Neurology IndiaPub Date : 2026-07-01Epub Date: 2026-07-21DOI: 10.4103/neurol-india.Neurol-India-D-25-00264
Ajay Nathan, Bharat Rajkumar, M Kasiviswanathan, Anmol Sharma
{"title":"Recurrent Stroke - Should We Think Beyond Ischemia? - Case of MOG Encephalitis.","authors":"Ajay Nathan, Bharat Rajkumar, M Kasiviswanathan, Anmol Sharma","doi":"10.4103/neurol-india.Neurol-India-D-25-00264","DOIUrl":"https://doi.org/10.4103/neurol-india.Neurol-India-D-25-00264","url":null,"abstract":"<p><strong>Abstract: </strong>Myelin oligodendrocyte glycoprotein (MOG) antibody-associated disease (MOGAD) is a rare autoimmune demyelinating disorder of the central nervous system that can present with varied neurological symptoms. While commonly mistaken for multiple sclerosis or neuromyelitis optica spectrum disorders, MOGAD can also mimic cerebrovascular events, posing a diagnostic challenge. We report a case of a 30-year-old male who initially presented with acute-onset left-sided hemiplegia and right facial palsy, raising suspicion of an ischemic stroke. Despite thrombolysis, his recurrent neurological symptoms, including dysarthria and cerebellar ataxia, prompted further evaluation. Neuroimaging revealed hyperintense lesions in the right hemi-pons and bilateral middle cerebellar peduncles, raising the possibility of a demyelinating disorder. MOG-IgG seropositivity confirmed the diagnosis of MOG encephalitis. The patient responded well to pulse corticosteroid therapy, followed by maintenance immunosuppression with mycophenolate mofetil, and remained asymptomatic on follow-up. This case underscores the importance of considering autoimmune demyelinating disorders in young patients with recurrent neurological deficits and clinico-radiological dissociation. Early recognition and appropriate immunotherapy can prevent unnecessary thrombolysis and improve patient outcomes. Clinicians should maintain a high index of suspicion for MOGAD as a potential stroke mimic in atypical presentations.</p>","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"74 4","pages":"675-677"},"PeriodicalIF":0.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148536513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neurology IndiaPub Date : 2026-07-01Epub Date: 2026-07-21DOI: 10.4103/neurol-india.Neurol-India-D-25-01056
Alexa Semonche, Thomas Wozny, Robert C Osorio, David J Caldwell, Marc Prablek, Evan J Pate, Nathan Han, Ivan H El-Sayed, Praveen V Mummaneni, Anthony M DiGiorgio
{"title":"Transoral Transmandibular Approach for Multilevel Anterior Cervical Fusion: Technical Note.","authors":"Alexa Semonche, Thomas Wozny, Robert C Osorio, David J Caldwell, Marc Prablek, Evan J Pate, Nathan Han, Ivan H El-Sayed, Praveen V Mummaneni, Anthony M DiGiorgio","doi":"10.4103/neurol-india.Neurol-India-D-25-01056","DOIUrl":"https://doi.org/10.4103/neurol-india.Neurol-India-D-25-01056","url":null,"abstract":"<p><strong>Abstract: </strong>The transoral transmandibular approach is indicated for pathologies affecting C1-3 that require an anterior or combined anteroposterior approach to address. This approach has been described previously for cervical tumors requiring en bloc resection, deformity, and pathologic fractures secondary to rheumatological disease. Here, we to illustrate the transoral transmandibular approach for cervical osteomyelitis. A 29-year-old male presented with neck pain and was found to have osteomyelitis of unclear etiology at C1-4 complicated by pathological fractures at C2-3. He initially underwent a C1-5 posterior spinal fusion and empiric antibiotic therapy but represented 3 months later with pseudoarthrosis. Due to posterior element erosion, the patient underwent an anterior transoral transmandibular approach for C2-4 corpectomies and C1-5 anterior fusion, followed by posterior occiput-C6 fusion. Postoperatively stable neurological exam and improved neck pain. This case demonstrates how the anterior transoral transmandibular approach enables access and robust multilevel anterior column reconstruction for pathologies affecting C1-3.</p>","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"74 4","pages":"593-596"},"PeriodicalIF":0.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148536571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neurology IndiaPub Date : 2026-07-01Epub Date: 2026-07-21DOI: 10.4103/neurol-india.Neurol-India-D-26-00443
Manjul Tripathi
{"title":"Brain Surgeon Without a Scalpel: Memoir of a Stereotactic Radiosurgery Pioneer.","authors":"Manjul Tripathi","doi":"10.4103/neurol-india.Neurol-India-D-26-00443","DOIUrl":"10.4103/neurol-india.Neurol-India-D-26-00443","url":null,"abstract":"","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"74 4","pages":"767-768"},"PeriodicalIF":0.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148536016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neurology IndiaPub Date : 2026-07-01Epub Date: 2026-07-21DOI: 10.4103/neurol-india.Neurol-India-D-25-00380
Josef Finsterer
{"title":"Before a Neuropathy is Attributed to Lupus Erythematosus, the Diagnosis must be Confirmed and Alternative Causes Thoroughly Ruled Out.","authors":"Josef Finsterer","doi":"10.4103/neurol-india.Neurol-India-D-25-00380","DOIUrl":"10.4103/neurol-india.Neurol-India-D-25-00380","url":null,"abstract":"","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"74 4","pages":"703-704"},"PeriodicalIF":0.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148536067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neurology IndiaPub Date : 2026-07-01Epub Date: 2026-07-21DOI: 10.4103/neurol-india.Neurol-India-D-25-01025
Swarjith Nimmakayala, Kuntal Kanti Das, Shreyash Rai, Ved Prakash Maurya, Arun Kumar Srivastava
{"title":"Pro-Atlantal Artery in CVJ Anomaly: The First Report in the World.","authors":"Swarjith Nimmakayala, Kuntal Kanti Das, Shreyash Rai, Ved Prakash Maurya, Arun Kumar Srivastava","doi":"10.4103/neurol-india.Neurol-India-D-25-01025","DOIUrl":"10.4103/neurol-india.Neurol-India-D-25-01025","url":null,"abstract":"","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"74 4","pages":"748-750"},"PeriodicalIF":0.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148536461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neurology IndiaPub Date : 2026-07-01Epub Date: 2026-07-21DOI: 10.4103/neurol-india.Neurol-India-D-25-00744
Arya Geetha, Vcs Arathi, Ulaghanathan Navitha
{"title":"Response to Concerns Regarding Article: 10.4103/ni.ni_800_22; Normative Data of Montreal Cognitive Assessment (MoCA) in Tamil-Speaking Adults.","authors":"Arya Geetha, Vcs Arathi, Ulaghanathan Navitha","doi":"10.4103/neurol-india.Neurol-India-D-25-00744","DOIUrl":"10.4103/neurol-india.Neurol-India-D-25-00744","url":null,"abstract":"","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"74 4","pages":"720-721"},"PeriodicalIF":0.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148536518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neurology IndiaPub Date : 2026-07-01Epub Date: 2026-07-21DOI: 10.4103/neurol-india.Neurol-India-D-25-00754
Rajiv Anagha, Asish Vijayaraghavan
{"title":"\"Brawny but Brittle\" - A Classic Case of Myotonia Congenita (Becker Disease).","authors":"Rajiv Anagha, Asish Vijayaraghavan","doi":"10.4103/neurol-india.Neurol-India-D-25-00754","DOIUrl":"10.4103/neurol-india.Neurol-India-D-25-00754","url":null,"abstract":"","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"74 4","pages":"740-741"},"PeriodicalIF":0.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148536573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}