebrobasilar artery dissection (VAD) is an uncommon cause of ischemic stroke. To the best of our knowledge, this is the first case report on the coexistence of MGS and VAD in a young acute ischemic stroke patient.CASE SUMMARYWe herein describe an unusual case of young acute ischemic stroke patient, presenting with acute right peripheral facial palsy, right abducens palsy, and contralateral hemihypesthesia, manifesting as MGS. After receiving dual antiplatelet therapy with aspirin and clopidogrel, as well as rosuvastatin, the patient recovered significantly. The high-resolution magnetic resonance imaging (MRI) indicated a diagnosis of VAD.CONCLUSIONOur finding further demonstrated that high-resolution MRI is a useful technique to early detect underlying dissection in posterior circulation ischemic stroke.

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“… 76 The vertical muscles can also be united together without attaching to LR, using direct nonabsorbable suture or silicone band, with or without LR plication. 77 78 The results of different muscle union procedures are available in Table 5 .…”

Section: R Esultsmentioning

confidence: 99%

A Review of Transposition Techniques for Treatment of Complete Abducens Nerve Palsy

Akbari

Masoomian

Mirmohammadsadeghi

et al. 2021

Journal of Current Ophthalmology

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Purpose: To review various types of extraocular muscle transposition procedures for management of strabismus in sixth cranial nerve palsy with little lateral rectus (LR) muscle function, along with their pros and cons. Methods: We performed a comprehensive review of transposition procedures in sixth cranial nerve palsy, based on literature published anytime up to March 2021. A thorough search through PubMed and Cochrane databases was performed. All types of clinical studies on different transposition procedures in LR palsy, were included. Results: Eighty-six original articles in English, with full text or abstracts available, were included in the review, among which 16 are prospective studies, 48 retrospective, 3 review articles, 1 randomized clinical trial, 17 case reports, and 1 letter. Vertical rectus transposition has demonstrated promising results, especially in abduction improvement and expansion of binocular diplopia-free visual field, albeit the possible adverse effects such as anterior segment ischemia, especially in the presence of medial rectus contracture, and induced vertical deviation may become troublesome. Partial muscle transposition, single muscle transposition, and also transposition without tenotomy have all been introduced to reduce the risk of multiple muscle manipulation and ischemia. On the other hand, different adjustable transpositions are being utilized to manage concomitant or induced vertical deviations. Conclusion: Transposition procedures are highly effective in the treatment of esotropia caused by complete LR palsy. Various techniques for vertical muscle transposition have been proposed, with each of them having certain advantages and disadvantages.

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Vertical muscle transposition with silicone band belting in VI nerve palsy

Cited by 6 publications

References 8 publications

Pontine Infarct Resulting in Millard-Gubler Syndrome: A Case Report

Pontine Infarct Resulting in Millard-Gubler Syndrome: A Case Report

Vertebrobasilar artery dissection manifesting as Millard-Gubler syndrome in a young ischemic stroke patient: A case report

A Review of Transposition Techniques for Treatment of Complete Abducens Nerve Palsy

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