3 results match your criteria: "Encephalitis St. Louis"

Article Synopsis
  • - The study aimed to analyze sleep disturbances in six patients diagnosed with DPPX autoimmunity syndrome, using polysomnography and other diagnostic assessments to understand their conditions better.
  • - The patients, averaging 57 years old, exhibited notable gastrointestinal symptoms and various neuropsychiatric issues like cognitive impairment and myoclonus, alongside sleep issues such as insomnia and sleep apnea.
  • - Results indicated that five out of six patients improved neurologically with immunotherapy, suggesting that DPPX autoimmunity should be explored further, especially in cases displaying a mix of sleep problems and gastrointestinal distress.
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Clinical Reasoning: A 43-Year-Old Man With Subacute Onset of Vision Disturbances, Jaw Spasms, and Balance and Sleep Difficulties.

Neurology

August 2022

From the Departments of Laboratory Medicine and Pathology (E.O., D.D., A.M.), Neurology (Y.G., J.J.C., D.D., E.K.S.L., A.M.), and Ophthalmology (J.J.C.), Mayo Clinic, Rochester, MD; Department of Neurology (B.H.), Henry Ford Hospital, Detroit, MI; Departments of Physical Medicine and Rehabilitation (M.M.) and Pulmonary and Critical Care Medicine (E.K.S.L.), Mayo Clinic, Rochester, MD.

A brainstem syndrome is recognizable in patients presenting with a combination of visual disturbances, incoordination, gait problems, speech and swallowing difficulties, and new-onset sleep symptomatology. Brainstem disorders of subacute onset (onset and progression with accumulation of disabling deficits in 6-12 weeks) are generally of autoimmune, infectious, inflammatory, or infiltrative neoplastic cause. An autoimmune or infectious brainstem disorder may be referred to as brainstem encephalitis or rhombencephalitis.

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Neuroimaging-evident lesional pathology associated with REM sleep behavior disorder.

Sleep Med

December 2015

Mayo Center for Sleep Medicine, Mayo Clinic and Foundation, Rochester, MN, USA; Department of Medicine, Mayo Clinic and Foundation, Rochester, MN, USA; Department of Neurology, Mayo Clinic and Foundation, Rochester, MN, USA. Electronic address:

Background/rationale: Rapid eye movement (REM) sleep behavior disorder (RBD) is a potentially injurious parasomnia characterized by dream enactment behavior and polysomnographic REM sleep without atonia (RSWA). Recently, RBD not only has been shown to be strongly associated with synucleinopathy neurodegeneration but has also been rarely reported to be associated with structural lesions involving the brainstem or limbic system. The aim of this study was to describe the clinical, neuroimaging, and outcome characteristics in a case series of patients with lesional RBD.

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