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Babinski-Nageotte syndrome after vertebral artery dissection and foramen arcuale.
BMJ Case Rep
December 2024
Neurology, Centro Hospitalar de Tras-os-Montes e Alto Douro EPE, Vila Real, Portugal.
Vertebrobasilar ischaemia happens for a myriad of reasons. Among the rarest is the existence of a foramen arcuale (FA). This condition results from the ossification of the lateral edge of the posterior atlantooccipital membrane, closing, completely or partially, the top of this groove, turning it into a foramen or a channel.
View Article and Find Full Text PDFUnveiling the Masked Culprit: Central Nervous System Infection With Varicella-Zoster Virus Diagnosed by Multiplex PCR in an Elderly Patient With Atypical Neurological Symptoms.
Cureus
October 2024
Department of Neurology, Toho University Ohashi Medical Center, Tokyo, JPN.
Article Synopsis
- * Using cerebrospinal fluid multiplex polymerase chain reaction (PCR) testing, doctors quickly identified VZV, leading to immediate antiviral treatment.
- * This situation emphasizes the need to think about VZV in rare neurological cases and showcases how multiplex PCR can improve diagnosis, especially in cases without common symptoms.
Cardioneuroablation eliminating cardiac asystole associated with area postrema syndrome: a case report and literature review.
Front Cardiovasc Med
October 2024
Department of Cardiovascular Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Article Synopsis
- A young patient with neuromyelitis optica spectrum disorder experienced recurrent cardiac asystole and syncope following persistent hiccups, but successfully underwent cardioneuroablation (CNA) treatment, avoiding the need for a permanent pacemaker.
- Previous cases of symptomatic bradycardia-arrhythmia related to area postrema syndrome (APS) showed a significant number required pacemaker implantation, highlighting the severity of the condition.
- The findings suggest that CNA can effectively treat bradyarrhythmia associated with APS, and healthcare professionals should consider the potential link between these symptoms and APS in their clinical assessments.*
Identifying the Hiccup-Induced Esophagogastric Waveform: A Case Series Report Using High-Resolution Manometry.
ACG Case Rep J
October 2024
Departamento de Fisiología y Motilidad Digestiva, Instituto de Investigaciones Médico-Biológicas, Universidad Veracruzana, Veracruz, México.
Hiccups result from involuntary contractions of the diaphragm, driven by a complex neuromuscular reflex. Three patients with persistent hiccups underwent esophageal high-resolution manometry during hiccup episodes, revealing a consistent finding: sustained contraction of the esophagogastric junction with intermittent pressure peaks. This pattern, termed the "Hiccup-Induced Esophagogastric Waveform," shows significant esophageal pressure changes linked to hiccup reflex.
View Article and Find Full Text PDFPersistent hiccups as a rare complication after transforaminal epidural steroid injection: A Case Report.
Agri
January 2024
Department of Algology, Hatay Training and Research Hospital, Hatay, Türkiye.
A male patient presented to the clinic with persistent hiccups and the complaint of subacute low back pain. Subsequently, he was administered a transforaminal epidural betamethasone injection (TFESI) plus lidocaine and developed persistent hiccups thereafter, which lasted for 6 days and subsided spontaneously. He presented with similar complaints again 5 months later and was administered TFESI, this time along with betamethasone and saline.
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