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February 8, 1930

RIO DE JANEIRO

JAMA. 1930;94(6):424-425. doi:10.1001/jama.1930.02710320050023

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Abstract

Unilateral Paralysis of Cranial Nerves  Dr. Oscar Clark presented before the Academia Nacional de Medicina of Rio de Janeiro a patient with unilateral paralysis of all cranial nerves. The patient stated that, about eighteen months before, she began to see a double image of everything; later, she had intense headaches, probably caused by a suppurative sinusitis, for which she had a successful operation. By that time, however, she became blind and began to have difficulty in swallowing solid foods. Neoarsphenamine aggravated her condition. The patient had paralysis of the twelve cranial nerves, causing paranosmia of the right side; blindness, total ophthalmoplegia; paralysis of the trochlear, trigeminus, abducens and facial nerves; left handedness; anesthesia and paralysis of the soft palate, of the pharynx, of the tongue, absence of the sensation of taste, and paralysis of the right vocal cord. There was also incapacity to swallow solid foods, and paratrophy of the

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