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Clinical Cases in Neurology From Johns Hopkins
Clinical Case, May 26, 2005. Case 8: Absentminded and "Walking Like a Drunk" Test your diagnostic skills in this Johns Hopkins Clinical Case: A 58-year-old man with no significant past medical ...
Case 20-2021: A 69-Year-Old Man with Ataxia
Presentation of Case. Dr. Claudio M. de Gusmao: A 69-year-old man was evaluated in the neurology clinic of this hospital because of progressively worsening ataxia. The patient had been well until ...
Case 12-2024: A 58-Year-Old Woman with Confusion, Aphasia, and Abnormal
Dr. Lena G. Liu (Neurology): A 58-year-old woman was transferred to this hospital because of progressively worsening confusion and evolving changes on magnetic resonance imaging (MRI) of the head.
Case Study 1: A 55-Year-Old Woman With Progressive Cognitive
In a longitudinal study of 32 patients at early symptomatic stages of AD, the baseline topography of tau PET signal predicted subsequent atrophy on MRI at the single patient level, independent of baseline cortical thickness . This correlation was strongest in early-onset AD patients, who also tended to have higher tau signal and more rapid ...
Case Studies in Neurology
Case Studies in Neuroanesthesia and Neurocritical Care provides a comprehensive view of real-world clinical practice. It contains over 90 case presentations with accompanying focussed discussions, covering the broad range of procedures and monitoring protocols involved in the care of the neurosurgical patient, including preoperative and ...
Case Study
Zinc overload is an unusual cause of copper-deficiency myeloneuropathy, in which affected patients have low serum copper and ceruloplasmin levels and high serum zinc levels. This Case Study ...
Case 9-2021: A 16-Year-Old Boy with Headache, Abdominal Pain, and
A 16-year-old boy presented with headache, nausea, vomiting, and abdominal pain. He had been injured 17 months earlier in an ATV accident and again 2 months later while playing soccer. Since then, ...
Revising a diagnosis of functional neurological disorder—a case report
Oxford Medical Case Reports, Volume 2020, Issue 9, September 2020, omaa073, ... defined by neurological symptoms not explained by identifiable neurological pathology and represent up to one-third of neurology outpatient clinic attendances . ... systematic review and meta-analysis of case-control studies. Lancet Psychiatry.
Case Reports in Neurology
Case Reports in Neurology is a peer-reviewed, open-access journal that publishes original case studies covering the entire spectrum of neurology. In addition to single case studies, the journal accepts papers discussing case series to address the range of clinical practice. In this forum, clinicians and researchers can communicate their ...
Complex Neurological Case Study Series
Case 3. Figure 3: A large (4x3x3cm) right parasagittal mass and edema in an 80-year-old patient (A), and after craniotomy and resection of the mass (B). The Penn Medicine Virtua Neurosciences Program was consulted to attend Mrs. W, an 80-year-old woman who'd awakened from anesthesia with left-side hemiparesis following an uneventful total ...
Clinical cases in neurology
Different people learn their neurology in different ways, and only some will wish to tease themselves by solving illustrative clinical case histories. This volume contains 29 cases covering the breadth of neurology, to which a total of 27 neurologists have contributed variously. The editors' choice of the range of clinical problems cannot be ...
PDF CASE STUDY 1 & 2
CASE 1. A 20 year old man with no past medical history presented to a primary stroke center with sudden left sided weakness and imbalance followed by decreased level of consciousness. Head CT showed no hemorrhage, no acute ischemic changes, and a hyper-dense basilar artery. CT angiography showed a mid-basilar occlusion.
Functional Neurological Disorder: Overview and a Case Study
A case study demonstrates the usefulness of this approach. Functional neurological disorder (FND) is characterized by motor and sensory symptoms that are unexplained by traditional neurological or medical conditions. 1,2 Patients with FND do not demonstrate lesional disease. 1,2 They experience neurological symptoms involving the voluntary ...
Neurological Case Histories: Case Histories in Acute Neurology and the
This resource is a collection of over 50 case histories of patients with acute neurological illness. Each case is outlined in brief and followed by several questions on diagnosis and management. It illustrates the clinical issues surrounding patients with neurological diseases, summarising what information is available in the medical literature.
Case Reports
Case Reports. CIDP in an Adolescent After Pfizer-BioNTech COVID-19 Vaccination. A case of pediatric CIDP temporally related to the Pfizer-BioNTech COVID-19 vaccine; more information is needed to leverage the vaccine-related risk with the risk associated with primary COVID-19. Holly Keeley, MD; Vamshi Rao, MD; Nancy Kuntz, MD; and Abigail ...
Case Studies
2016e. A 15 year old boy with acute paraparesis while playing catch. 2016d. A 9 month-old with weakness and floppiness that developed over hours. 2016c. A 14-year-old boy with weakness and numbness of the left side of the body following a football-related head injury. 2016b. A 1 day old girl with seizures. 2016a.
Case Report: Complete Spinal Cord Injury
Case Report. Clinical Presentation. Mr. I, age 31, has no significant past medical history and awoke with neck pain 2 hours before coming to the emergency department. He described his pain as sharp, rated 8 to 9 out of a possible 10 in intensity, and localizing to his neck and upper back without extremity radiation.
Neurology Case Studies
Why bother with case-based reviews? We could just publish another Clinics of articles centered around evidence-based medicine. However, in clinical neurology, we treat patients one at a time and then try to apply evidence-based medicine. At times, the history, physical, or diagnostic testing may not fit into neat little diagnostic categories. Often, results from Class I studies are ...
A 65‐year‐old woman with ALS and bilateral precentral motor band sign
1. CLINICAL STUDY. 1.1. Case presentation and imaging. A 65‐year‐old woman who was illiterate and worked as a housewife and gardener was referred to the amyotrophic lateral sclerosis (ALS) clinic. She was diagnosed with clinically definite limb‐onset ALS using the Awaji criteria. The initial symptoms appeared 31 months prior to imaging.
Clinical Case Study: Telehealth for Neurology
Of the survey, 98% of neurologists use telehealth. Per week, neurologists saw 36% of their patients via telehealth. Telehealth enabled neurologists to provide high-quality care for many services. Most used cases were for follow up care, improving access and medication management. And 75% or more of telehealth visits were with established ...
Case 34-2021: A 38-Year-Old Man with Altered Mental Status and New
The temperature was 36.4°C, the heart rate 120 beats per minute, the blood pressure 171/90 mm Hg, the respiratory rate 22 breaths per minute, and the oxygen saturation 95% while the patient was ...
Case Study: Teenage Patient With COVID-19 ...
February 19, 2021. A recently published case study described a case of severe encephalopathy associated with coronavirus disease 2019 (COVID-19) in a pediatric patient who developed clinical ...
Journals
Corresponding Author: Urs Fischer, MD, MSc, Department of Neurology, University Hospital Bern, Freiburgstrasse, CH-3010 Bern, Switzerland ([email protected]). Author Contributions: Dr Fischer had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. Drs ...
~25% of Patients with MS Treated with Ocrevus Report Wearing-Off
CMSC. Fatigue. Study results presented at the 2024 Annual Meeting of the Consortium of Multiple Sclerosis Centers (CMSC) revealed that nearly 25% of people with multiple sclerosis (PwMS) being treated with Ocrevus (ocrelizumab; Genentech, South San Francisco, CA) experienced a wearing-off phenomenon (ie, a return of MS-related symptoms prior to ...
Non-motor symptoms in patients with amyotrophic lateral ...
The latest meta-analysis focused on pain in ALS, conducted in 2021 , included 21 articles, all of which were observational studies, comprising 14 cross-sectional studies, six cohort studies, and one case-control study. The findings revealed that between half and two-thirds of ALS patients experience pain, with a pooled prevalence of 60% (95% ...
Paradoxical kinesia induced by nightmare: unique case report and
Abstract. In this report, we discuss a patient who is suffering from advanced Parkinson's disease. The patient has severe motor limitations, including difficulty rising from bed and walking, as well as cognitive decline and visual impairment. However, an interesting occurrence took place during a nightmare episode. Surprisingly, the patient was able to get out of bed and quickly run away from ...
Clinical and serological insights into paraneoplastic brachial
Background Brachial amyotrophic diplegia (BAD) is typically linked to a neurodegenerative etiology such as amyotrophic lateral sclerosis (ALS). Clinical and serological characterizations of paraneoplastic neurologic syndromes resembling BAD are limited. Methods A retrospective chart review of patients with BAD-like presentations was conducted. Clinical/paraclinical features of paraneoplastic ...
Memory decline reported by patients and partners may signal early
Memory decline reported by patients and partners may signal early Alzheimer's changes. A new study adds further evidence that when a patient or family member notices signs of persistent memory ...
Eating attitudes of migraine patients in Turkey: a prospective multi
Migraine is a common disorder affecting physical, mental and socioeconomical wellbeing of patients. It is the most common disorder to cause disability between women of 15 to 49 years of age, and is the second most common disabling disorder worldwide [].The International Classification of Headache Disorders, 3rd Edition (ICHD-3) defines migraine as a common primary headache disorder.
Case 13-2016
In one study, venous thromboembolism developed in only 1.3% of patients during the first 2 years after the patients received a diagnosis of localized renal-cell carcinoma; 0.4% received a ...
IMAGES
VIDEO
COMMENTS
Clinical Case, May 26, 2005. Case 8: Absentminded and "Walking Like a Drunk" Test your diagnostic skills in this Johns Hopkins Clinical Case: A 58-year-old man with no significant past medical ...
Presentation of Case. Dr. Claudio M. de Gusmao: A 69-year-old man was evaluated in the neurology clinic of this hospital because of progressively worsening ataxia. The patient had been well until ...
Dr. Lena G. Liu (Neurology): A 58-year-old woman was transferred to this hospital because of progressively worsening confusion and evolving changes on magnetic resonance imaging (MRI) of the head.
In a longitudinal study of 32 patients at early symptomatic stages of AD, the baseline topography of tau PET signal predicted subsequent atrophy on MRI at the single patient level, independent of baseline cortical thickness . This correlation was strongest in early-onset AD patients, who also tended to have higher tau signal and more rapid ...
Case Studies in Neuroanesthesia and Neurocritical Care provides a comprehensive view of real-world clinical practice. It contains over 90 case presentations with accompanying focussed discussions, covering the broad range of procedures and monitoring protocols involved in the care of the neurosurgical patient, including preoperative and ...
Zinc overload is an unusual cause of copper-deficiency myeloneuropathy, in which affected patients have low serum copper and ceruloplasmin levels and high serum zinc levels. This Case Study ...
A 16-year-old boy presented with headache, nausea, vomiting, and abdominal pain. He had been injured 17 months earlier in an ATV accident and again 2 months later while playing soccer. Since then, ...
Oxford Medical Case Reports, Volume 2020, Issue 9, September 2020, omaa073, ... defined by neurological symptoms not explained by identifiable neurological pathology and represent up to one-third of neurology outpatient clinic attendances . ... systematic review and meta-analysis of case-control studies. Lancet Psychiatry.
Case Reports in Neurology is a peer-reviewed, open-access journal that publishes original case studies covering the entire spectrum of neurology. In addition to single case studies, the journal accepts papers discussing case series to address the range of clinical practice. In this forum, clinicians and researchers can communicate their ...
Case 3. Figure 3: A large (4x3x3cm) right parasagittal mass and edema in an 80-year-old patient (A), and after craniotomy and resection of the mass (B). The Penn Medicine Virtua Neurosciences Program was consulted to attend Mrs. W, an 80-year-old woman who'd awakened from anesthesia with left-side hemiparesis following an uneventful total ...
Different people learn their neurology in different ways, and only some will wish to tease themselves by solving illustrative clinical case histories. This volume contains 29 cases covering the breadth of neurology, to which a total of 27 neurologists have contributed variously. The editors' choice of the range of clinical problems cannot be ...
CASE 1. A 20 year old man with no past medical history presented to a primary stroke center with sudden left sided weakness and imbalance followed by decreased level of consciousness. Head CT showed no hemorrhage, no acute ischemic changes, and a hyper-dense basilar artery. CT angiography showed a mid-basilar occlusion.
A case study demonstrates the usefulness of this approach. Functional neurological disorder (FND) is characterized by motor and sensory symptoms that are unexplained by traditional neurological or medical conditions. 1,2 Patients with FND do not demonstrate lesional disease. 1,2 They experience neurological symptoms involving the voluntary ...
This resource is a collection of over 50 case histories of patients with acute neurological illness. Each case is outlined in brief and followed by several questions on diagnosis and management. It illustrates the clinical issues surrounding patients with neurological diseases, summarising what information is available in the medical literature.
Case Reports. CIDP in an Adolescent After Pfizer-BioNTech COVID-19 Vaccination. A case of pediatric CIDP temporally related to the Pfizer-BioNTech COVID-19 vaccine; more information is needed to leverage the vaccine-related risk with the risk associated with primary COVID-19. Holly Keeley, MD; Vamshi Rao, MD; Nancy Kuntz, MD; and Abigail ...
2016e. A 15 year old boy with acute paraparesis while playing catch. 2016d. A 9 month-old with weakness and floppiness that developed over hours. 2016c. A 14-year-old boy with weakness and numbness of the left side of the body following a football-related head injury. 2016b. A 1 day old girl with seizures. 2016a.
Case Report. Clinical Presentation. Mr. I, age 31, has no significant past medical history and awoke with neck pain 2 hours before coming to the emergency department. He described his pain as sharp, rated 8 to 9 out of a possible 10 in intensity, and localizing to his neck and upper back without extremity radiation.
Why bother with case-based reviews? We could just publish another Clinics of articles centered around evidence-based medicine. However, in clinical neurology, we treat patients one at a time and then try to apply evidence-based medicine. At times, the history, physical, or diagnostic testing may not fit into neat little diagnostic categories. Often, results from Class I studies are ...
1. CLINICAL STUDY. 1.1. Case presentation and imaging. A 65‐year‐old woman who was illiterate and worked as a housewife and gardener was referred to the amyotrophic lateral sclerosis (ALS) clinic. She was diagnosed with clinically definite limb‐onset ALS using the Awaji criteria. The initial symptoms appeared 31 months prior to imaging.
Of the survey, 98% of neurologists use telehealth. Per week, neurologists saw 36% of their patients via telehealth. Telehealth enabled neurologists to provide high-quality care for many services. Most used cases were for follow up care, improving access and medication management. And 75% or more of telehealth visits were with established ...
The temperature was 36.4°C, the heart rate 120 beats per minute, the blood pressure 171/90 mm Hg, the respiratory rate 22 breaths per minute, and the oxygen saturation 95% while the patient was ...
February 19, 2021. A recently published case study described a case of severe encephalopathy associated with coronavirus disease 2019 (COVID-19) in a pediatric patient who developed clinical ...
Corresponding Author: Urs Fischer, MD, MSc, Department of Neurology, University Hospital Bern, Freiburgstrasse, CH-3010 Bern, Switzerland ([email protected]). Author Contributions: Dr Fischer had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. Drs ...
CMSC. Fatigue. Study results presented at the 2024 Annual Meeting of the Consortium of Multiple Sclerosis Centers (CMSC) revealed that nearly 25% of people with multiple sclerosis (PwMS) being treated with Ocrevus (ocrelizumab; Genentech, South San Francisco, CA) experienced a wearing-off phenomenon (ie, a return of MS-related symptoms prior to ...
The latest meta-analysis focused on pain in ALS, conducted in 2021 , included 21 articles, all of which were observational studies, comprising 14 cross-sectional studies, six cohort studies, and one case-control study. The findings revealed that between half and two-thirds of ALS patients experience pain, with a pooled prevalence of 60% (95% ...
Abstract. In this report, we discuss a patient who is suffering from advanced Parkinson's disease. The patient has severe motor limitations, including difficulty rising from bed and walking, as well as cognitive decline and visual impairment. However, an interesting occurrence took place during a nightmare episode. Surprisingly, the patient was able to get out of bed and quickly run away from ...
Background Brachial amyotrophic diplegia (BAD) is typically linked to a neurodegenerative etiology such as amyotrophic lateral sclerosis (ALS). Clinical and serological characterizations of paraneoplastic neurologic syndromes resembling BAD are limited. Methods A retrospective chart review of patients with BAD-like presentations was conducted. Clinical/paraclinical features of paraneoplastic ...
Memory decline reported by patients and partners may signal early Alzheimer's changes. A new study adds further evidence that when a patient or family member notices signs of persistent memory ...
Migraine is a common disorder affecting physical, mental and socioeconomical wellbeing of patients. It is the most common disorder to cause disability between women of 15 to 49 years of age, and is the second most common disabling disorder worldwide [].The International Classification of Headache Disorders, 3rd Edition (ICHD-3) defines migraine as a common primary headache disorder.
In one study, venous thromboembolism developed in only 1.3% of patients during the first 2 years after the patients received a diagnosis of localized renal-cell carcinoma; 0.4% received a ...