Published in:
01-04-2015 | Scientific Letter
Two Brothers with Multiple Cranial Nerve Palsies
Authors:
Meenakshi Bhat, Rachna Sehgal, Ratan Gupta, Jagan Nath Mohapatra, Shobha Sharma, Kailash Chander Aggarwal
Published in:
Indian Journal of Pediatrics
|
Issue 4/2015
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Excerpt
To the Editor: Two developmentally normal adolescent brothers presented with sudden onset ptosis and external ophthalmoplegia. In addition, the first sibling had neck stiffness and the second had left upper motor neuron type facial nerve palsy. Rest of the neurological and systemic examinations were normal. There was no preceding insect or snake bite, ingestion of canned food or mushrooms or sleeping in an ill-ventilated room with burning fuel. There was no preceding joint pain, skin rash, sore throat or neck swelling, fever, loose stools or vomiting. There was, however, history of recent visit to a nearby grassland. …
