To cite: Crawford JR, Newbury RO, Friedman JR. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2013-010267 DESCRIPTION A 15-year-old girl with a history of congenital nystagmus presented with newly recognised hyperkinetic tongue movements on protrusion without dysphagia, dysphonia or palatal myoclonus (see online supplementary video). Contrast-enhanced MRI reveal...

Myoclonus is a clinical sign characterized by brief, involuntary, jerky contraction or lapse of muscle group muscles, which can be associated with cerebral disorders, epileptic and drugs. Megestrol acetate (MGA) synthetic derivative progestin, has been widely used in practice for increasing appetite patients severe anorexia malignancies. We experienced 68-year-old female patient who myoclonus a...

The clinical and magnetic resonance (MR) features of hypertrophic olivary degeneration are described, along with a rare but treatable cause of this entity-pontine cavernous haemangioma. Hypertrophic olivary degeneration occurs after focal lesions to the dentato-rubro-olivary pathway, typically following a pontine haemorrhage involving the ipsilateral central tegmental tract, the contralateral s...

BACKGROUND Hypertrophic olivary degeneration (HOD) is a rare phenomenon, probably related to transsynaptic degeneration of the inferior olivary nucleus. It usually occurs as a response to primary injury of dento-rubro-olivary pathways. CASE REPORT A young man developed Holmes' tremor 7 months after a cavernous malformation bleed in the midbrain. Typical findings of HOD were observed in the ma...

Wallenberg syndrome or lateral medullary syndrome was first described in1895 by Gaspan Viessux [1]. Adolf Wallenberg, a German physician and neuroanatomist who gave an accurate description of the pathology of the syndrome in 1901 after an autopsy of the specimen [2]. The wallenberg syndrome is a rare syndrome involving the part of medulla oblongata with consequent cross loss of pain and tempera...

Objective To determine the level of agreement among experienced operators of candidacy for upper airway stimulation (UAS) based on evaluation of drug-induced sleep endoscopy (DISE). Methods The trial was designed as a single-blinded cross-sectional study. Four otolaryngologists with extensive DISE experience were given 63 video clips from the STAR trial video library. These videos were graded...

This study addresses the question to which extent phonetic contrasts of a foreign language are perceived more easily by speakers of a native language that shares similar phonetic categories. The focus lies on two postalveolar and two alveolo-palatal affricates of Serbian: [t�] (postalveolar, voiceless), [�] (alveolo-palatal, voiceless), [�] (postalveolar, voiced) and [�] (alveolo-palatal, voice...

The purpose of this study was to compare differences in pocket reduction rate between different tooth types and sites after initial treatment. Forty-one adult periodontitis patients (mean age 40.8) whose O'Leary plaque records during initial treatment were maintained at a level of less than 10% (mean level 9.02 +/- 4.93%) were selected for this study. A total of 5983 surfaces were monitored by ...

Wernekink commissure syndrome secondary to caudal paramedian midbrain infarction (CPMI) is a rare midbrain syndrome involving the decussation of the superior cerebellar peduncle in the caudal paramedian midbrain tegmentum. The central characteristics are constant bilateral cerebellar dysfunction, variable eye movement disorders, and rare delayed palatal myoclonus. Following is a description of ...

This paper is an articulatory and acoustical analysis of the syllable-initial sibilants and approximant in Beijing Mandarin. Palatograms and linguagrams were obtained from young adult native speakers of Beijing, male and female, using the direct method. Results show that the initial consonants which are transcribed in earlier studies [3, 4, 10] as retroflexes [§, t§, 1⁄2( ̈)] are in fact apical ...