You may have to read up about how to find more information on how to handle startup issues, and perhaps perform disk maintenance with Disk Utility; or maybe even do some other tactics.
•Resolve startup issues and perform disk maintenance with Disk Utility and fsck:
http://support.apple.com/kb/TS1417
In Mt Lion, you may have a Recovery partion with OS X Utilities, so that is an access point to use Disk Utility and other tools. This unmounts the boot volume the computer normally runs on, so it can be repaired.
•OS X Tips - Using the Recovery HD:
http://pondini.org/OSX/RecoveryHD.html
If your OS X 10.8 is up-to-date with last update step in the series, it would be 10.8.5; so if that's not where it's at, consider after attempting to resolve the issues you face first, then update with the Final step from this page:
• OS X Mountain Lion Update v 10.8.5 (combo)
http://support.apple.com/kb/dl1676
Sometimes, reinstalling the last update (above) again can help with
some issues in a Mac OS X system. If running Disk Utility from the
recovery in Mt Lion to repair disk + repair disk permissions, does
not completely fix issues, you could download the Combo & reintall it.
And use Disk Utilty in the running system to repair disk permissions.
{after the item above, restart; + run Software Updates in your Mac}
The keyboard combination you cited for reset of NVRAM PRAM is
not a startup repair device, and has limited usefulness. You may
have meant this other thing, it uses fewer keys than the above...
The Command + R is a means of startup into recovery mode
where you can access the OS X Utilities from a special partition
in the OS X system, helpful in newer Macs that don't have an
optical drive, but do have Recovery in a partition in the HDD.
And if this does not work, some suggest trying the NVRAM reset,
as it may help fix an issue that could contribute to not accessing
the Recovery partition, if available, in an OS X 10.8.x system.
However the suggested earlier methods in the Support link to
repair disk are marginally successful, you could attempt to reinstall
the Combo 10.8.5 update. Sometimes this can fix odd things.
Unless you recently installed new software that added fonts or
odd drivers that may not be compatible with your OS X.
If you installed new fonts as part of a printer driver, or other new
applications, there may be a startup issue relating to new stuff.
The computer could start OK in safeboot, but not with the other
things loaded during a regular startup. Troubleshooting starts with
knowing what you did recently that may have contributed to the
situation at hand. Safeboot helps by allowing access to System.
A few ideas & more lengthy look at safeboot & other ideas, here:
http://computers.tutsplus.com/tutorials/5-more-quick-fixes-to-common-mac-problem s--mac-45525
There likely is a lengthy Console log file that could show some
issues based on time and day when you try to restart from Safe
Boot mode, and what does or does not load correctly may be in
those System Logs in Console utility.
Several things may be behind it. Perhaps OS X Utilities in the Recovery
partiton boot volume can help fix the hard disk drive or permissions, if
so then other things may be needed to bring the system up to standard.
Not sure if any of this may help.
Good luck & happy computing! 🙂