An 80-year-old woman presented with 2 days of progressive quadriparesis, difficulty voiding, and fever. She had received acupuncture in the cervical and lumbar regions for 5 days beginning a week before. Whole-spine MRI showedmultiple epidural abscesses at levels C3-C7, L3-L5, and L5-S1 (figure). Broad-spectrum antibiotics were administered, and the abscesses were surgically drained. Strains of...

We described a case of a patient with autosomal dominant progressive external ophthalmoplegia (PEO) who presented with the acute onset dysphagia, quadriparesis, ptosis and respiratory insufficiency following a cardiac procedure and mimicking a myasthenic crisis. A pathogenic mutation in the C10orf2 (PEO1) gene was confirmed. The unusual presentation of our patient contributes to expand the clin...

Primary Sjögren's syndrome (PSS) is rare in India. Clinically manifest renal disease in PSS is uncommon and is usually an autoimmune tubulointerstitial nephritis presenting with distal renal tubular acidosis (dRTA) or a urinary concentrating defect. Hypokalemic paralysis due to dRTA in PSS is rare but well documented in medical literature. Rhabdomyolysis as a consequence of hypokalemia in PSS i...

Chronická otrava olovom predstavuje zriedkavú formu sekundárnej koproporfýrie. Samotné porfýrie patria do skupiny vzácnych metabolických ochorení, spôsobených vrodeným enzymatickým defektom alebo získanou poruchou syntézy hému. Olovo má inhibičný vplyv na enzýmy podieľajúce sa syntéze Všetky úvodné symptómy pri chronickej intoxikácii sú nešpecifické a ľahko prehl...

To cite: Kumar N, Kumar G, Dembla G, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2013-008820 A 20-year-old boy having weakness and atrophy of left upper limb since childhood, presented with difficulty in walking and spasticity of all the limbs for last 4 months. It was asymmetric in onset (L>R) and progressive, with no sensory, bowel or bladder complai...

Solitary juvenile xanthogranuloma (JXG) in the spinal column is extremely rare. Here, we report and characterize the case of xanthogranuloma of the upper cervical spine. A 18-year-old male presented with neck pain for 3 months, along with progressive quadriparesis and sensory loss of 2 months duration with urinary retention. Motor examination revealed spastic quadriparesis with power of 2/5 in ...