Mystery Case: Scalpel sign

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Mystery Case: Scalpel sign: Dorsal thoracic arachnoid web.

A 44-year-old man presented with 1 year of gradually progressive lower limb weakness and numbness and bowel and bladder incontinence. Neurologic examination revealed a T8 spinal sensory level and spastic paraparesis. Preoperative imaging (figure) of the thoracic spine revealed the scalpel sign, a radiologic entity diagnostic of a dorsal thoracic arachnoid web. The lesion was surgically and hist...

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Dorsal Arachnoid Web and Scalpel Sign: A Diagnostic Imaging Entity.

MATERIAL AND METHODS A case of 60-year-old woman with idiopathic syringomyelia and progressive myelopathy by dorsal arachnoid web is discussed. One focal indentation along the dorsal surface of the spinal cord at the T3 vertebral body level revealed the scalpel sign, a radiologic entity diagnostic of a dorsal thoracic arachnoid web. RESULTS T2-T3 laminectomy for the resection of dorsal arachn...

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Mystery case: EEG FOLDer.

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Mystery case: Baló concentric sclerosis.

A 45-year-old man presented with progressive Broca aphasia and right hemiparesis. MRI demonstrated a large white matter lesion with multiple rings (figure). These centrifugal rings reflect concentric layers of active demyelination, typical for Baló concentric sclerosis. CSF showed oligoclonal bands and a mild pleocytosis. Partial recovery followed 5 days of treatment with IV methylprednisolone ...

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Mystery case: cerebral amyloid angiopathy-related inflammation.

A 59-year-old man was arrested for unruly public behavior. He was subsequently found unresponsive with bilateral upper extremity extensor posturing and lower extremity triple flexion when stimulated. Over the next 48 hours, he awoke and became belligerent. MRI revealed innumerable cortical microhemorrhages on susceptibility-weighted imaging (figure, A) and asymmetric subcortical T2 hyperintensi...

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ژورنال

عنوان ژورنال: Neurology

سال: 2015

ISSN: 0028-3878,1526-632X

DOI: 10.1212/wnl.0000000000002140