intercommunication between CN VII and V (III). Assuming the | Figure 1

%27%3e%3cg%20id=%27Group-14%27%20transform=%27translate(13.000000,%20103.176124)%27%3e%3cg%20id=%27Group-Copy-5%27%20transform=%27translate(0.000000,%20182.676124)%27%3e%3crect%20id=%27Rectangle-8%27%20fill=%27%23E2E0DE%27%20x=%270%27%20y=%270%27%20width=%2736%27%20height=%2736%27%20rx=%2718%27%3e%3c/rect%3e%3cpath%20d=%27M28,27.6503435%20C28,22.127496%2023.5228474,17.6503435%2018,17.6503435%20C12.4771525,17.6503435%208,22.127496%208,27.6503435%20M18,16.3472505%20C20.8165136,16.3472505%2023.099749,14.0640151%2023.099749,11.2475015%20C23.099749,8.43098783%2020.8165136,6.1477524%2018,6.1477524%20C15.1834863,6.1477524%2012.9002509,8.43098783%2012.9002509,11.2475015%20C12.9002509,14.0640151%2015.1834863,16.3472505%2018,16.3472505%20Z%27%20id=%27Combined-Shape%27%20fill=%27%23FFFFFF%27%20fill-rule=%27nonzero%27%3e%3c/path%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/svg%3e)

Deleted account

Some actions are only available when you log in.

Report case

Report this to our moderators

intercommunication between CN VII and V (III). Assuming the nerves exchange fibers, it is safe to say that they exchange sensorial information that may be relevant for the outcome. This is a basic plan to understand the scope of orofacial pain. We need to stop extracting and sealing root canals of teeth that are not proven to be the source of the pain. #oro #Facial-nerve-(7th-cranial-nerve) #Trigeminal-nerve-(5th-cranial-nerve) oral maxillofacial

More about this case

Resolved

Why you should join Figure 1

Similar cases

A1 - (d) Ramsay-Hunt syndrome
A2 - (e) VII (seven)
A3 - (c) Herpes Zoster
Ramsay-Hunt syndrome or herpes zoster oticus is caused by varicella zoster infection involving the sensory fibers of cranial nerves 7, 8, and a portion of the external ear supplied by the auriculotemporal nerve.  Pathologic enhancement of multiple nerves both within the IAC fundus and outside the fundus are tip offs to the diagnosis along with external ear vesicles!
The top differential diagnosis is Bell's Palsy which does not have vesicles, does not involve as many cranial nerves, and typically restricts itself to the 7th. Other differential diagnoses include meningitis with meningeal symptoms, sarcoid with multiple bizarre lesions, and meningeal carcinomatosis which is not localized to the cranial nerves.  Involvement of the membranous labyrinth, as well as all portions of the facial nerve and other cranial nerves, are important tip offs to the diagnosis of Ramsay Hunt syndrome.

Sagittal oblique high resolution T2 image through the right internal auditory (IAC) canal shows the normal orientation of the 7th (facial) and 8th (vestibulocochlear) cranial nerves. The 7th cranial nerve is positioned anteriorly and superiorly in the IAC (blue arrow). Below it is the cochlear division of the 8th cranial nerve (yellow). This gives rise to the saying “7 up, Coke down” that most radiology residents learn in their training. Posteriorly are the superior and inferior vestibular divisions of the 8th cranial nerve (green). #NeuroWednesday

micro-vascular decompression of the #Glossopharyngeal-nerve-(9th-cranial-nerve)

#Vestibulocochlear-nerve-(8th-cranial-nerve) #Schwannoma

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis.
He had a history of hypertension, long-term smoking, and a sedentary lifestyle.
On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets.
Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?