Pearls & Oy-sters: a rare case of neurotrichinosis with MRI.

Pearls and oy-sters: ictal syncope in a patient with temporal lobe epilepsy.

PEARLS & OY-STERS: ICTAL SYNCOPE IN A PATIENT WITH TEMPORAL LOBE EPILEPSY Nitin K. Sethi, New York: Varade et al. reported ictal syncope in a patient with temporal lobe epilepsy (TLE). The MRI revealed a right temporal-occipital cavernous angioma and the seizure showed onset in the right posterior temporal electrode (T6) on EEG, all compatible with a diagnosis of symptomatic localization-relate...

Pearls & oy-sters: cerebral venous air embolism after central catheter removal: too much air can kill.

Pearls & Oy-sters: cough headache secondary to Chiari malformation type I.

Pearls & oy-sters: oval pupil: two observations.

The presence of an oval pupil usually localizes the neurologic problem to the midbrain.

Pearls & Oy-sters: Positional vertigo and vertical nystagmus in medulloblastoma: A picture is worth a thousand words.

Pearls c Eye movement abnormalities can be helpful with topical localization. c Vertical nystagmus (downbeat and upbeat nystagmus) is typically caused by posterior fossa lesions. Other causes include medication side effects, vitamin deficiencies, inflammatory and autoimmune/paraneoplastic conditions, and hereditary and degenerative cerebellar ataxias. c Lesions in the posterior fossa such as me...