0000000000793471
AUTHOR
P. P. Urban
The Oculo-auricular Phenomenon in Brain-Stem Disease
The oculo-auricular phenomenon (OAP), as described by Wilson in 1908 [26], consists of bilateral coactivation of external ear muscles during lateral gaze. Two ear muscles are innervated by motoneurons of the medial part of the facial nucleus [9, 25]: the transverse auricular muscle (TAM) (Fig. 1), which adducts and curls the helix of the auricle, and the posterior auricular muscle (Fig. 2), which moves the whole auricle backwards [3, 16, 22].
Paraneoplastische limbische Enzephalitis bei kleinzelligem Bronchialkarzinom
We report about a 63-year-old male patient who complained of a recent onset of confusion. A mediastinal mass had been detected in his chest X-ray three days before admission to our clinic. Surprisingly, a CT scan of the brain revealed no signs of cerebral masses or oedema. MRI demonstrated bright hyperintens signals in the medial aspect of both temporal lobes. Biopsy by mediastinoscopy showed small cell lung carcinoma (SCLC). No distant metastases were found by staging procedures. Cerebrospinal fluid and serum contained antineuronal antibodies (anti-Hu). The combination of symptoms, MRI findings and paraneoplastic antibodies established the diagnosis of paraneoplastic limbic encephalitis in…