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Mashup Score: 2“Glass Eel” Sign in Chikungunya Myelopathy - 11 month(s) ago
A 69-year-old female patient presented with acute lower limb weakness and urinary retention progressing to quadriparesis and dyspnea within days. She reported fever, arthralgia, myalgia, and headache for 6 days before the beginning of neurologic symptoms. Neurologic examination showed severe quadriparesis, extensor plantar responses, and a cervical sensory level. MRI (Figure) revealed…
Source: NeurologyCategories: Latest Headlines, NeurologyTweet
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Mashup Score: 1Teaching NeuroImage: Subacute Quadriparesis From Intramedullary Spinal Cord Infiltrating Glioma With TERT Promoter Mutation - 11 month(s) ago
A 68-year-old man without a medical history developed 2 months of progressive weakness and cervicalgia. Examination showed quadriparesis with T10 sensory level. Spine MRI revealed an expansile intramedullary lesion from obex to T11 with peripheral nodular enhancement (Figure, A–D). Brain MRI, body PET/CT, and broad serum diagnostics were normal (eTable 1, [links.lww.com/WNL/C653][1]). CSF showed…
Source: NeurologyCategories: Latest Headlines, NeurologyTweet
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Mashup Score: 4Teaching NeuroImage: Imaging and Pathologic Findings in SARS-CoV-2–Related Acute Demyelinating Encephalomyelitis - 11 month(s) ago
A 41-year-old woman with type 1 diabetes admitted with SARS-CoV-2 PCR confirmed respiratory failure developed altered mental status. EEG was unrevealing, and CSF showed an elevated protein (110 mg/dL) and normal glucose (159 mg/dL), without pleocytosis or oligoclonal bands and normal IgG index. MRI demonstrated FLAIR hyperintensities in the corpus callosum and periventricular white matter (Figure…
Source: NeurologyCategories: Latest Headlines, NeurologyTweet
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Mashup Score: 1Teaching NeuroImage: Nevus Flammeus, Ocular Melanosis, and Seizures in Young Adult With Sturge-Weber and Klippel-Trenaunay Overlap Syndrome - 12 month(s) ago
An 18-year-old man with delayed gross motor and language development and congenital glaucoma presented with recurrent seizures since 3 months of age. The seizures were characterized by left focal onset with secondary generalization and complicated by frequent drug noncompliance. Examination revealed a port-wine stain over the face and extremities (Figure, A), bluish-grey discoloration of the eyes…
Source: NeurologyCategories: Latest Headlines, NeurologyTweet
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Mashup Score: 0NeuroImage | Susceptibility Imaging in Neurodegeneration and Aging | ScienceDirect.com by Elsevier - 1 year(s) ago
Tissue magnetic susceptibility is a powerful contrast mechanism that provides sensitivity to abundant para- and dia-magnetic biomaterials such as iron, myelin, and calcium. Susceptibility weighted imaging capitalizes on this mechanism with strong tissue contrast in imaging brain injury and stroke. Quantitative susceptibility mapping can provide a quantitative measure of tissue susceptibility…
Source: www.sciencedirect.comCategories: Latest Headlines, RadiologyTweet
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Mashup Score: 0Teaching Video NeuroImage: Bilateral Eyelid Opening Apraxia in a Patient With Top of the Basilar Syndrome - 1 year(s) ago
A 76-year-old woman was admitted to our emergency department for acute development of vertigo, followed by loss of consciousness. Brain MRI revealed a bilateral paramedian thalamo-mesencephalic infarction due to basilar artery occlusion (Figure). The patient underwent systemic thrombolysis and mechanical thrombectomy, with complete reperfusion of the basilar artery. After the procedure, the…
Source: NeurologyCategories: Latest Headlines, NeurologyTweet
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Mashup Score: 0NeuroImage | Susceptibility Imaging in Neurodegeneration and Aging | ScienceDirect.com by Elsevier - 1 year(s) ago
Tissue magnetic susceptibility is a powerful contrast mechanism that provides sensitivity to abundant para- and dia-magnetic biomaterials such as iron, myelin, and calcium. Susceptibility weighted imaging capitalizes on this mechanism with strong tissue contrast in imaging brain injury and stroke. Quantitative susceptibility mapping can provide a quantitative measure of tissue susceptibility…
Source: www.sciencedirect.comCategories: Latest Headlines, NeurologyTweet
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Mashup Score: 10Complicated Monkeypox Infection in a Patient With Multiple Sclerosis and Fingolimod Treatment - 1 year(s) ago
A 46-year old man with controlled relapsing-remitting multiple sclerosis (MS) and long-term fingolimod treatment developed multiple painful skin lesions (Figure, A). Outpatient skin swab revealed monkeypox virus infection. No fever was detected, but the disease course was complicated by prolonged cutaneous, oral and perianal manifestations, proctitis (Figure, B), gastrointestinal bleeding with…
Source: NeurologyCategories: Latest Headlines, NeurologyTweet
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Mashup Score: 0Teaching Video NeuroImage: Alternating Skew Deviation as a Manifestation of Anti-GAD65–Associated Cerebellitis - 1 year(s) ago
A 53-year-old woman presented with ataxia, dysarthria, and vertical binocular diplopia on left and right gaze but absent in primary gaze. Her symptoms were progressive over several months without clear inciting event. Initial neuro-ophthalmology evaluation showed subtle downbeat nystagmus in primary gaze that increased in horizontal gaze, consistent with “side-pocket” phenomenon.1 On cross-cover…
Source: NeurologyCategories: Latest Headlines, NeurologyTweet
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Mashup Score: 1Teaching NeuroImage: Palmaris Brevis Sign - 1 year(s) ago
A 65-year-old man sustained a penetrating injury to the base of the hypothenar area from a slipped drill bit. Severe weakness of ulnar nerve-innervated intrinsic hand muscles was noted with normal sensation in digits 4 and 5. Attempt to abduct the small finger against resistance caused puckering of skin from contraction of palmaris brevis (Figure, A).
Source: NeurologyCategories: Latest Headlines, NeurologyTweet
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