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A 41-year-old man with a neonatal history of Erb's palsy presented with severe bilateral gnawing radicular arm pain. A detailed neurological examination detected no abnormality. Imaging revealed right hemi spinal cord T2 hyperintensity together with an occluded left vertebral artery to the …
au (code pays fourni par la source)
David Prentice, Ravi Ambati, Lay Kun Kho, Thomas G. Jenkins et autres
We present a case of seronegative autoimmune encephalomyelitis in an Australian patient who developed encephalopathy, intractable hiccups, and extensive myelitis. MRI demonstrated longitudinally extensive spinal cord involvement and area postrema abnormalities. Cerebrospinal fluid (CSF) analysis revealed an inflammatory profile but tested negative …
au (code pays fourni par la source)
David Prentice, Ravi Ambati, Lay Kun Kho, Thomas G. Jenkins et autres
Introduction: Patients presenting with encephalopathy and longitudinally extensive myelitis pose a significant diagnostic challenge. Area postrema-related symptoms, such as intractable hiccoughs, can aid in narrowing the differential diagnosis. Neuromyelitis optica spectrum disorders and glial fibrillary acidic protein (GFAP) autoimmune encephalitis are known …
au (code pays fourni par la source)
Albert Chiu, David Prentice, Lay Kun Kho
Case A 51-year-old female presented to ophthalmology for left lid swelling with painful extraocular movement after a cat scratch injury. She was treated for pre-septal cellulitis, however CT/CT angiogram showed dilatation of the left superior ophthalmic vein, and cavernous sinus, raising concerns …
au (code pays fourni par la source)
Ian Kam, Constantine C. Phatouros, David Prentice, Lay Kun Kho et autres
The association of focal motor seizures with cerebral hemiatrophy is a recognised rare paediatric syndrome known as 'hemiconvulsion, hemiatrophy and epilepsy' (HHE). To date, HHE has not been reported in adults. We present four adult patients with striking similarities to HHE, following …
au (code pays fourni par la source)
Jonathan Alexis, Jane H. Lock, Lay Kun Kho, Andrew Thompson et autres
An Asian man in his 20s developed asymptomatic ipsilateral moyamoya-like vascular changes following orbital and head trauma. An ipsilateral traumatic optic neuropathy with extensive optic cupping ensued. The complex embryology of the ocular vascular development is reviewed as having a potential causative …
au (code pays fourni par la source)
Ian Kam, David Prentice, Lay Kun Kho, Ferry Dharsono
We describe a man in his 30s with haemophagocytic lymphohistiocytosis (HLH), secondary to an upper respiratory tract infection, with subsequent febrile infection-related epilepsy syndrome. He had a prolonged hospital admission, during which he was treated with chemotherapy for HLH and antiepileptic medications …
au (code pays fourni par la source)
Ravi Ambati, Lay Kun Kho, David Prentice, Andrew Thompson
BACKGROUND: Osmotic demyelination syndrome (ODS) is non-inflammatory demyelination in response to an osmotic challenge. It can be pontine or extrapontine in presentation. AIMS: To retrospectively review cases involving ODS and define the spectrum of causes, risk factors, clinical and radiological presentations, and …
au (code pays fourni par la source)
Osvaldo P. Almeida, Graeme J. Hankey, Andrew H. Ford, Christopher Etherton‐Beer et autres
Importance: One in 3 adults experiences clinically significant symptoms of depression during the first year after a stroke, but evidence to support the use of antidepressants in this population remains scant. Objective: To investigate whether daily treatment with 20 mg of fluoxetine …
au (code pays fourni par la source)
Graeme J. Hankey, Maree L. Hackett, Osvaldo P. Almeida, Leon Flicker et autres
Background and Purpose: The AFFINITY trial (Assessment of Fluoxetine in Stroke Recovery) reported that oral fluoxetine 20 mg daily for 6 months after acute stroke did not improve functional outcome and increased the risk of falls, bone fractures, and seizures. After trial …
au, gb, se, cn, vn, nz (code pays fourni par la source)
Ali Buckland, Celia Green, Lay Kun Kho, David Prentice
Primary leptomeningeal melanomas are rare, comprising less than one percent of all brain tumours. They are aggressive and radioresistant tumours, with a poor prognosis. The mainstay of treatment is complete surgical resection and chemotherapy with limited success. Distinguishing a primary leptomeningeal melanoma …
au (code pays fourni par la source)
Joanna Jenkin, Stephanie Parkinson, Angela Jacques, Lay Kun Kho et autres
Purpose: The purpose of this study was to determine which admission clinical assessment or assessments best predict independent walking at discharge (IW-DC) among adults with unilateral impairments hospitalized for rehabilitation post-stroke. Method: On admission, we collected measures of balance (Berg Balance Scale …
au (code pays fourni par la source)
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