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March 25, 2013
Cephalic tetanus is a rare variant of localized tetanus that is accompanied by cranial nerve palsy. The condition was originally called tetanus hydrophobicus. Cranial neuropathy may precede the manifestations of tetanus, and tetanus may remain limited to the craniofacial musculature. The facial nerve is most commonly affected followed by oculomotor and hypoglossal nerves. Presynaptic blockade of acetylcholine release caused by locally accumulated tetanus toxin at the neuromuscular junction is the probable pathogenesis.
Submitted by Rajeev Nayak, Resident G.B. Pant Hospital, J.L.N. Marg
Disclosure: Dr. Nayak reports no disclosures.
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