Reversible migratory osteoporosis in renal oncocytoma mimicking renal cell carcinoma with bone metastases.

We report a case in which initially the wrong diagnosis of renal cell carcinoma with bone metastases was made. Nephrectomy and bone biopsy led to the right diagnosis of oncocytoma with transient osteoporosis. This report stresses the importance of pathological investigation and points to oncocytoma in the differential diagnosis of solid renal masses.

Experience of severe fatigue long after stroke and its relation to depressive symptoms and disease characteristics.

Although the experience of abnormal fatigue is recognised as a major disabling symptom in many chronic neurological diseases, little is known about the persistence of severe fatigue after an abrupt neurological incident like a stroke. Therefore, the objectives of this study were to test whether the experience of severe fatigue persists long after a stroke has occurred, and to assess the relation between experienced fatigue and levels of physical impairment and depression. Ninety stroke outpatients and 50 controls returned mailed questionnaires.

Use of care by home-dwelling stroke patients during three years following hospital discharge.

Of 82 stroke survivors who had been discharged from hospital, 49 were still living at home after a three-year period. Thirty-three of these patients formed the population of the present study of the use of care at home. Sixty-one percent had received professional care and 88% had received family care.

Age and causes of death in adult-onset myotonic dystrophy.

Myotonic dystrophy is a relatively common type of muscular dystrophy, associated with a variety of systemic complications. Long term follow-up is difficult because of the slow progression. The objective of this study was to determine survival, age at death and causes of death in patients with the adult-onset type of myotonic dystrophy.

Paternal transmission of congenital myotonic dystrophy.

We report a rare case of paternally transmitted congenital myotonic dystrophy (DM). The proband is a 23 year old, mentally retarded male who suffers severe muscular weakness. He presented with respiratory and feeding difficulties at birth.

Adrenomyeloneuropathy: a rare cause of Addison's disease?

A 31-year-old male patient is reported who presented with neurological symptoms. He developed a urinary tract infection and an Addisonian crisis. This was due to adrenomyeloneuropathy, a form of X-linked adrenoleukodystrophy and characterized by accumulation of very-long-chain fatty acids in the adrenal cortex and nervous tissues.

[Patient characteristics with predictive significance for 'blocked bed' problems in the neurological department of a general hospital].

Objective: To determine the extent and the prognostic patient characteristics of bed-blocking (hospital beds occupied by patients who no longer need specialist medical treatment) in the neurological ward of a general hospital.

Design: Prospective cohort study.

Setting: Maasland hospital Sittard-Geleen (location Sittard).

Idiopathic spasmodic torticollis: a survey of the clinical syndromes and patients' experiences.

We evaluated the medical and psychosocial experiences of 59 patients with idiopathic spasmodic torticollis (ST) by means of a structured questionnaire. The results generally corresponded with those of other studies in the literature. Diagnosis is delayed in many patients, and ST negatively influences the patients' social lives.

Ossification of the posterior longitudinal ligament.

Two non-Japanese patients with ossification of the cervical posterior longitudinal ligament were described. This abnormality is very common in Japan, but rare in non-Japanese people. The reason is unknown.