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Hydrocephalus is the disruption of cerebral spinal fluid homeostasis, representing a common neurosurgical illness. Up to 10% have no identifiable cause, with fourth ventricle outflow obstruction (FVOO) being an extremely rare subtype. A 31-year-old male with a history of idiopathic hydrocephalus for over 10 years with the need for a ventriculoperitoneal shunt had shown progressively enlarged tetraventricular ventriculomegaly.
View Article and Find Full Text PDFA 22-Year-Old Man With Headache, Facial Numbness, Diplopia and Left Leg Numbness.
Neurohospitalist
August 2024
Department of Neurology, Hartford Hospital, Hartford, CT, USA.
Article Synopsis
- - A 22-year-old male experiences symptoms including chin numbness, eye movement issues (ophthalmoplegia), headaches, and left leg numbness, alongside fever, chills, and night sweats.
- - Imaging shows unusual enhancements in the cauda equina (nerve roots at the lower spine) and an infiltrative issue at the skull base, with additional findings of bone marrow involvement and swollen lymph nodes.
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Ocular myasthenia gravis and thyroid eye disease: double trouble.
Acta Neurol Belg
November 2024
Research Unit of Radiology and Medical Imaging, National and Kapodistrian University of Athens, Athens, Greece.
A 60-year-old male patient with a previously unremarkable medical history presented with unilateral eyelid ptosis and binocular diplopia in the past year. Clinical and laboratory workup confirmed the diagnosis of ocular myasthenia gravis. In addition, further workup with orbital MRI performed due to exophthalmos and unilateral ophthalmoplegia demonstrated findings compatible with thyroid eye disease, which were further verified by antibody testing.
View Article and Find Full Text PDFWernicke's encephalopathy with pinpoint pupils and diplopia.
BMC Neurol
October 2024
Department of Neurology, The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China.
This case report presents the clinical findings of a female patient diagnosed with Wernicke's encephalopathy, characterized by pinpoint pupils. While pupillary changes can occur in Wernicke's encephalopathy, the presence of pinpoint pupils is exceedingly rare. In this report, we aim to document and discuss this unusual presentation, as well as speculate on the potential mechanisms underlying this atypical manifestation of the disease.
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Neurol Sci
October 2024
Department of Neuroscience, Institute of Neurology, AOU Renato Dulbecco, Catanzaro, Italy.
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