515 results match your criteria Case reports in neurology[Journal]


Cluster-Like Headache Revealing Polycythemia Vera: A Case Report.

Authors:
Cyprian Popescu

Case Rep Neurol 2020 May-Aug;12(2):184-188. Epub 2020 Jun 10.

Victor Pauchet Clinic, Amiens, France.

Herein, we report on a 44-year-old man who presented with cluster headache (CH)-like pain triggered by polycythemia vera (PV). He had severe unilateral head pain attacks lasting about 30 min not associated with cranial autonomic symptoms. After the exclusion of secondary etiologies, the patient was screened for a neoplastic process through biological markers, and the diagnosis of PV was established. Read More

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http://dx.doi.org/10.1159/000508356DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315213PMC

Probable Creutzfeldt-Jakob Disease Presenting Dementia and Urinary Retention.

Case Rep Neurol 2020 May-Aug;12(2):180-183. Epub 2020 Jun 10.

Dementia Support Team, Sakura Medical Center, Toho University, Sakura, Japan.

We describe the case of an 80-year-old woman with probable Creutzfeldt-Jakob disease (CJD) presenting dementia and urinary retention. Although the number of patients previously examined, including ours, is small for conclusion, provided that other etiologies of urinary retention are carefully excluded, urinary retention seems to become a feature in CJD, presumably reflecting spinal cord pathology in CJD. Physicians are advised to evaluate pelvic floor function in CJD particularly by checking post-void residuals. Read More

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http://dx.doi.org/10.1159/000508265DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315166PMC

Repetitive Transcranial Magnetic Stimulation for Dysesthesia Caused by Subacute Myelo-Optico-Neuropathy: A Case Report.

Case Rep Neurol 2020 May-Aug;12(2):169-174. Epub 2020 Jun 9.

Department of Neurology, National Hospital Organization Suzuka National Hospital, Suzuka, Japan.

Subacute myelo-optico-neuropathy (SMON) is caused by the ingestion of clioquinol (5-chloro-7-iodo-8-hydroxyquinoline), which is an intestinal antibacterial drug. Patients with SMON typically suffer from abnormal dysesthesia in the lower limbs, which cannot explain the mechanism only in pathology and electrophysiology. Neuromodulation therapies are increasingly being investigated as a means of alleviating abnormal sensory disturbances. Read More

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http://dx.doi.org/10.1159/000507650DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315208PMC

An Unexplained Case of Progressive Spastic Paraparesis in an Individual with Known DiGeorge Syndrome.

Case Rep Neurol 2020 May-Aug;12(2):165-168. Epub 2020 Jun 9.

Department of Neurology, Indiana University School of Medicine, Indianapolis, Indiana, USA.

DiGeorge syndrome (22q11.2 deletion) is associated with several neurologic disorders including structural abnormalities involving brain and spine, movement disorders, and epilepsy. Progressive spastic paraparesis has not been reported with DiGeorge syndrome. Read More

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http://dx.doi.org/10.1159/000507954DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315177PMC

Diabetic Neuropathy: Distribution Pattern Revisited.

Case Rep Neurol 2020 May-Aug;12(2):160-164. Epub 2020 Jun 9.

bNeurology, Internal Medicine, Sakura Medical Center, Toho University, Sakura, Japan.

It is not well known which of the common neuropathic distribution patterns in diabetes might suggest underlying mechanisms. To examine this question, we present data from a nerve conduction study (NCS). Irrespective of symptoms, we enrolled 323 type 2 diabetic patients (206 men, 117 women; mean age 64. Read More

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http://dx.doi.org/10.1159/000508703DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315135PMC

Long-Term Undiagnosed Nonconvulsive Status Epilepticus Identified by Urgent Electroencephalography with Hyperventilation Activation.

Case Rep Neurol 2020 May-Aug;12(2):153-159. Epub 2020 May 28.

Department of Neuropsychiatry, The University of Tokyo Hospital, Tokyo, Japan.

Nonconvulsive status epilepticus (NCSE) might be underdiagnosed in cases where clinical symptoms are ambiguous. If a patient exhibits ictal psychiatric symptoms such as NCSE presentation and is misdiagnosed as having a psychiatric disorder, the patient may be treated in psychiatry settings, where continuous electroencephalography (cEEG), the gold standard for NCSE diagnosis, is typically not used. Herein, we report our experience with a patient having NCSE who exhibited psychiatric symptoms and remained misdiagnosed for many years. Read More

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http://dx.doi.org/10.1159/000506828DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315169PMC

Recurrent Guillain-Barré and Fisher Syndromes in Two Patients Who Were Subsequently Diagnosed with Aplastic Anemia.

Case Rep Neurol 2020 May-Aug;12(2):148-152. Epub 2020 May 28.

Division of Cerebrovascular Medicine and Neurology, Clinical Research Institute, National Hospitalization Organization, Kyushu Medical Center, Fukuoka, Japan.

Guillain-Barré (GBS) and Fisher (FS) syndromes rarely recur and the characteristics of recurrence have not been fully elucidated. We describe the cases of 2 patients with GBS or FS that recurred more than twice and who were subsequently diagnosed with aplastic anemia. Case 1 was a 66-year-old man who was diagnosed with aplastic anemia 10 months before admission with limb ataxia and a sensory disturbance of the distal limbs that developed 3 days after an upper respiratory tract infection. Read More

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http://dx.doi.org/10.1159/000507778DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315140PMC

Fluctuations in Moyamoya Vasculopathy Associated with Basedow Disease Depending on Thyroid Hormone Status.

Case Rep Neurol 2020 May-Aug;12(2):140-147. Epub 2020 May 20.

Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

A 31-year-old woman presented with sudden onset of weakness in her left upper limb. Magnetic resonance imaging revealed acute cerebral infarctions in the right frontal and parietal lobes. Magnetic resonance angiography showed stenosis in the proximal portions of the bilateral middle cerebral arteries and terminal portions of the bilateral internal carotid arteries. Read More

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http://dx.doi.org/10.1159/000502571DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315203PMC

An Association of Varicella Zoster Virus, Facial Palsy, and Meningitis in a Young Immunocompetent Male.

Case Rep Neurol 2020 Jan-Apr;12(1):136-139. Epub 2020 Apr 28.

Department of Medical Education, Hamad Medical Corporation, Doha, Qatar.

Varicella zoster is a secondary infection caused by the virus of chickenpox, after becoming latent in neurons of dorsal root ganglia or trigeminal ganglia. Varicella zoster virus (VZV) can be reactivated years later to produce shingles (zoster), generally in immunocompromised adults to produce neurological deficits and rash. Meningeal involvement of VZV is also reported and can be diagnosed. Read More

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http://dx.doi.org/10.1159/000506192DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204867PMC

Ross Syndrome: A Patient with a 23-Year History.

Case Rep Neurol 2020 Jan-Apr;12(1):132-135. Epub 2020 Apr 8.

Department of Neurology, Sjællands Universitetshospital, Roskilde, Denmark.

We present a 60-year-old female with a 23-year history of anhidrosis with concomitant heat intolerance. At examination, we found a right-sided tonic pupil, absent tendon reflexes, and a segmental patch of compensatory hyperhidrosis in the left lower quadrant of her trunk. To further confirm this finding, a minor test (a starch-iodine test, which is used to evaluate the sudomotor function, sweating) was performed. Read More

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http://dx.doi.org/10.1159/000507186DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7184827PMC

DWI/FLAIR Mismatch during Hyperacute Infarction of the Percheron Artery: Time Is Thalamus!

Case Rep Neurol 2020 Jan-Apr;12(1):127-130. Epub 2020 Mar 31.

School of Medicine and Surgery and Milan Center for Neuroscience (NeuroMI), University of Milano-Bicocca, Milano-Bicocca, Italy.

The artery of Percheron (AOP) is a single dominant thalamo-perforating artery that supplies bilaterally the medial thalami with variable contribution to the rostral midbrain. Occlusion of the AOP causes indeed variable and unspecific clinical symptoms due to this complex anatomy, and very often this diagnosis is delayed with the impossibility of recurring to intravenous thrombolysis (rTPA). Here, we report a case of AOP stroke that received a prompt diagnosis and therapy, owing to the availability of MR brain scan, showing a DWI/FLAIR mismatch typical of hyperacute infarctions. Read More

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http://dx.doi.org/10.1159/000506416DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7154235PMC

First Case of Intracranial Mycotic Aneurysm Caused by Associated with Chronic Sinusitis in a Korean Adult.

Case Rep Neurol 2020 Jan-Apr;12(1):121-126. Epub 2020 Mar 26.

Laboratory Medicine, Inje University, Ilsan Paik Hospital, Goyang, Republic of Korea.

Intracranial infection caused by anaerobic bacteria is rare, and it is difficult to identify absolute anaerobes in the clinical laboratory, especially when the bacterial load is low. Here, we report the first case of intracranial mycotic aneurysm caused by associated with chronic sinusitis and successful identification of the bacteria by 16S rRNA sequencing from bacterial growth in broth only. Read More

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http://dx.doi.org/10.1159/000506764DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7154244PMC

Myasthenia Gravis with Anti-Muscle-Specific Tyrosine Kinase Antibody during Pregnancy and Risk of Neonatal Myasthenia Gravis: A Case Report and Review of the Literature.

Case Rep Neurol 2020 Jan-Apr;12(1):114-120. Epub 2020 Mar 17.

Department of Neurology, Fukuoka University School of Medicine, Fukuoka, Japan.

A 31-year-old woman presented with a nasal voice, dysarthria, and upper limb weakness during her first pregnancy. Soon after delivery of her first baby, her symptoms disappeared. At the age of 34 years, during her second pregnancy, her nasal voice re-appeared. Read More

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http://dx.doi.org/10.1159/000506189DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7154260PMC

A New Mutation Discovered in an Adult Patient.

Case Rep Neurol 2020 Jan-Apr;12(1):107-113. Epub 2020 Mar 15.

Centre de Génétique Humaine, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium.

We report a case of an adult patient suffering from leukoencephalopathy with brainstem and spinal cord involvement and elevated white matter lactate (LBSL) caused by a polymorphism. mutation was identified by combining MRI and genetic analysis. Our patient was affected by compound heterozygosity for a pathogenic mutation and a common variant, but with reduced aspartyl-tRNA synthetase activity. Read More

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http://dx.doi.org/10.1159/000506190DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7154256PMC

Reversible Hemifacial Spasm after Starting Escitalopram.

Case Rep Neurol 2020 Jan-Apr;12(1):103-106. Epub 2020 Mar 6.

Department of Internal Medicine, Faculty of Medicine, University of Jeddah, Jeddah, Saudi Arabia.

This is a case of a patient who developed hemifacial spasm after he was started on escitalopram. His symptoms got worse after the dose was increased. The spasm resolved after the medication was stopped gradually. Read More

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http://dx.doi.org/10.1159/000506326DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7154230PMC

Anti-Ganglioside Antibody-Negative Miller Fisher and AMSAN Variant Guillain-Barré Overlap Syndrome.

Case Rep Neurol 2020 Jan-Apr;12(1):92-96. Epub 2020 Feb 28.

Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Thailand.

A case of Miller Fisher and acute motor sensory axonal neuropathy (AMSAN) variant Guillain-Barré (MFS/AMSAN-GBS) overlap syndrome is presented. The neurological presentation of the overlap syndrome was preceded by an upper respiratory tract infection. Eventually, severe weakness of bulbar and limb muscles, areflexia, ophthalmoplegia, ataxia, and respiratory insufficiency developed. Read More

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http://dx.doi.org/10.1159/000506191DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7098350PMC
February 2020

Isolated Bilateral Internal Carotid Artery Stenosis and Recurrent Ischemic Strokes in a Patient with Suspected Giant Cell Arteritis.

Case Rep Neurol 2020 Jan-Apr;12(1):84-91. Epub 2020 Feb 21.

Department of Neurology, BG-Hospital Bergmannstrost, Halle (Saale), Germany.

Giant cell arteritis (GCA) is a common type of vasculitis and may present various forms. Ischemic stroke is one of the complications and sometimes the first symptom of this disease. We want to present the case of a 58-year-old female patient with suspected GCA who suffered from recurrent ischemic strokes due to progressive stenosis of the internal carotid arteries. Read More

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http://dx.doi.org/10.1159/000504018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7098361PMC
February 2020

Acute Susac Syndrome in a Recent User of Adulterated Cocaine: Levamisole as a Triggering Factor?

Case Rep Neurol 2020 Jan-Apr;12(1):78-83. Epub 2020 Feb 21.

Department of Neurology, Cliniques St-Luc, Université catholique de Louvain, Brussels, Belgium.

Susac syndrome (SS) is a central nervous system vasculitis characterized by the clinical triad of encephalopathy, sensorineural hearing loss, and visual disturbance caused by branch retinal artery occlusion. It is considered as an inflammatory disorder, and an autoimmune etiology is suggested. A 29-year-old man with a history of recent cocaine abuse developed the clinical features of SS. Read More

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http://dx.doi.org/10.1159/000506043DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7098328PMC
February 2020

Dose Adjustment of Subcutaneous IgG in Chronic Inflammatory Demyelinating Polyneuropathy.

Case Rep Neurol 2020 Jan-Apr;12(1):73-77. Epub 2020 Feb 14.

Neuromuscular Disease Clinic, Divisions of Physical Medicine and Neurology, Department of Medicine, McMaster University, Hamilton, Ontario, Canada.

Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is an immune-mediated neuropathy that is characterized by a slowly progressive sensory and motor involvement lasting at least 2 months. We present a CIDP patient on subcutaneous Ig (SCIg). Upon fine-tuning his dose from 24 to 28 g/week, this showed a dramatic improvement in both hand grip (13-25%) and dorsiflexion (73-278%). Read More

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http://dx.doi.org/10.1159/000505320DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7098347PMC
February 2020

Abdominal Wall Dyskinesia: Case Report.

Case Rep Neurol 2020 Jan-Apr;12(1):69-72. Epub 2020 Feb 14.

Department of Neurology, New York Medical College, Valhalla, New York, USA.

The clinical presentation of repetitive choreiform involuntary movements of the anterior abdominal wall was first introduced as "belly dancer's dyskinesia." Etiologies of this rare condition include idiopathic causes, medication inducement, or post-abdominal surgery. We report a case of orobuccal stereotypic movements and abdominal wall dyskinesia secondary to prochlorperazine intake. Read More

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http://dx.doi.org/10.1159/000504336DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7098346PMC
February 2020

Serotonin Syndrome Presenting as a Posterior Reversible Encephalopathy Syndrome.

Case Rep Neurol 2020 Jan-Apr;12(1):63-68. Epub 2020 Feb 12.

Geisinger Health System, Danville, Pennsylvania, USA.

Posterior reversible encephalopathy syndrome (PRES) is a neurological syndrome characterized by an altered level of consciousness, headaches, seizure, and visual changes. PRES has several different etiologies, including malignant hypertension, eclampsia, and certain medications. Here, we describe a 41-year-old woman who presented with altered mental status. Read More

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http://dx.doi.org/10.1159/000505907DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7098365PMC
February 2020

Acute HIV Infection Masquerading as Idiopathic Intracranial Hypertension: A Case Report and Literature Review.

Case Rep Neurol 2020 Jan-Apr;12(1):56-62. Epub 2020 Feb 5.

Division of Neurology, Department of Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

We describe a previously healthy 21-year-old man who presented acutely with signs and symptoms of raised intracranial pressure (ICP). Lumbar puncture yielded an elevated opening pressure and an acellular CSF analysis. Radiological images showed bilateral flattening of the posterior eye globes and an empty sella turcica. Read More

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http://dx.doi.org/10.1159/000505721DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7036572PMC
February 2020

Paraneoplastic Limbic Encephalitis Associated with Anti-CV2/CRMP5 Antibodies Secondary to Thymoma in an Adolescent.

Case Rep Neurol 2020 Jan-Apr;12(1):50-55. Epub 2020 Feb 5.

Department of Neurology, Ibn Sina Hospital, Safat, Kuwait.

Paraneoplastic neurological syndromes (PNS) associated with anti-CV2/CRMP5 antibodies are rare in the literature. Various clinical manifestations can occur including paraneoplastic limbic encephalitis (PLE). Thymoma is one of the rare causes that can be associated with this syndrome. Read More

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http://dx.doi.org/10.1159/000505232DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7036575PMC
February 2020

Recurrent Stroke in a Young Patient with Embolic Stroke of Undetermined Source and Patent Foramen Ovale: Quo Vadis?

Case Rep Neurol 2020 Jan-Apr;12(1):45-49. Epub 2020 Jan 29.

Department of Neurology, Ludwig Maximilian University, Munich, Germany.

So far, there has been no generally accepted diagnostic and therapeutic algorithm for patients with embolic stroke of undetermined source (ESUS). As recent clinical trials on secondary stroke prevention in ESUS did not support the use of oral anticoagulation and the concept of ESUS comprises heterogeneous subgroups of patients, including a wide age range, concomitant patent foramen ovale (PFO), variable cardiovascular risk factors as well as a variable probability for atrial fibrillation (AF), an individualized clinical approach is needed. In this context, we here present a case of recurrent stroke in a young patient with ESUS and PFO. Read More

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http://dx.doi.org/10.1159/000505180DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7036551PMC
January 2020

Electrophysiological Responsiveness to Long-Term Therapy in Chronic Inflammatory Demyelinating Polyneuropathy: Case Report.

Case Rep Neurol 2020 Jan-Apr;12(1):40-44. Epub 2020 Jan 22.

Ellen and Martin Prosserman Centre for Neuromuscular Diseases, Toronto General Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada.

Electrophysiological studies are essential for the diagnosis of chronic inflammatory demyelinating polyneuropathy (CIDP), but the utility of nerve conduction studies in monitoring outcomes in individual CIDP patients is controversial. Electrophysiological improvements after short-term treatment have been described in large cohorts of CIDP patients, but the magnitude of the changes is small and might be obscured in individual patients due to the variation inherent in nerve conduction testing. We present the case of a CIDP patient treated successfully with immunosuppression and followed for 31 years with serial standardized clinical and electrophysiological evaluations. Read More

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http://dx.doi.org/10.1159/000505234DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7011741PMC
January 2020

Posterior Variant of Alien Limb Syndrome with Sudden Clinical Onset as Self-Hitting Associated with Thalamic Stroke.

Case Rep Neurol 2020 Jan-Apr;12(1):35-39. Epub 2020 Jan 15.

Department of Neuroscience, Imaging, and Clinical Sciences, University G. d'Annunzio of Chieti-Pescara, Chieti, Italy.

We present a case of sudden postischaemic onset of alien limb syndrome, with unintentional self-injury. Alien limb syndrome is an uncommon neurological disorder featured by uncontrolled and involuntary movements of a limb. Three variants of alien limb syndrome have been described: the anterior, featured by grasping of surrounding objects, the callosal, presenting with intermanual conflict, and the posterior, associated with involuntary levitation of the limb. Read More

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http://dx.doi.org/10.1159/000503857DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7011710PMC
January 2020

A Case of Subacute Combined Degeneration of Spinal Cord Diagnosed by Vitamin B Administration Lowering Methylmalonic Acid.

Case Rep Neurol 2020 Jan-Apr;12(1):27-34. Epub 2020 Jan 15.

Division of Neurology, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Japan.

Subacute combined degeneration of the spinal cord (SCDS) is a neurodegenerative disease characterized by subacute progression in the central and peripheral nervous systems mainly caused by vitamin B12 deficiency. It is known that typical SCDS is frequently accompanied by megaloblastic anemia and increased serum methylmalonic acid (MMA) or homocysteine (Hcy) levels on laboratory findings, and marked abnormalities on spinal cord magnetic resonance imaging (MRI). A 45-year-old woman was admitted to our hospital with a 2-year history of worsening mild weakness, numbness in bilateral lower limbs, and gait disturbance. Read More

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http://dx.doi.org/10.1159/000505321DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7011716PMC
January 2020

Stiff Person Syndrome and Acetylcholine Receptor Ganglionic Neuronal Antibodies.

Case Rep Neurol 2020 Jan-Apr;12(1):24-26. Epub 2020 Jan 15.

Department of Neurosurgery, Instituto Mexicano de Neurociencias, Huixquilucan, Mexico.

The association between stiff person syndrome and paraneoplastic syndromes has been described, linking intracellular or extracellular antibodies. We describe the case of a 64-year-old woman with stiff person syndrome and positivity for acetylcholine receptor ganglionic neuronal antibodies, which can also be seen in muscular hyperexcitability conditions, as well as other paraneoplastic syndromes. The relevance of this report is the possible direct elevation of this antibody due to a direct immunological cause. Read More

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http://dx.doi.org/10.1159/000505229DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7011745PMC
January 2020

A Case of Complex and Abnormal Behaviors at Night: The Role of the Epilepsy Monitoring Unit in Diagnosis.

Case Rep Neurol 2020 Jan-Apr;12(1):18-23. Epub 2020 Jan 15.

Department of Neurology, Baltimore Veterans Affairs Medical Center, Baltimore, Maryland, USA.

Complex nocturnal behaviors associated with sleep have many potential causes, including parasomnias and epilepsy. Although the type of event and description can frequently lead to a diagnosis, sometimes it is challenging clinically to determine the cause of the behaviors, requiring a more in-depth investigation. We report the case of a 29-year-old woman with a long history of complex abnormal behaviors and visual hallucinations at night. Read More

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http://dx.doi.org/10.1159/000505230DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7011724PMC
January 2020

Two Cases of Very-Late-Onset Neuromyelitis Optica Spectrum Disorder (NMOSD) in Patients over the Age of 80.

Case Rep Neurol 2020 Jan-Apr;12(1):13-17. Epub 2020 Jan 9.

Department of Neurology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, Japan.

We report two cases of very-late-onset neuromyelitis optica spectrum disorder (NMOSD) in patients over the age of 80 with transverse myelopathy as the initial manifestation. In both cases, the patients presented with paraplegia and sensory, bladder, and rectal disturbances. Thoracic magnetic resonance imaging showed longitudinal high-intensity signals on a T2-weighted image. Read More

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http://dx.doi.org/10.1159/000505231DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6984149PMC
January 2020

Postoperative Textiloma Mimicking Intracranial Rebleeding in a Patient with Spontaneous Hemorrhage: Case Report and Review of the Literature.

Case Rep Neurol 2020 Jan-Apr;12(1):7-12. Epub 2020 Jan 9.

Unit of Neurosurgery, "Di Venere" City Hospital, ASL Bari, Bari, Italy.

During craniotomy, hemostatic materials such as oxidized cellulose and cotton pads, commonly used to control bleeding, may cause a granulomatous reaction that may produce space-occupying mass lesions termed textiloma (or gossypiboma). We present a 46-year-old female who underwent a right frontotemporal craniotomy and surgical removal of intraparenchymal cerebral hemorrhage, and who developed a textiloma during the postoperative period causing seizures. Granulomatous reactions due to hemostatic agents have been reported experimentally, as well as after cranial and spinal operations. Read More

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http://dx.doi.org/10.1159/000505233DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6984157PMC
January 2020

Levodopa-Responsive Primary Slow Orthostatic Tremor: A Premotor Sign of Parkinson's Disease?

Case Rep Neurol 2020 Jan-Apr;12(1):1-6. Epub 2020 Jan 3.

Department of Rehabilitation, Isehara Kyodo Hospital, Isehara, Japan.

We present a case of primary orthostatic tremor (OT) responsive to dopaminergic medication. The patient was a 62-year-old woman, who had leg tremor on standing for 2 years. No parkinsonian or other neurological signs were observed. Read More

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http://dx.doi.org/10.1159/000504798DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6984156PMC
January 2020

Sneddon Syndrome: A Case Report Exploring the Current Challenges Faced with Diagnosis and Management.

Case Rep Neurol 2019 Sep-Dec;11(3):357-368. Epub 2019 Dec 16.

Department of Neurology, Southmead Hospital, Bristol, United Kingdom.

Sneddon syndrome (SS) is a rare medium-vessel vasculopathy which characteristically presents with livedo racemosa (LR) and complications such as strokes. This case report describes a female presenting acutely with a stroke and, initially, no evidence of LR. Her antiphospholipid antibodies were negative, and her neuroimaging revealed multiple territory strokes with extensive vasculopathy and fragile neo-formed vessel collateralisation. Read More

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http://dx.doi.org/10.1159/000503955DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6959103PMC
December 2019

Swift Spontaneous Regression of a Pediatric Traumatic Acute Subdural Hematoma.

Case Rep Neurol 2019 Sep-Dec;11(3):351-356. Epub 2019 Dec 16.

Hagaziekenhuis, Department of Neurosurgery, The Hague, The Netherlands.

We report the case of a 4-year-old girl with acute subdural hematoma who presented to the emergency department after an unwitnessed fall of the balcony. The hematoma was hyperdense along the left convexity of 9 mm thickness with a consequent mass effect with obliteration of the adjacent sulci, left lateral ventricle compression and a midline shift of 7 mm. During her stay in the emergency department while waiting for transfer to the children intensive care unit elsewhere she slightly deteriorated neurologically. Read More

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http://dx.doi.org/10.1159/000504468DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6959089PMC
December 2019

Phenytoin Toxicity Treatment with Haemodialysis in Epilepsy due to Glioblastoma Multiforme: Case Report and Review of the Literature.

Case Rep Neurol 2019 Sep-Dec;11(3):344-350. Epub 2019 Dec 10.

Department of Medicine, Faculty of Health Sciences, Aga Khan University (East Africa) Medical College, Nairobi, Kenya.

Phenytoin is one of the most commonly used anticonvulsants in the developing world, but lack of monitoring and concurrent medications can easily lead to toxicity. We report the case of a 35-year-old female on phenytoin for symptomatic epilepsy due to previously treated glioblastoma multiforme, who presented with status epilepticus 1 week after being treated for a urinary tract infection. She was loaded with phenytoin and levetiracetam as per emergency protocol but had a persistently low level of consciousness, and her preloading phenytoin level result came back in the toxic range. Read More

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http://dx.doi.org/10.1159/000504470DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6940471PMC
December 2019

Headache, Delirium or Encephalitis? A Case of Residual Mutism Secondary to Anti-NMDA Receptor Encephalitis.

Case Rep Neurol 2019 Sep-Dec;11(3):330-343. Epub 2019 Dec 6.

Department of Neurology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

Encephalitis is a heterogeneous syndrome that is diagnosed through clinical assessment and the assistance of laboratory, neuroimaging and electroencephalographic workup. Over the past 10 years, autoimmune encephalitis has been more frequently recognized; however, most reports come from highly specialized hospital settings. Anti-N-methyl-D-aspartate receptor (NDMAR) encephalitis has been associated with paraneoplastic encephalitis syndromes and was first recognized in 2005. Read More

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http://dx.doi.org/10.1159/000504016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6940434PMC
December 2019

Intracranial Hemorrhage Secondary to a Delayed Cerebral Pseudoaneurysm Rupture 18 Years after Cranial Trauma.

Case Rep Neurol 2019 Sep-Dec;11(3):325-329. Epub 2019 Nov 21.

Stroke Unit, Department of Neurology, Hospital Universitari Dr. Josep Trueta de Girona, IDIBGI, Girona, Spain.

We report the case of a 38-year-old male with a previous history of severe cranial trauma and subsequent large subdural and subarachnoid hemorrhage on whom an emergent hematoma evacuation was performed with a good outcome and follow-up. Despite a good clinical evolution, the patient experienced a further intracranial hematoma 18 years after the trauma, with severe aphasia and mild right hemiparesis. After complete etiological study, two cranial pseudoaneurysms were observed in the cerebral angiography. Read More

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http://dx.doi.org/10.1159/000503812DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6902212PMC
November 2019

Foix-Chavany-Marie Syndrome due to Unilateral Anterior Opercular Damage with Contralateral Infarction of Corona Radiata.

Case Rep Neurol 2019 Sep-Dec;11(3):319-324. Epub 2019 Nov 21.

Department of Rehabilitation Technology, Saiseikai Shonan Hiratsuka Hospital, Hiratsuka, Japan.

Foix-Chavany-Marie syndrome (FCMS) is a rare type of pseudobulbar palsy characterized by automatic-voluntary dissociation of movements of the face, tongue, pharynx, and masticatory muscles. Most cases are due to bilateral ischemic lesions of the anterior operculum, but the syndrome has also been described after unilateral opercular damage, either isolated or associated with contralateral cortico-nuclear tract involvement. We report a patient with FCMS due to right anterior opercular lesion with contralateral infarction of the corona radiata. Read More

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http://dx.doi.org/10.1159/000503856DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6902251PMC
November 2019

A Case of Spontaneous Acute Subdural Hemorrhage Caused by a Dural Arteriovenous Fistula on the Convexity without Cortical Venous Reflux.

Case Rep Neurol 2019 Sep-Dec;11(3):312-318. Epub 2019 Nov 21.

Department of Neurosurgery, National Hospital Organization Toyohashi Medical Center, Toyohashi, Japan.

Bleeding from a dural arteriovenous fistula (DAVF) typically occurs in the form of an intracerebral or subarachnoid hemorrhage. Here, we report a rare case of a DAVF with an acute subdural hematoma (ASDH). A 29-year-old male presented to the emergency department with a complaint of progressing headache and nausea, with no reported episode of head trauma. Read More

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http://dx.doi.org/10.1159/000504290DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6902228PMC
November 2019

Hepatic Encephalopathy Mimicking Acute Dominant Middle Cerebral Artery Ischemic Stroke: A Case Report.

Case Rep Neurol 2019 Sep-Dec;11(3):304-311. Epub 2019 Nov 20.

Institute for Stroke and Cerebrovascular Disease, University of Texas Health Science Center at Houston McGovern Medical School, Houston, Texas, USA.

Hepatic encephalopathy and hyperammonemia are common in the setting of liver disease and have been associated with both generalized and focal neurological deficits. We report a case of hepatic encephalopathy with transaminitis in the setting of hyperammonemia clinically mimicking acute dominant middle cerebral artery (MCA) syndrome. A 59-year-old right-handed woman had new-onset expressive aphasia, left gaze deviation, and right hemiparesis consistent with MCA stroke. Read More

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http://dx.doi.org/10.1159/000504017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6902223PMC
November 2019

Meningitis and Pyogenic Spondylodiscitis in a Healthy Young Woman.

Case Rep Neurol 2019 Sep-Dec;11(3):299-303. Epub 2019 Nov 20.

Department of Neurology, Graduate School of Medicine and Dentistry, Okayama University, Okayama, Japan.

We report a rare case of meningitis and pyogenic spondylodiscitis in a healthy young woman. A 35-year-old woman without significant medical history presented with fever, headache, and low back pain. was detected from the blood culture. Read More

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http://dx.doi.org/10.1159/000503814DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6902222PMC
November 2019

Cerebrospinal Fluid Rhinorrhea Secondary to Idiopathic Intracranial Hypertension.

Authors:
Amal Alkhotani

Case Rep Neurol 2019 Sep-Dec;11(3):295-298. Epub 2019 Nov 14.

Department of Medicine, Umm AlQura University, King Abdulla Medical City, Makkah, Saudi Arabia.

Idiopathic intracranial hypertension (IIH) is a syndrome of increased intracranial pressure without a mass lesion or ventriculomegaly and normal cerebrospinal fluid (CSF) composition. Patients typically present with a headache and visual symptoms and signs. Here, we discuss a rare presentation of spontaneous CSF leak secondary to IIH and mild ophthalmic finding that worsened after the cranial repair of the CSF leak. Read More

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http://dx.doi.org/10.1159/000503813DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6902252PMC
November 2019

A Case of Hypertrophic Pachymeningitis Associated with Immunoglobulin-G4 and c-ANCA.

Case Rep Neurol 2019 Sep-Dec;11(3):290-294. Epub 2019 Oct 28.

Department of Neurology, Geisinger Medical Center, Danville, Pennsylvania, USA.

Hypertrophic pachymeningitis (HP) is characterized by inflammation of the dura mater. It has been described in the setting of numerous systemic inflammatory diseases including immunoglobulin G4 (IgG4)-related disease as well as granulomatosis with polyangiitis (GPA). In this case report, we describe a 48-year-old man presenting with headache who was found to have HP and had systemic features of both GPA and IgG4-related disease as well as seropositivity for both cytoplasmic antineutrophil cytoplasmic antibodies (c-ANCA) and IgG4. Read More

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http://dx.doi.org/10.1159/000502569DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6872998PMC
October 2019

Guillain-Barré Syndrome and Posterior Reversible Encephalopathy Syndrome following Spinal Surgery.

Case Rep Neurol 2019 Sep-Dec;11(3):284-289. Epub 2019 Sep 19.

Department of Neurology, Akita University Graduate School of Medicine, Akita, Japan.

Guillain-Barré syndrome (GBS) typically occurs after gastroenteritis and respiratory tract infection, but surgery has also been considered one of the triggers. Posterior reversible encephalopathy syndrome (PRES) is a rare complication of GBS. A normotensive female in her 70s presented ascending paralysis and frontal-parieto-occipital subcortical lesions with intermittent hypertension after spinal surgery. Read More

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http://dx.doi.org/10.1159/000502570DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6787417PMC
September 2019
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Intracranial Hemorrhage following Lumbar Puncture in a Patient on Apixaban.

Case Rep Neurol 2019 Sep-Dec;11(3):277-283. Epub 2019 Sep 19.

Division of Hospital Internal Medicine, Mayo Clinic, Jacksonville, Florida, USA.

Currently, clinical practice recommendations regarding patients in need of emergent lumbar puncture who are taking direct oral anticoagulants (DOACs) are based upon expert opinion, as evidence-based guidelines are unavailable. We present the case of an 80-year-old Caucasian lady who underwent diagnostic lumbar puncture for presumed meningitis while on therapeutic apixaban for nonvalvular atrial fibrillation. She was subsequently found to have bilateral subdural hematomas. Read More

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http://dx.doi.org/10.1159/000502735DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6787409PMC
September 2019
2 Reads

Diffuse Ischemic Strokes and Sickle Cell Crisis Induced by Disseminated Anaplasmosis: A Case Report.

Case Rep Neurol 2019 Sep-Dec;11(3):271-276. Epub 2019 Sep 19.

Neurology, Geisinger Medical Center, Danville, Pennsylvania, USA.

We present a 26-year-old female with HbSC disease who presented to the emergency department multiple times with pain and shortness of breath, eventually developing unresponsiveness and a brief episode of pulseless electrical activity. She was admitted to the intensive care unit with multisystem organ failure and found to have diffuse ischemic strokes. Infectious workup revealed disseminated anaplasmosis and babesiosis, which had likely caused sickle cell crisis, atypical hemolytic-uremic syndrome, and ischemic brain injury. Read More

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http://dx.doi.org/10.1159/000502567DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6787427PMC
September 2019
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Mechanical Thrombectomy of Primary Distal Anterior Cerebral Artery Occlusion: A Case Report.

Case Rep Neurol 2019 Sep-Dec;11(3):265-270. Epub 2019 Sep 19.

Department of Neurosurgery, Baba Memorial Hospital, Sakai City, Japan.

Objective: Primary anterior cerebral artery (ACA) occlusion is a rare condition and sometimes leads to significant neurological deficits. We herein report on the efficacy of mechanical thrombectomy (MT) in treating the distal ACA occlusion in a clinical setting.

Case Presentation: A 76-year-old woman presented with a sudden onset of right hemiparesis. Read More

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http://dx.doi.org/10.1159/000502349DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6787428PMC
September 2019
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The Effect of S-Adenosylmethionine Treatment on Neurobehavioral Phenotypes in Lesch-Nyhan Disease: A Case Report.

Case Rep Neurol 2019 Sep-Dec;11(3):256-264. Epub 2019 Sep 19.

Department of Pediatrics, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan.

Lesch-Nyhan disease (LND) is an X-linked recessive disorder caused by a deficiency in hypoxanthine-guanine phosphoribosyl transferase. Patients with LND experience involuntary movements, including dystonia, choreoathetosis, opisthotonos, ballismus, and self-injury. Alleviating these involuntary movements is important to improve the quality of life in patients with LND. Read More

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http://dx.doi.org/10.1159/000502568DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6787411PMC
September 2019
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Combined Hypertrophic Pachymeningitis and Cerebral Venous Thrombosis in a Case of Granulomatosis with Polyangiitis.

Case Rep Neurol 2019 May-Aug;11(2):252-255. Epub 2019 Aug 21.

Department of Neurology, Graduate School of Medicine and Dentistry, Okayama University, Okayama, Japan.

We report a rare case of hypertrophic pachymeningitis (HP) and cerebral venous thrombosis associated with proteinase-3-antineutrophil cytoplasmic antibody (PR3-ANCA)-positive granulomatosis with polyangiitis (GPA). A 58-year-old male developed left headache after exudative otitis media. The laboratory data were positive for PR3-ANCA. Read More

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http://dx.doi.org/10.1159/000502284DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6751471PMC
August 2019
2 Reads

Cosmetic Injection of Botulinum Toxin Unmasking Subclinical Myasthenia Gravis: A Case Report and Literature Review.

Case Rep Neurol 2019 May-Aug;11(2):244-251. Epub 2019 Aug 16.

Department of Neurology, University of Liège, CHU Sart-Tilman, Liège, Belgium.

Cosmetic or therapeutic use of botulinum toxin type A (BoNT-A) is usually safe but can rarely cause iatrogenic botulism. Iatrogenic botulism and myasthenia gravis (MG) share similar clinical features, because both BoNT-A and anti-acetylcholine receptorantibodies impair neuromuscular transmission. We report a patient who underwent cosmetic BoNT-A injection and later developed serious local and systemic adverse reactions. Read More

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http://dx.doi.org/10.1159/000502350DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6751432PMC
August 2019
5 Reads