Infectious Mononucleosis Complicated with Acute Cerebral Infarction: A Case Report.

Purpose: Infectious mononucleosis (IM) complicated with a neurological manifestation, including acute cerebellar ataxia, Guillain-Barre syndrome, meningitis, encephalitis, cranial nerve palsies, optic neuritis or transverse myelitis, has been rarely reported; however, IM complicated with acute cerebral infarction has never been reported in the literature.

Case Report: A 49-year-old man with diabetic mellitus suffered from IM with fever, pharyngitis, parotiditis with lymphadenopathies, thrombocytopenia and splenomegaly. After two weeks of conservative treatment, left upper limb paresis and left hemihypesthesia occurred.

Which Vestibulopathy is Vertebral Artery Hypoplasia Related with in Vestibular Migraine?

Purpose: A possible relationship between vertebral artery hypoplasia (VAH) and vestibular migraine (VM) has been suggested at some medical conferences, few studies of this condition have elucidated which vestibulopathy is VAH associated with during the vestibular episodes of VM.

Methods: We performed a retrospective case-series control study to elucidate the above issue. From 2008 January to May 2010, 18 VM patients received magnetic resonance imaging.

Anton-Babinski syndrome in an old patient: a case report and literature review.

Anton-Babinski syndrome is a rare disease featuring bilateral cortical blindness and anosognosia with visual confabulation, but without dementia or any memory impairment. It has a unique neuropsychiatric presentation and should be highly suspected in those with odd visual loss and imaging evidence of occipital lobe injury. In the case discussed herein, a 90-year-old man presented with bilateral blindness, obvious anosognosia, and vivid visual confabulation, which he had had for 3 days.

Moyamoya disease in an extremely old patient.

Purpose: The oldest patients diagnosed with moyamoya disease (MMD) in the USA may have been as old as 85+ years, and 68 years in Taiwan; therefore, MMD is generally thought not to occur in extremely old patients in Taiwan. Herein, we report this case to revise the common thinking.

Case Report: An 82-year-old woman had suffered twice from a right cerebral infarction.

Reverse Lhermitte's phenomenon provoked by cervical cord compression.

Purpose: Lhermitte's phenomenon (LP) is a rare manifestation, which is defined when a sudden electric-shock sensation transmitted down the spine induced by neck flexion; however, the reverse LP is defined when symptoms are induced by neck extension, not flexion. Because reports of LP are limited in the Taiwan literature, we report this case.

Case Report: A 74-year-old woman presented to our emergency department with sudden onset of right neck pain when extending the neck.

Pure menstrual migraine with sensory aura: a case report.

Hormonal changes related to the menstrual cycle have a great impact on migraines in women. Menstrual migraine attacks are almost invariably without aura. Categorizing migraines into menstrual or non-menstrual types is one way to stratify migraines without aura according to the appendix criteria of the International Classification of Headache Disorders.

Bruns-Cushing nystagmus due to hypertensive unilateral paramedian pontine base infarction.

Bruns-Cushing nystagmus is unusually rare and is known to be related with cerebellopontine angle tumor. A 32-year-old male patient came to our emergency department 3 times because of dizziness, right upper limb ataxia, hypertension, and Bruns-Cushing nystagmus. Magnetic resonance imaging demonstrated left paramedian pontine infarction.

A case report of intracranial vertebral-basilar artery hypoplasia presenting with episodic dizziness.

Basilar artery hypoplasia (BAH) is usually accompanied with unilateral vertebral artery hypoplasia (VAH); however, BAH with bilateral VAHs composing vertebral-basilar artery hypoplasia (VBAH) is indeed a rare curiosity. A 61-year-old woman presented with episodic dizziness for ten years. It accompanied with headache, bilateral tinnitus and blurred vision.

Chronic daily headache in a patient with nasopharyngeal carcinoma.

Chronic daily headache (CDH) among nasopharyngeal carcinoma (NPC) patients is a multidisciplinary challenge. Although imaging studies are recommended to identify skull-base invasion, intracranial metastasis or skull-base osteoradionecrosis, a headache diary is also a practical approach. A 42-year-old woman had been bothered with CDH since she was diagnosed with T3N1M0 stage III NPC 2 years earlier.