Case Reports in Neurology最新文献_第3页

Repetitive Transcranial Magnetic Stimulation for Major Depressive Disorder in Huntington Disease Patient with Improvement in Neuropsychiatric and Movement Symptoms: A Case Report. 重复经颅磁刺激治疗亨廷顿病患者的重度抑郁症并改善其神经精神和运动症状：病例报告。

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Case Reports in Neurology Pub Date : 2024-02-14 eCollection Date: 2024-01-01 DOI: 10.1159/000537750

Cheyenne Rahn, Kris Peterson, Elizabeth Lamb

引用次数: 0

Disseminated Aspergillosis with Mediastinal Invasion Causing Fatal Stroke in an Immunocompetent Young Man. 一名免疫功能正常的年轻男子因弥散性曲霉菌病并发纵隔侵犯而导致致命中风

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Case Reports in Neurology Pub Date : 2024-02-05 eCollection Date: 2024-01-01 DOI: 10.1159/000536594

Robert Yarham, Rudy Goh, Eamon P Raith, Krishnaswamy Sundararajan, Timothy Kleinig

引用次数: 0

Migraine Symptoms Induced by an Auricular Piercing in a 27-Year-Old Female: A Case Report. 一名 27 岁女性因耳廓穿刺引发偏头痛症状：病例报告。

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Case Reports in Neurology Pub Date : 2024-01-31 eCollection Date: 2024-01-01 DOI: 10.1159/000536132

Sophia Uddin, Jordan Terry

{"title":"Migraine Symptoms Induced by an Auricular Piercing in a 27-Year-Old Female: A Case Report.","authors":"Sophia Uddin, Jordan Terry","doi":"10.1159/000536132","DOIUrl":"10.1159/000536132","url":null,"abstract":"Introduction: Migraines are common and debilitating, and have high direct and indirect costs. They can be difficult to treat, and many patients make use of alternative medicine techniques. One of these is acupuncture applied to locations on the auricle thought to modulate migraine symptoms. Some patients obtain piercings in these locations in hopes of relieving their symptoms; however, the literature does not address the possibility of migraine symptoms being worsened or even induced by such piercings.Case presentation: We present a case of a 27-year-old female with a history of transient hemiplegia without headaches who developed headaches, visual disturbances, and nausea after a piercing of the inferior crus of her left antihelix (known as a rook piercing). No abnormalities were found on workup, and symptoms were treated with supportive care. After removing the piercing 9 months later, the patient's symptoms resolved.Conclusion: The mechanism linking the piercing with the migraine symptoms is unclear, but may involve modulation of trigeminal or vagal pain pathways, as both of these cranial nerves innervate this area of the auricle. Regardless, in patients presenting with migraine symptoms, history and physical exam should not overlook piercings as potential contributory factors.","PeriodicalId":9639,"journal":{"name":"Case Reports in Neurology","volume":"16 1","pages":"36-40"},"PeriodicalIF":0.7,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10849747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139701948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A First Case of Acute Flaccid Myelitis Related to Enterovirus D68 in Belgium: Case Report. 比利时首例与肠道病毒 D68 相关的急性弛缓性脊髓炎病例：病例报告。

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Case Reports in Neurology Pub Date : 2024-01-31 eCollection Date: 2024-01-01 DOI: 10.1159/000535316

Marine Rodesch, Claudine Sculier, Valentina Lolli, Gauthier Remiche, Iris Delpire, Christophe Fricx, Françoise Vermeulen, Florence Christiaens

{"title":"A First Case of Acute Flaccid Myelitis Related to Enterovirus D68 in Belgium: Case Report.","authors":"Marine Rodesch, Claudine Sculier, Valentina Lolli, Gauthier Remiche, Iris Delpire, Christophe Fricx, Françoise Vermeulen, Florence Christiaens","doi":"10.1159/000535316","DOIUrl":"https://doi.org/10.1159/000535316","url":null,"abstract":"Introduction: We describe the first case of acute flaccid myelitis (AFM) related to enterovirus D68 (EV-D68) infection in Belgium. The clinical and radiological presentation of AFM associated with EV-D68 although well described currently remains a challenging diagnosis. Through this interesting clinical case, we aimed to review the differential diagnosis of acute flaccid palsy in a child and discuss the specific point of interest related to AFM.Case presentation: We present the case of a 4-year-old girl with a torticollis associated with an acute palsy of the right upper limb. The magnetic resonance imaging revealed an increased T2 signal intensity of the entire central gray matter of the cervical cord with involvement of the posterior brainstem. A polymerase chain reaction (PCR) conducted on a nasopharyngeal swab was found positive for EV-D68. The definition of AFM proposed by the Center for Disease Control and Prevention (CDC) is an acute-onset flaccid weakness of one or more limbs in the absence of a clear alternative diagnosis and the radiological evidence of gray matter involvement on an MRI picture, and our case fits these two criteria. A prompt and detailed workup is required to distinguish this emergent disease from other forms of acute flaccid palsy. The functional prognosis of AFM is poor, and there are no evidence-based treatment guidelines so far.Conclusion: AFM is an emerging pathology that requires the attention of pediatricians to quickly rule out differential diagnoses and adequately manage the patient. Further research is needed to optimize treatments, improve outcomes, and provide scientifically based guidelines.","PeriodicalId":9639,"journal":{"name":"Case Reports in Neurology","volume":"16 1","pages":"41-47"},"PeriodicalIF":0.7,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10890805/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139971089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Highly Active Relapsing-Remitting Multiple Sclerosis with Neurofibromatosis Type 1: Radiological Aspects and Therapeutic Challenges - Case Report. 神经纤维瘤病 1 型高活性复发性多发性硬化症：放射学方面和治疗挑战--病例报告。

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Case Reports in Neurology Pub Date : 2024-01-24 eCollection Date: 2024-01-01 DOI: 10.1159/000536463

Marios Lemonaris, Kleopas A Kleopa

{"title":"Highly Active Relapsing-Remitting Multiple Sclerosis with Neurofibromatosis Type 1: Radiological Aspects and Therapeutic Challenges - Case Report.","authors":"Marios Lemonaris, Kleopas A Kleopa","doi":"10.1159/000536463","DOIUrl":"https://doi.org/10.1159/000536463","url":null,"abstract":"Introduction: Multiple sclerosis (MS) is an autoimmune neurodegenerative disease which can rarely co-exist with neurofibromatosis 1 (NF1), a neurocutaneous inherited disorder that predisposes to oncogenesis. Patients who suffer from both conditions can be challenging cases for clinicians, as clinical symptoms and radiological findings may overlap, while MS immune-modifying treatments could further increase the risk of oncogenesis.Case presentation: In this study, we describe the case of a 27-year-old woman who presented with signs and symptoms of optic neuritis and was then diagnosed with both MS and NF1. As the patient continued to experience MS relapses despite initial interferon-beta treatment, she was subsequently switched to natalizumab and responded well.Conclusion: This case illustrates how MRI lesion differentiation with the co-existence of MS and NF1 can be difficult due to overlaps in lesion characteristics, while treatment decisions can be challenging mainly due to scarce data on the oncogenic risk of MS immunomodulary therapies. Therefore, clinicians need to balance out the risk of malignancy development with the risk of progressive neurological disability when treating such patients.","PeriodicalId":9639,"journal":{"name":"Case Reports in Neurology","volume":"16 1","pages":"48-54"},"PeriodicalIF":0.7,"publicationDate":"2024-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10890804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139975486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Tuberculous Meningitis Presenting with Bilateral Optic Neuritis: A Case Report and Review of Literature 结核性脑膜炎伴双侧视神经炎：病例报告和文献综述

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Case Reports in Neurology Pub Date : 2024-01-09 DOI: 10.1159/000536086

Khaled W. Sadek, Mohamed A. Atta, Najwa Y. Sultan, Anas A. Ashour

{"title":"Tuberculous Meningitis Presenting with Bilateral Optic Neuritis: A Case Report and Review of Literature","authors":"Khaled W. Sadek, Mohamed A. Atta, Najwa Y. Sultan, Anas A. Ashour","doi":"10.1159/000536086","DOIUrl":"https://doi.org/10.1159/000536086","url":null,"abstract":"Introduction: Tuberculosis (TB) is a major global cause of morbidity and mortality. Tuberculous meningitis (TBM) is an implication of systemic dissemination of a primary TB infection that indicates a poorer disease prognosis with various long term neurological sequalae. Consequently, it is crucial to understand different clinical presentations and manifestations of such condition. In TBM, vision loss, which is one of the most devastating complications, may result from optic nerve inflammation and atrophy. Although unilateral optic neuritis as a primary presenting symptom of TBM has been broadly reported in the literature, there is paucity of information related to several other rare neuro-ophthalmic features, such as bilateral optic nerve involvement in TBM.\u0000Case presentation: We herein present a case of a 37 years-old Indian male patient presenting with unilateral vision loss that subsequently progressed to bilateral vision loss and was hence diagnosed with bilateral optic neuritis. Additional thorough investigation yielded a diagnosis of TBM with underlying tuberculomas. The patient’s condition improved afterwards with anti-tuberculous therapy and steroids with a follow up magnetic resonance imaging indicating radiological resolution as well. \u0000Conclusion: The differential diagnosis of bilateral optic neuritis is broad but a rare, yet an overlooked one would be central nervous system TB in form of meningitis or tuberculoma. Hence, it is important to identify bilateral optic neuritis as a possible rare presenting symptom of an underlying central nervous system TB infection which could lead to a faster disease diagnosis and treatment to prevent its devastating complications. \u0000","PeriodicalId":9639,"journal":{"name":"Case Reports in Neurology","volume":"7 9","pages":""},"PeriodicalIF":0.7,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139443750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Posterior circulation mechanical thrombectomy through primitive trigeminal artery: A case report 通过原始三叉动脉进行后循环机械血栓切除术：病例报告

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Case Reports in Neurology Pub Date : 2024-01-02 DOI: 10.1159/000535871

Xiaoshan Gao, Tianhong Wang, Jun Chen, Jiangjun Chen, Ying Wang, Kui Yang, Youquan Gu, Lihe Yao

{"title":"Posterior circulation mechanical thrombectomy through primitive trigeminal artery: A case report","authors":"Xiaoshan Gao, Tianhong Wang, Jun Chen, Jiangjun Chen, Ying Wang, Kui Yang, Youquan Gu, Lihe Yao","doi":"10.1159/000535871","DOIUrl":"https://doi.org/10.1159/000535871","url":null,"abstract":"Introduction: Primitive trigeminal artery (PTA) is a rare intracranial vascular malformation, and mechanical thrombectomy and revascularization via PTA are rarely reported. \u0000Case presentation: We reported a case of mechanical thrombectomy through PTA in a patient who presented with sudden slurred speech and had a National Institutes of Health Stroke Scale score of 12. Digital subtraction angiography of the cerebral vasculature showed PTA formation in the right internal carotid artery cavernous segment, with acute occlusion of the distal basilar artery at the PTA junction, and bilateral vertebral arteries and proximal basilar artery were underdeveloped. Therefore, we chose mechanical thrombectomy via PTA; but unfortunately, the vessel failed to recanalize. Follow-up at 1 month post-procedure indicated that the patient had passed away. We present the endovascular process and analyze and summarize the reasons for the failure to provide a reference for subsequent mechanical thrombectomy via PTA. \u0000Conclusions: PTA increases the risk of ischemic stroke and adds to the complexity of mechanical thrombectomy post-stroke. However, in certain situations, PTA can be used as a thrombectomy channel to increase the first-line possibility of timely endovascular treatment to save ischemic brain tissue.\u0000","PeriodicalId":9639,"journal":{"name":"Case Reports in Neurology","volume":"11 5","pages":""},"PeriodicalIF":0.7,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139452511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Early Manifestation of Benign Paroxysmal Positional Vertigo: A Case Report 良性阵发性位置性眩晕的早期表现：病例报告

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Case Reports in Neurology Pub Date : 2023-12-07 DOI: 10.1159/000535550

Matyas Ebel, Alena Jahodova, Jaroslav Jeřábek

引用次数: 0

Electroencephalographic abnormalities in a patient suffering from long-term neuropsychological complications following SARS-Cov2 infection 一名 SARS-Cov2 感染后长期神经心理并发症患者的脑电图异常

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Case Reports in Neurology Pub Date : 2023-12-05 DOI: 10.1159/000535241

D. Benis, P. Voruz, S. C. Chiuvé, Valentina Garibotto, F. Assal, P. Krack, J. Péron, Vanessa Fleury

{"title":"Electroencephalographic abnormalities in a patient suffering from long-term neuropsychological complications following SARS-Cov2 infection","authors":"D. Benis, P. Voruz, S. C. Chiuvé, Valentina Garibotto, F. Assal, P. Krack, J. Péron, Vanessa Fleury","doi":"10.1159/000535241","DOIUrl":"https://doi.org/10.1159/000535241","url":null,"abstract":"Introduction\u0000Emotional apathy has recently been identified as a common symptom of long COVID. While recent meta-analyses have demonstrated generalized EEG slowing with the emergence of delta rhythms in patients hospitalized for severe SARS-Cov2 infection, no EEG study or dopamine transporter scintigraphy (DaTSCAN) have been performed in patients with long COVID presenting with apathy. The objective of this case report was to explore the pathophysiology of neuropsychological symptoms in long COVID. \u0000Case presentation\u0000A 47-year-old patient who developed a long COVID with prominent apathy following an initially clinically mild SARS-Cov2 infection, underwent neuropsychological assessment, cerebral MRI, DaTSCAN, and resting-state high-density EEG seven months after SARS-Cov2 infection. The EEG data were compared to those of 21 healthy participants. The patient presented with apathy, cognitive difficulties with dysexecutive syndrome, moderate attentional and verbal episodic memory disturbances, and resolution of pre-morbid mild gaming disorder, mild mood disturbances, and sleep disturbances. His MRI and DaTSCAN were unremarkable. EEG revealed a complex pattern of oscillatory abnormalities compared to the control group, with a strong increase in whole-scalp delta and beta band activity, as well as a decrease in alpha band activity. Overall, these effects were more prominent in the frontal-central-temporal region. Conclusion\u0000These results suggest widespread changes in EEG oscillatory patterns in a patient with long Covid characterized by neuropsychological complications with prominent apathy. Despite the inherent limitations of a case report, these results suggest dysfunction in the cortical networks involved in motivation and emotion.","PeriodicalId":9639,"journal":{"name":"Case Reports in Neurology","volume":"81 10","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138598209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Anesthetic management with propofol in a patient with Rasmussen's encephalitis complicated by intractable partial-onset epileptic seizures: a case report 异丙酚麻醉治疗拉斯穆森脑炎合并难治性部分性癫痫发作1例

Case Reports in Neurology Pub Date : 2023-10-26 DOI: 10.1159/000534754

Mai Akazawa, Guoshan Yan, Rina Hirai, Hirotoshi Kitagawa

{"title":"Anesthetic management with propofol in a patient with Rasmussen's encephalitis complicated by intractable partial-onset epileptic seizures: a case report","authors":"Mai Akazawa, Guoshan Yan, Rina Hirai, Hirotoshi Kitagawa","doi":"10.1159/000534754","DOIUrl":"https://doi.org/10.1159/000534754","url":null,"abstract":"Introduction: Rasmussen's encephalitis (RE) is a progressive and chronic ailment characterized by drug-resistant epileptic seizures. RE is uncommon, and no documented accounts of its anesthetic management exist. Anesthetic management without causing epileptic seizures is important in RE. Here, we present a case of safe anesthetic management in a pediatric patient with RE. Case presentation: A 7-year-old boy who was diagnosed with RE at the age of 6 years was scheduled for supernumerary tooth extraction under general anesthesia. The patient was being treated with prednisolone, sodium valproate, zonisamide, lacosamide, and famotidine. Despite receiving antiepileptic therapy, the patient experienced partial epileptic seizures several times per week. The seizures presented as numbness in his right hand and progressed to tonic-clonic seizures affecting the right side of his body. On the day of the surgical procedure, the patient was administered regular doses of antiepileptic drugs and prednisolone. Anesthesia was induced and maintained using a combination of propofol, remifentanil, and rocuronium. The surgical procedure was successfully performed, and the patient awakened smoothly from anesthesia. No epileptic seizures were observed intra- or post-operatively. Conclusion: RE typically presents with drug-resistant seizures and the initial symptoms are usually refractory partial seizures. Propofol is well-established as a treatment option for refractory status epilepticus, and it reduces the frequency of spikes in patients with partial epilepsy. In this case, general anesthesia without epileptic seizures was achieved using propofol.","PeriodicalId":9639,"journal":{"name":"Case Reports in Neurology","volume":"27 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134908038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0