Case Reports in Neurology最新文献_第4页

Baló Concentric Sclerosis Mimicking Encephalitis with Seizures and Progressive Aphasia in a 26-Year-Old Woman: A Challenging Diagnostic Dilemma. 一名26岁女性的类似脑炎的Baló同心性硬化症伴癫痫发作和进行性失语症：一个具有挑战性的诊断难题。

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Case Reports in Neurology Pub Date : 2023-10-06 eCollection Date: 2023-01-01 DOI: 10.1159/000534358

Nexhmedin Shala, Ilir Tolaj, Fisnik Jashari, Edita Malazogu, Argjend Shala, Gentiant Bajraktari, Ilir Ahmetgjekaj, Shemsedin Dreshaj

引用次数: 0

A Rare Case of Cardioembolic Spinal Stroke in a Young Female: Case Report. 一例罕见的年轻女性心脏栓塞性脊髓卒中病例报告。

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Case Reports in Neurology Pub Date : 2023-09-26 eCollection Date: 2023-01-01 DOI: 10.1159/000531779

Rom Mendel, Irina Tsirkin, Eugene Soikher, Salo Haratz

引用次数: 0

Brait-Fahn-Schwartz Disease: A Unique Co-Occurrence of Parkinson's Disease and Amyotrophic Lateral Sclerosis. Brait-Fahn-Schwartz病：帕金森病和肌萎缩侧索硬化症的独特合并症。

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Case Reports in Neurology Pub Date : 2023-09-21 eCollection Date: 2023-01-01 DOI: 10.1159/000532092

Ayesha Aslam, Eisham Sarmad, Ahmad Nawaz, Ahsan Numan, Azba Ahmad, Muhammad Aarish Hassan

{"title":"Brait-Fahn-Schwartz Disease: A Unique Co-Occurrence of Parkinson's Disease and Amyotrophic Lateral Sclerosis.","authors":"Ayesha Aslam, Eisham Sarmad, Ahmad Nawaz, Ahsan Numan, Azba Ahmad, Muhammad Aarish Hassan","doi":"10.1159/000532092","DOIUrl":"10.1159/000532092","url":null,"abstract":"The Parkinson's disease-amyotrophic lateral sclerosis (ALS) complex typically manifests as levodopa-responsive parkinsonism, followed by ALS. It is extremely rare for Parkinson's disease and ALS to coexist without other neurological disorders. Named after the scientists who first described this overlap of two neurodegenerative conditions, it is referred to as Brait-Fahn-Schwartz disease. Given its variable presentation, increasing rarity, and lack of any diagnostic test, it poses a diagnostic challenge for physicians. We present a case of a 55-year-old Pakistani male experiencing progressive quadriparesis with spastic lower limbs and flaccid upper limbs, in addition to the cardinal features of idiopathic Parkinson's disease. Since there is currently no cure available for either Parkinson's disease or ALS, all available treatment focuses on improving quality of life, which we achieved in our patient. This case is unique in being the first incidence of Parkinson's disease-ALS complex in a novel geographic region such as Pakistan, where genetic testing and cost constraints limit the diagnosis of rare disorders. The coexistence of extrapyramidal symptoms and pyramidal symptoms is uncommon. In such situations, physicians may overlook one group of symptoms, potentially leading to a misdiagnosis. This case highlights the value of a thorough physical examination and electrodiagnostic studies and suggests the association between Parkinson's disease and ALS. This case demonstrates the significance of understanding when Parkinson's disease symptoms start to appear in patients with ALS and the need to start dopaminergic therapy in those who had Parkinson's disease features before ALS to alleviate the suffering of an individual and enhance quality of life.","PeriodicalId":9639,"journal":{"name":"Case Reports in Neurology","volume":"15 1","pages":"207-214"},"PeriodicalIF":0.7,"publicationDate":"2023-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10601670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71410884","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

Transcirculation Approach for Matricidal Carotid Cavernous Aneurysm: Not a Good Choice - A Case Report of Unsuccessful Endovascular Treatment of Matricidal Carotid Cavernous Aneurysm. 经循环治疗杀性颈动脉海绵状瘤：不是一个好的选择——一例杀性颈静脉海绵状瘤血管内治疗失败的病例报告。

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Case Reports in Neurology Pub Date : 2023-09-04 eCollection Date: 2023-01-01 DOI: 10.1159/000533832

Norbert Svoboda, Jozef Malik, Frantisek Charvat, David Netuka

引用次数: 0

Botulinum Toxin-A for the Treatment of Neuropathic Pain after Decompressive Craniotomy in Stroke: Two Cases. 肉毒杆菌毒素A治疗脑卒中开颅减压术后神经性疼痛2例。

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Case Reports in Neurology Pub Date : 2023-08-22 eCollection Date: 2023-01-01 DOI: 10.1159/000532096

Yvonne Teuschl, Christian Bancher, Alexandra Dachenhausen, Karl Matz, Michaela M Pinter

{"title":"Botulinum Toxin-A for the Treatment of Neuropathic Pain after Decompressive Craniotomy in Stroke: Two Cases.","authors":"Yvonne Teuschl, Christian Bancher, Alexandra Dachenhausen, Karl Matz, Michaela M Pinter","doi":"10.1159/000532096","DOIUrl":"10.1159/000532096","url":null,"abstract":"Botulinum toxin-A (BoNT-A) is recommended as third-line off-label treatment for the management of neuropathic pain. BoNT-A has been reported as treatment for different neuropathic pain conditions; however, not for neuropathic pain after decompressive craniotomy for stroke. The aim of this retrospective case series is to provide information on safety, the effect, and the application method of BoNT-A in clinical practice for the treatment of neuropathic pain after trepanation. This case series describes 2 patients treated in 2021 at a BoNT outpatient clinic for chronic neuropathic pain at the incisional site after decompressive craniotomy for stroke who were resistant to pain medication. Cases were a 48-year-old woman and a 63-year-old man suffering from chronic neuropathic pain since 3 and 6 years, respectively. They were treated regularly with BoNT-A with a total dose of 100 mouse units of incobotulinumtoxin-A injected into peri-incisional sites of the scalp. Both patients reported subjective decrease in pain frequency (40% and 60%), in pain intensity (60% and 90%), and an increase of quality of life (80%). BoNT-A should be further investigated as treatment for neuropathic pain - especially in underreported conditions such as neuropathic pain after craniotomy in stroke.","PeriodicalId":9639,"journal":{"name":"Case Reports in Neurology","volume":"15 1","pages":"192-198"},"PeriodicalIF":0.7,"publicationDate":"2023-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10601619/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71410883","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

Recurrent Acute on Chronic Respiratory Failure in Stiff Person Syndrome. 僵硬人综合征中反复急性对慢性呼吸衰竭。

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Case Reports in Neurology Pub Date : 2023-08-22 eCollection Date: 2023-01-01 DOI: 10.1159/000532093

Bhumika Bheemavarapu, Arkaja Singh, Nived Jayaraj Ranjini, Venkata Sai Abhilash Meda, Dhrumil Patil

{"title":"Recurrent Acute on Chronic Respiratory Failure in Stiff Person Syndrome.","authors":"Bhumika Bheemavarapu, Arkaja Singh, Nived Jayaraj Ranjini, Venkata Sai Abhilash Meda, Dhrumil Patil","doi":"10.1159/000532093","DOIUrl":"10.1159/000532093","url":null,"abstract":"Stiff person syndrome (SPS) is an extremely rare disease that presents with episodic painful muscle spasms and progressive muscle rigidity. Recent evidence suggests that SPS can rarely manifest with life-threatening respiratory complications. However, the pathophysiology behind respiratory failure in SPS is still not clearly understood. Here, we explored an extremely rare case of a 36-year-old African-American female with SPS presenting with multiple episodes of respiratory failure events for the past 9 years. She had an in-situ tracheostomy and was admitted to the hospital for tracheostomy evaluation and decannulation. 11 years ago she initially presented with gait abnormalities, stiffness, and spastic episodes. She was diagnosed 1 year later with SPS after detecting elevated anti-glutamic acid decarboxylase antibody levels in her blood. Through this report, we were able to follow a very rare case of SPS that presented with multiple episodes of respiratory failure. We pointed out the importance of early start and regular administration of diazepam, baclofen, and IVIg in not only controlling the symptoms and progression of the disease but also in preventing further respiratory failure and possible sudden death.","PeriodicalId":9639,"journal":{"name":"Case Reports in Neurology","volume":"15 1","pages":"187-191"},"PeriodicalIF":0.7,"publicationDate":"2023-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10601654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71410885","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

Prodromal Dementia with Lewy Bodies: A Case Series of the 3 Prodromal Types from Clinical Practice. 路易体前驱性痴呆：临床实践中的3种前驱型病例系列。

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Case Reports in Neurology Pub Date : 2023-08-11 eCollection Date: 2023-01-01 DOI: 10.1159/000533378

Tracy Tholanikunnel, Benjamin Chapin, Melissa Armstrong

引用次数: 0

Symmetric Ascending Paralysis Secondary to West Nile Virus. 继发于西尼罗河病毒的对称性上行性麻痹。

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Case Reports in Neurology Pub Date : 2023-07-13 eCollection Date: 2023-01-01 DOI: 10.1159/000529120

Alex Ashkin, Nicole Saccone, Jose Valle, Mark Rasnake

引用次数: 0

Encephalitis as a Clinical Manifestation of COVID-19: A Case Series. 作为 COVID-19 临床表现的脑炎：病例系列。

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Case Reports in Neurology Pub Date : 2023-06-15 eCollection Date: 2023-01-01 DOI: 10.1159/000530926

Muhammad Hammad Sharif, Madeeha Khaleeque, Asad Ali Khan, Muhammad Hassan Jan, Atif Ahmed, Nida Latif, Abdul Qadir, Muhammad Hanif, Amjid Iqbal

{"title":"Encephalitis as a Clinical Manifestation of COVID-19: A Case Series.","authors":"Muhammad Hammad Sharif, Madeeha Khaleeque, Asad Ali Khan, Muhammad Hassan Jan, Atif Ahmed, Nida Latif, Abdul Qadir, Muhammad Hanif, Amjid Iqbal","doi":"10.1159/000530926","DOIUrl":"10.1159/000530926","url":null,"abstract":"COVID-19 is a novel virus which causes a variety of clinical manifestations in the body, some of which are yet to be discovered. The main aim of our study is to highlight the neurological manifestations of COVID-19 as it is still new to the medical world, and to emphasize the fact that the physicians have to be wary of the possibility that patients affected by COVID-19 can present with encephalitis. Only a few studies are available so far regarding the neurological manifestations of this novel virus which highlights the need for this study. We present a case series of 4 patients who were found to have COVID-19 encephalitis. There is still no disease-defining test for diagnosis so the mainstay of diagnosis is exclusion of all the common causes of encephalitis. Brain magnetic resonance imaging and cerebrospinal fluid analysis performs an ancillary in the diagnostic tools. Our study also supports the use of IV tocilizumab (4-8 mg/kg) and IV methylprednisolone (0.5-2 mg/kg) as possible treatment options with good results, as the patients described in our case series responded well to these medications.","PeriodicalId":9639,"journal":{"name":"Case Reports in Neurology","volume":"15 1","pages":"131-139"},"PeriodicalIF":0.7,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b7/95/crn-2023-0015-0001-530926.PMC10359675.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10221356","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

Thirty-Year Follow-Up of Early Onset Amyotrophic Lateral Sclerosis with a Pathogenic Variant in SPTLC1. 早发肌萎缩性侧索硬化症伴SPTLC1致病变异的30年随访。

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Case Reports in Neurology Pub Date : 2023-06-12 eCollection Date: 2023-01-01 DOI: 10.1159/000530974

Aparna Ajjarapu, Shawna M E Feely, Michael E Shy, Christina Trout, Stephan Zuchner, Steven A Moore, Katherine D Mathews

引用次数: 0