Malignant middle cerebral artery syndrome and decompressive hemicraniectomy after ischaemic stroke [0.03%]
缺血性卒中的恶性半球综合征和去骨瓣减压术
Adam Sheriff,Benjamin M Davies,Harry Wj Mee et al.
Adam Sheriff et al.
Malignant middle cerebral artery (MCA) syndrome is one of the most devastating stroke syndromes, occurring in approximately 10% of ischaemic strokes and resulting in high morbidity and mortality (up to 80% if untreated). These outcomes refl...
Miranda Wan,Michael D Hill
Miranda Wan
CADASIL (cerebral autosomal dominant arteriopathy with subcortical infarcts and leucoencephalopathy) is a hereditary small vessel disease caused by pathogenic NOTCH3 variants, predominantly affecting cysteine residues in epidermal growth fa...
Wilco Perini,Veron Verhorst,Anne van den Berg et al.
Wilco Perini et al.
Intermittent binocular diplopia is challenging to assess, as symptoms may be absent during examination yet its possible causes range from benign decompensation to serious disease. We outline a practical method to evaluate intermittent diplo...
Kayser-Fleischer rings detected incidentally after ocular trauma leading to the diagnosis of Wilson's disease [0.03%]
偶然发现的 Kayser-Fleischer 圈：一种眼球外伤后的威尔森病诊断方法
Justina Jurkeviciene,Godfrey T Gillett,Omar Herman et al.
Justina Jurkeviciene et al.
Catatonia during stroke rehabilitation: autoimmune encephalitis following meningovascular neurosyphilis [0.03%]
脑卒中康复期间的类木僵状态：由神经梅毒继发的血管性脑膜炎所致自身免疫性脑炎
Derek Barisas,Christopher Alexander,Charles Roach et al.
Derek Barisas et al.
A 39-year-old man developed progressive right middle cerebral artery distribution strokes as a manifestation of meningovascular neurosyphilis. He also had hypertension and smoked cigarettes. He subsequently developed neuropsychiatric sympto...
Abdusshakur Muhammad Auwal,Rachael Matthews,Callum Cook et al.
Abdusshakur Muhammad Auwal et al.
'Query encephalitis' is one of the most common reasons for inpatient neurology referral in the context of an acutely confused patient. Growing evidence suggests that time to treatment is a key determinant of outcome in both infectious and a...
Intracranial hypertension: the hidden risk of supplements containing vitamin A [0.03%]
维生素A补充剂引起的颅内压升高风险
Mitchell Harry Dennis,Matthew Goldring,James Frederick Chapman
Mitchell Harry Dennis
Hypervitaminosis A is relatively uncommon but may develop with excessive supplementation or medication use. We report a 17-year-old non-obese male presenting with symptomatic papilloedema and normal neuroimaging. Investigations excluded alt...
Neuromyelitis optica spectrum disorder in a patient with neurofibromatosis type 1 mimicking spinal cord infarction [0.03%]
1型神经纤维瘤病患者的视神经脊髓炎谱系疾病模仿脊髓梗死
Aman Numaguchi,Haruhiko Motegi,Kensuke Nakamura et al.
Aman Numaguchi et al.
A man in his 70s with neurofibromatosis type 1 (NF1) developed tetraplegia and bowel and bladder dysfunction over 5 days. MR scan of the spine showed a longitudinally extensive lesion in the anterior spinal cord, with diffusion restriction ...
Caroline Kramarz,David Game,Sebastian Brandner et al.
Caroline Kramarz et al.
A 49-year-old woman developed a painful right foot drop that progressed to severe lumbosacral plexopathy, resulting in the inability to walk or stand independently. She had a history of juvenile cystinosis requiring renal transplantation an...
Yui Sanpei,Keita Yasuda,Akira Hanazono
Yui Sanpei
Hypoglycaemia as the cause of unwitnessed coma may go unrecognised when the hypoglycaemia has already been partially corrected. A woman in her early 60s was found unresponsive after several days of heavy alcohol intake and poor oral intake....