Erik Elseviers, Thomas Jardinet, Caroline M J Loos
{"title":"Carotid web: identifying an often-overlooked cause of stroke during endovascular therapy.","authors":"Erik Elseviers, Thomas Jardinet, Caroline M J Loos","doi":"10.1007/s13760-025-02831-x","DOIUrl":"https://doi.org/10.1007/s13760-025-02831-x","url":null,"abstract":"","PeriodicalId":7042,"journal":{"name":"Acta neurologica Belgica","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144367813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vasiliki Zouvelou, Dimitra Tzavella, Thomas Zambelis
{"title":"Eyelid twitching in MuSK-myasthenia gravis.","authors":"Vasiliki Zouvelou, Dimitra Tzavella, Thomas Zambelis","doi":"10.1007/s13760-025-02811-1","DOIUrl":"https://doi.org/10.1007/s13760-025-02811-1","url":null,"abstract":"<p><p>A 22-year-old female suffering from MuSK-myasthenia gravis presented with fatigable eyelid ptosis, fluctuated bulbar symptoms and bilateral eyelid twichings which were greatly reinforced after tight closure of eyes and contraction of orbicularis oculi muscles. The patient never received acetylcholinesterase inhibitor treatment. Persistent twichings, irrespectively of clinical status, were signs of cholinergic hyperactivity. MuSK antibodies disrupt MuSK-collagen Q interaction with resultant deficient binding of acetylcholinesterase at synaptic cleft and impaired breakdown of acetylcholine. In myasthenia gravis, clinical signs of cholinergic hyperactivity may point to seropositivity of MuSK antibodies with therapeutic implications in clinical practice.</p>","PeriodicalId":7042,"journal":{"name":"Acta neurologica Belgica","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144315749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yves Lenaerts, Johan F Vansteenkiste, Johannes Devos
{"title":"Atypical presentation of leptomeningeal disease in lung adenocarcinoma: the bloomy rind sign.","authors":"Yves Lenaerts, Johan F Vansteenkiste, Johannes Devos","doi":"10.1007/s13760-025-02823-x","DOIUrl":"https://doi.org/10.1007/s13760-025-02823-x","url":null,"abstract":"","PeriodicalId":7042,"journal":{"name":"Acta neurologica Belgica","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Adult-onset opsoclonus-myoclonus-ataxia syndrome accompanying an infection with tick-borne encephalitis virus: A case report.","authors":"Tin Nožić Škerjanec, Rok Berlot","doi":"10.1007/s13760-025-02820-0","DOIUrl":"https://doi.org/10.1007/s13760-025-02820-0","url":null,"abstract":"","PeriodicalId":7042,"journal":{"name":"Acta neurologica Belgica","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144281952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Laura Carolina Restrepo-Carvajal, Isabel Martínez-Fernández, Tomás Segura, María Monteagudo, Alvaro Sanchez-Larsen
{"title":"Auditory Charles Bonnet syndrome: description of two cases and literature review.","authors":"Laura Carolina Restrepo-Carvajal, Isabel Martínez-Fernández, Tomás Segura, María Monteagudo, Alvaro Sanchez-Larsen","doi":"10.1007/s13760-025-02824-w","DOIUrl":"https://doi.org/10.1007/s13760-025-02824-w","url":null,"abstract":"","PeriodicalId":7042,"journal":{"name":"Acta neurologica Belgica","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144273852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Linear high signal of brain CT in a patient with leukemic encephalopathy.","authors":"Shulai Zhu, Xinxin Pan, Yonghong Wang","doi":"10.1007/s13760-025-02825-9","DOIUrl":"https://doi.org/10.1007/s13760-025-02825-9","url":null,"abstract":"<p><p>Leukemic encephalopathy is a syndrome characterized by neurological and psychiatric abnormalities caused by meningeal and brain tissue lesions resulting from leukemia and its complications. The incidence of leukemic encephalopathy is relatively low, but it may increase in certain types of leukemia, such as acute lymphoblastic leukemia (ALL) and acute myeloid leukemia (AML). The specific incidence varies among reports and studies, with some indicating an occurrence rate of about 5%, while domestic reports suggest that the incidence of leukemic encephalopathy in acute myeloid leukemia is generally less than 3%. In the chronic phase of chronic myeloid leukemia, leukemic encephalopathy is occasionally observed, but during the acute phase, especially during acute lymphoblastic leukemia, the likelihood of developing leukemic encephalopathy increases. There are few reports regarding its occurrence during acute transformation. Here, we present a case of acute transformation of chronic myeloid leukemia accompanied by leukemic encephalopathy treated at our hospital, aiming to enhance clinical understanding of leukemic encephalopathy.</p>","PeriodicalId":7042,"journal":{"name":"Acta neurologica Belgica","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lise Janssens, Sophie Broux, Annelies Terwecoren, Sofie De Blauwe, Johan Ghekiere
{"title":"Successful transcirculation thrombectomy through the posterior communicating artery for acute MCA occlusion: a case report.","authors":"Lise Janssens, Sophie Broux, Annelies Terwecoren, Sofie De Blauwe, Johan Ghekiere","doi":"10.1007/s13760-025-02806-y","DOIUrl":"https://doi.org/10.1007/s13760-025-02806-y","url":null,"abstract":"<p><p>In a transcirculation thrombectomy, the communicating arteries are used to access the anterior circulation via the posterior circulation, or vice versa. This approach can be used in patients where traditional anterograde endovascular approaches are challenging due to complex vascular anatomy or chronic lesions involving extracranial and intracranial vessels. Up until now only a few articles addressed this approach. Here, we present a case of a 68-year-old woman who presented with a sudden-onset left-sided weakness. CT angiography showed an occlusion of the common carotid artery (CCA) on the right side and an ipsilateral occlusion in the M1 segment of the middle cerebral artery (MCA). A transcirculation approach was used to perform a successful embolectomy for the right MCA occlusion through the patent posterior communicating artery (Pcomm). At discharge, the patient had mild deficits and fully recovered at 1-month follow-up. Our case highlights the effectiveness and safety of this technique, despite potential complications like prolonged procedure time. Further research is needed to optimize patient selection and technique.</p>","PeriodicalId":7042,"journal":{"name":"Acta neurologica Belgica","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144232854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lina Daoud, Valeria Onofrj, Arnault Tauziède-Espariat, Morgane Soler-Rico, Martin Lammens
{"title":"Letter to the Editor: Rare case of angiocentric glioma in an adult with refractory epilepsy.","authors":"Lina Daoud, Valeria Onofrj, Arnault Tauziède-Espariat, Morgane Soler-Rico, Martin Lammens","doi":"10.1007/s13760-025-02821-z","DOIUrl":"https://doi.org/10.1007/s13760-025-02821-z","url":null,"abstract":"","PeriodicalId":7042,"journal":{"name":"Acta neurologica Belgica","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144232853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hung-up reflex: the history of a clinical sign and differential diagnosis.","authors":"Cynthia Patricia Corona-Vázquez, Patricia Orozco-Puga, Fatima Gabriela Macias-Ortiz, Enrique Gomez-Figueroa, Daniela Isabel Ochoa-Walker, Omar Cardenas-Saenz","doi":"10.1007/s13760-025-02818-8","DOIUrl":"https://doi.org/10.1007/s13760-025-02818-8","url":null,"abstract":"<p><p>The hung-up reflex (HUR) is a tonic reflex response characterized by delayed muscular relaxation following the elicitation of a tendon reflex. First described by Woltman in patients with myxedema and hypothyroidism, it is best demonstrated in the Achilles tendon. Currently, two primary techniques are used for its measurement: photomotography and the anemometer. The pathogenic mechanism underlying this phenomenon is closely linked to the physiological process of cellular membrane recovery, particularly the reabsorption of calcium by the sarcoplasmic reticulum. This sign has been documented in various pathologies, including Huntington's disease, stiff-person syndrome, stiff-limb syndrome, hypothyroidism, myxedema, and Sydenham's chorea. Over time, it has played a significant role in the clinical examination of movement disorders. The objective of this review is to analyze the historical description, pathophysiological mechanisms, and clinical significance of HUR, aiming to enhance the understanding of its presence in different pathological entities and facilitate differential diagnoses.</p>","PeriodicalId":7042,"journal":{"name":"Acta neurologica Belgica","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144232852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}