Case presentation: Female patient, 8 years old, born in Itanhaem, from São Paulo, with a previous context of hypotonic infant syndrome, repetitive head nodding movements, convergent strabismus, alopecia, low implantation the ears and short stature. On evaluation, he was alert, without language alterations, threshold for fructation, difficulty concentrating, hyperactivity, but evidence intellect...

Department of Neurology and Institute of Radiology, Medical School, University of São Paulo, São Paulo SP, Brazil. A 19-year-old previously healthy boy was admitted with a ten-day history of rapidly progressive urinary retention, constipation, ascending hypoesthesia up to the thoracic level and gait instability. On physical examination, he presented fever, tetraparesis, brisk reflexes, multidir...

INTRODUCTION Man-in-the-barrel syndrome was initially observed in patients with signs of serious cerebral hypoperfusion, in the border zone of the anterior and medial cerebral artery, but other causes were communicated later. METHODS a healthy 43-year-old woman who showed intense cervical pain, irradiating over both shoulders and arms. Physical examination on admission highlighted notable bra...

Superior orbital fissure syndrome is a severe clinical entity characterized by injuries of neurovascular structures passing through the superior orbital fissure. A 38-year-old male patient admitted to outpatient clinic with left upper eyelid ptosis, ecchymosis, mydriasis, hypoesthesia in upper eyelid and frontal region, blepharoptosis, restriction of ocular movements in all directions, loss of ...

A 45 year old right-handed man was admitted to our hospital 2.25 hours after an acute episode of aphasia, right-sided hemiplegia, hypoesthesia, and hemianopsia followed by deterioration in consciousness. The National Institutes of Health Stroke Scale (NIHSS) score was 22. His medical history was unremarkable. Head computed tomography demonstrated subtle hypodensity of the left insular ribbon, l...

A 21-year-old woman, without significant medical history, acutely developed a left hemiparesis with left hypoesthesia. Three days earlier she had complained of itching with nettle rash, headache, and fever (38°C). A noncontrast computed tomographic (CT) scan (Fig 1A) revealed a right MCA infarct. Cerebral angiography showed an abrupt cutoff of the right proximal Ml segment, which was compatible...

PURPOSE Involvement of the central nervous system (CNS) by tuberculosis is rare; it can affect either immunocompromised or immunocompetent people. CASE REPORT Here, we report a case of tuberculosis with CNS involvement. We present the case of an immunocompetent young man who developed fever, subacute headache, disturbance of consciousness, paraparesis, sphincter dysfunction, and hypoesthesia....

A 43-year-old woman experienced a worsening of her usual headache. As a right hemifacial hypoesthesia had appeared, the patient underwent a brain MRI that revealed a giant cavernoma localized at the left meso-diencephalic region (figure, A and B). After the operation, an involuntary ocular oscillation known as see-saw nystagmus developed (video on the Neurology® Web site at www.neurology.org). ...

Elbow's dislocations of the child are rare injuries. Its associated injuries such as the opening and the distal ischemia are an extreme therapeutic emergency. One case of open elbow dislocation with distal ischemia in a 10-year-old child is reported. In the clinical examination, there is a deformity of the elbow, a wound showing the cartilaginous distal humerus with the brachial artery under te...

klippel-feil syndrome is known by the classic triad of shortness of the neck , limitation of neck movements, and a low posterior hairline. there are often accompanying cervical spinal abnormalities such as kyphoscoliosis as well as urogenital and cardiac abnormalities. presented here we have a 20 year old young man with hypoesthesia and decreased motor function in the right hand. the problem be...