RESUMEN
Neurocysticercosis commonly presents with seizures, raised intracranial tension and dementia. The unusual location of the cysts may result in uncommon manifestations mimicking a host of neurological disorders. Ten patients with neurocysticercosis with rare clinical presentations have been described in this series. These include dorsal midbrain syndrome, isolated bilateral ptosis, papillitis, cerebral hemorrhage, painful cervical radiculopathy, progressive swelling of arm, paraplegia due to intramedullary cyst, third ventricular cyst, dystonia and nominal aphasia masquerading as transient ischaemic attacks. The clinical details and possible mechanisms for these rare presentations are discussed.
Asunto(s)
Encefalopatías/diagnóstico , Cisticercosis/diagnóstico , Adolescente , Adulto , Animales , Anomia/diagnóstico , Encefalopatías/parasitología , Hemorragia Cerebral/diagnóstico , Niño , Preescolar , Cisticercosis/patología , Quistes/diagnóstico , Quistes/parasitología , Diagnóstico Diferencial , Distonía/complicaciones , Femenino , Humanos , Masculino , Mesencéfalo/patología , Persona de Mediana Edad , Neuritis/diagnóstico , Disco Óptico , Enfermedades de la Médula Espinal/diagnóstico , Enfermedades de la Médula Espinal/parasitología , SíndromeRESUMEN
Four patients of thalamic strokes with different symptoms are reported. The first had thalamic haemorrhage and developed delayed blepharospasm. The second patient had occlusion of posterior cerebral artery causing infarction of lateral thalamus and occipital lobes. The remaining two patients exhibited ipsilateral hemisensory loss and hemiataxia in absence of hemiparesis (thalamic ataxia). Both had circumscribed lesions in lateral thalamus. 'Thalamic ataxia' has a distinct localizing value. Thalamic strokes produce heterogenous clinical manifestations attributed to the involvement of different nuclei.
Asunto(s)
Accidente Cerebrovascular/diagnóstico , Accidente Cerebrovascular/etiología , Tálamo/lesiones , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pronóstico , Medición de Riesgo , Índice de Severidad de la Enfermedad , Tálamo/diagnóstico por imagen , Tomografía Computarizada por Rayos XAsunto(s)
Anticonvulsivantes/efectos adversos , Carbamazepina/efectos adversos , Bloqueo Sinoatrial/inducido químicamente , Adulto , Anticonvulsivantes/administración & dosificación , Anticonvulsivantes/uso terapéutico , Carbamazepina/administración & dosificación , Carbamazepina/uso terapéutico , Estimulación Cardíaca Artificial , Relación Dosis-Respuesta a Droga , Sobredosis de Droga , Electrocardiografía , Femenino , Humanos , Convulsiones/tratamiento farmacológico , Bloqueo Sinoatrial/fisiopatología , Bloqueo Sinoatrial/terapiaAsunto(s)
Parálisis Bulbar Progresiva/genética , Enfermedades de los Nervios Craneales/genética , Sordera/genética , Parálisis Bulbar Progresiva/complicaciones , Niño , Enfermedades de los Nervios Craneales/complicaciones , Sordera/complicaciones , Progresión de la Enfermedad , Humanos , India , Masculino , SíndromeRESUMEN
A 25 year old female presented with mononeuritis multiplex and pulmonary symptoms. Investigations revealed the presence of marked peripheral blood eosinophilia. Skin and nerve biopsies were consistent with a diagnosis of Churg Strauss Syndrome. These were characterized by vasculitis of the small arteries and veins and perivascular eosinophilic infiltrates. The patient showed good response to cyclophosphamide and steroids.
Asunto(s)
Enfermedades del Sistema Nervioso Central/diagnóstico , Agenesia del Cuerpo Calloso , Huesos/anomalías , Enfermedades del Sistema Nervioso Central/complicaciones , Enfermedades del Sistema Nervioso Central/fisiopatología , Electroencefalografía , Femenino , Humanos , Lactante , Discapacidad Intelectual/complicaciones , Discapacidad Intelectual/diagnóstico , Imagen por Resonancia Magnética , Factores Sexuales , Espasmos Infantiles/complicaciones , Espasmos Infantiles/diagnóstico , Síndrome , Tomografía Computarizada por Rayos XRESUMEN
Iniencephaly is a rare neural tube defect. We report a rare association of iniencephaly with cyclopia, probably the third such report in the literature.
Asunto(s)
Anomalías Teratoides Graves , Defectos del Tubo Neural/complicaciones , Femenino , Muerte Fetal , Humanos , Recién NacidoRESUMEN
This report deals with a young girl with Duane's retraction syndrome who also had left facial hemiatrophy (Parry-Romberg syndrome). Report of such an association is probably first of its type to be documented in literature.
Asunto(s)
Síndrome de Retracción de Duane/complicaciones , Hemiatrofia Facial/complicaciones , Niño , Femenino , HumanosRESUMEN
A 1-year old girl having a giant pigmented nevus over trunk and widespread smaller pigmented nevi presented with focal motor seizures. This combination of features is rate.
Asunto(s)
Epilepsias Parciales/complicaciones , Nevo Pigmentado/complicaciones , Femenino , Humanos , Lactante , Nevo Pigmentado/patologíaRESUMEN
A six month old child presented with feeding difficulties, generalized seizures, delayed milestones, pudgy cheeks, hypopig mented, sparse and steely wool hair. Serum copper level was 6.0 mg/dl.