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Case Reports in Neurological Medicine
ISSN 2090-6676 · Wiley · 177 artikel di indeks
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Peripheral Facial Nerve Palsy due to Spontaneous Internal Carotid Artery Dissection
A man in his 50s experienced novel, continuous, and progressive headache and neck pain prior to the onset of left-sided peripheral facial nerve palsy. Sequential palsies of left lower Cranial Nerves IX and XII followed. Imaging showed spontaneous cervical artery dissection (sCeAD) of the…
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Peculiar Clinical Manifestation in a Child With Self-Limited Epilepsy With Autonomic Seizures (SeLEAS) Presenting in an All-Four Position: A Case Report
Self-limited epilepsy with autonomic seizures (SeLEAS), previously known as Panayiotopoulos syndrome, presents with focal autonomic seizures in early childhood and is a self-limited epilepsy syndrome. Previous articles have described the various manifestations of this syndrome, which are…
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Familial Occurrence of Anti-NF155 Autoimmune Nodopathy in Father and Son: Expanding the Spectrum of IgG4-Related Nodopathies
We report the first documented familial occurrence of Anti-Neurofascin-155 (Anti-NF155) autoimmune nodopathy in both a father and his son. Anti-NF155 nodopathy can resemble chronic inflammatory demyelinating polyneuropathy (CIDP) but differs in its poor response to standard CIDP treatments such as…
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A Case of Restless Arm Syndrome and the Effective Use of Gabapentin
Restless arm syndrome (RAS) is an uncommon neurological condition that is characterized by an irresistible urge to move the upper limbs, often worse at rest and transiently relieved by movement. RAS is an upper limb variant of restless legs syndrome (RLS), a more common neurological condition, also…
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External Carotid Artery Pseudoaneurysm: A Rare Cause of Ischemic Stroke via Internal Carotid Artery Compression—A Case Report
Pseudoaneurysms (PSAs) typically result from trauma, but their complications beyond rupture and bleeding remain understudied. We present a case of a 75-year-old male with atrial fibrillation who sustained a gunshot wound to the face, resulting in a left internal maxillary artery PSA. The patient…
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Acute Cauda Equina Syndrome With Clinicoradiological Discordance Treated via Unilateral Biportal Endoscopy: A Case Report
Cauda equina syndrome (CES) is a severe neurosurgical emergency typically caused by lumbar disc herniation. Its diverse clinical manifestations include radiating lower limb pain, numbness, decreased muscle strength, saddle anesthesia or reduced perineal sensation, bladder and bowel dysfunction…
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Eosinophilic Granulomatosis With Polyangiitis Presenting With Rare Neurological Manifestations
Eosinophilic granulomatosis with polyangiitis (EGPA) is a rare disease characterized by inflammation of small and medium-sized blood vessels, leading to damage in various organs. It is classically associated with asthma, eosinophilia, and multisystem involvement, including frequent peripheral…
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Eosinophil Recruitment and Activity in CNS Lesions of MOG Antibody–Associated Myelitis Following Influenza Vaccination: A Case Report
The appearance of eosinophils in the cerebrospinal fluid (CSF) is considered atypical in patients with myelin oligodendrocyte glycoprotein (MOG) antibody–associated disease (MOGAD). In this article, we report the case of a 24-year-old male who received an influenza vaccine and subsequently…
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Pontine Hemorrhage Mimicking Bell’s Palsy: Isolated Facial Nerve Palsy—A Case Report
Bell’s palsy, the most common cause of idiopathic peripheral facial palsy, is typically attributed to viral reactivation; however, rare cases due to cerebrovascular disease must always be considered in the differential diagnosis. We report the case of a 75-year-old man with poorly controlled…
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Very Early Short-Course Cerebrolysin After Tenecteplase and Mechanical Thrombectomy: A Case Report
Despite high recanalization rates with mechanical thrombectomy (MT), large-vessel occlusion stroke results in death or dependency in over half of patients. Cerebrolysin, a multimodal neuropeptide preparation, may attenuate ischemia–reperfusion injury and support early neurorehabilitation. We report…
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Hypoglycemic Encephalopathy in a Patient With Diabetes Mellitus: A Case Report
Hypoglycemic encephalopathy (HE) is a rare yet critical consequence of extended low blood sugar, often resulting in altered mental status, seizures, and coma. Because its presentation mirrors various other neurological disorders, prompt recognition is difficult, and treatment delays risk permanent…
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Effective Treatment of Anti-GAD65 Limbic Encephalitis–Associated Epilepsy Despite Delayed Immunotherapy: A Brief Report
A 44-year-old woman was referred to our epilepsy center for evaluation of refractory seizures persisting for 36 years. Diagnostic workup revealed anti-glutamic acid decarboxylase 65 limbic encephalitis (anti-GAD65 LE), supported by markedly elevated serum anti-GAD65 antibody titers and a compatible…