Teaching NeuroImages: Painful diplopia and Crohn disease
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چکیده
منابع مشابه
Teaching NeuroImages: Upright-supine test to evaluate vertical diplopia.
A 36-year-old woman presented with vertical diplopia, nausea, and disequilibrium. Maddox rod testing was performed in the upright and supine positions (figures 1 and 2). Skew deviation is a vertical misalignment caused by a supranuclear lesion in the vertical vestibuloocular reflex pathways, including the vestibular nerve, brainstem, or cerebellum. It arises from perturbed utricular inputs, and...
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Justin T. Mhoon, MD Kaveer Nandigam, MD Vern C. Juel, MD A 37-year-old man developed involuntary and irregular abduction, adduction, and circumductive movements of the left toes 5 years ago. One year later, he developed similar movements of the right toes (video). The movements occurred at rest, could be voluntarily suppressed, and did not persist during sleep. He also described parallel onset ...
متن کاملTeaching video neuroimages: lid lag sign and diplopia in paramyotonia congenita.
Clinical bedside tests to provoke myotonia, such as eyelid closure, handgrip, and percussion myotonia, help to diagnose and differentiate myotonic disorders and prevent delayed genetic confirmation. Sodium channelopathies present with predominantly myotonia of the ocular muscles. In these cases, testing for myotonia of the upper eyelid and extraocular muscles could be of decisive diagnostic val...
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A 57-year-old man presented with a 4-week history of fever, visual loss, and progressive ataxic gait. He worked as a truck driver and had been in contact with raw sheepskin a few months prior. Neurologic examination showed drowsiness, pseudobulbar syndrome, hyperreflexia, ataxia, and optic disc edema. He had a lymphocytic pleocytosis and diffuse hyperintense white matter lesions on brain MRI (f...
متن کاملTeaching NeuroImages: Neuroradiologic evolution of Leigh disease
A 2-year-old girl with no significant family history presented with motor developmental delay and strabismus. MRI revealed unilateral basal ganglia and brainstem lesions (figure 1). Eighteen months later, she developed acute onset right arm weakness, leading to a diagnosis of multiphasic disseminated encephalomyelitis. Treatment with steroids and mycophenolate produced no symptomatic or imaging...
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ژورنال
عنوان ژورنال: Neurology
سال: 2016
ISSN: 0028-3878,1526-632X
DOI: 10.1212/wnl.0000000000002987