Investigating Structure-Function Connectivity in a Patient With Locked-In Syndrome by 7 T Magnetic Resonance Imaging: A Case Report
Conclusions: These results provide tentative evidences to reveal the important role of PCC and corpus callosum in the LIS patient. These findings may be informative to the study of patients with LIS. (Source: The Neurologist)
Source: The Neurologist - November 1, 2022 Category: Neurology Tags: Case Report/Case Series Source Type: research

Bilateral Posterior Ischemic Optic Neuropathy as a Presentation of Severe Uncontrolled Diabetes Mellitus: A Case Report
Conclusion: Diabetic cranial neuropathy usually involves single or sequential nerve involvement but combined involvement of bilateral optic nerve and left 3, 4, and 6th cranial nerve involvement is unique to the current presentation. PION should be kept in mind in patients presenting with sudden painless bilateral vision loss with normal fundoscopy in the background of systemic disease like diabetes mellitus, though it usually occurs postoperatively. (Source: The Neurologist)
Source: The Neurologist - November 1, 2022 Category: Neurology Tags: Case Report/Case Series Source Type: research

Major Neurological Deficit Following Neck Hyperextension During Dental Treatment: Report of 2 Cases and Review of the Literature
Conclusions: Pathogenesis, as well as predisposing factors, are discussed, and new terminology is established as a means to encourage research on this rare complication of neck positioning on dental chairs. (Source: The Neurologist)
Source: The Neurologist - November 1, 2022 Category: Neurology Tags: Case Report/Case Series Source Type: research

Bilateral Hypertrophic Olivary Degeneration as a Paraneoplastic Syndrome of a Poorly Differentiated Carcinoma of the Upper Gastrointestinal Tract: A Case Report and Literature Review
Conclusion: This study strengthens a relationship between HOD and malignancy as a paraneoplastic syndrome and provides a new incentive for further researches to confirm this association. (Source: The Neurologist)
Source: The Neurologist - November 1, 2022 Category: Neurology Tags: Case Report/Case Series Source Type: research

Combined Central and Peripheral Demyelination in a Case With Sjogren Syndrome
Conclusion: It is unclear whether the association of central nervous system and peripheral nervous system demyelination and SS is a coincidence or a consequence. Our patient shows that patients with SS can have CCPD, and a significant clinical response can be obtained with early treatment. We hope that this unique case sheds light on the pathophysiology of CCPD. (Source: The Neurologist)
Source: The Neurologist - November 1, 2022 Category: Neurology Tags: Case Report/Case Series Source Type: research

Hidden Telltale Signs in Hyperacute Ischemic Stroke Caused by Aortic Dissection: A Case Report and Post Hoc Analysis
Conclusion: Hyperacute ischemic stroke caused by AD often hides some telltale signs. Clinicians should master basic clinical skills to exclude AD by looking for these telltale signs hidden in hyperacute ischemic stroke to avoid the fatal consequences of intravenous thrombolysis and/or cerebral angiography within the narrow window of time. (Source: The Neurologist)
Source: The Neurologist - November 1, 2022 Category: Neurology Tags: Case Report/Case Series Source Type: research

Acute Bulbar Palsy and Ophtalmoplegia Associated With Anti-GT1a IgG Antibodies
Conclusions: ABPp is classified as subtype of GBS. The most frequent clinical signs of ABPp are ophthalmoplegia, facial palsy, and ataxia. IgG anti-GT1a and/or anti-GQ1b are positive in a majority of patients with ABPp; however, these antibodies are not specific and can found in other subtypes of GBS. (Source: The Neurologist)
Source: The Neurologist - November 1, 2022 Category: Neurology Tags: Case Report/Case Series Source Type: research

Are We Aware of the Neurological Manifestations of Cytomegalovirus Infection in Immunocompetent Individuals?
Conclusion: CMV infection should be considered in the differential diagnosis of patients presenting with neurological symptoms, even among immunocompetent individuals, because of the high possibility that patients can greatly benefit from antiviral treatment at the early stage. (Source: The Neurologist)
Source: The Neurologist - November 1, 2022 Category: Neurology Tags: Original Articles Source Type: research

Restless Legs Syndrome and the Eyes: Spectral-Domain Optic Coherence Tomography Study
Conclusions: Disease severity and disease duration do not affect OCT parameters in primary or secondary RLS patients. OCT data do not seem to provide information about the course of this disease. (Source: The Neurologist)
Source: The Neurologist - November 1, 2022 Category: Neurology Tags: Original Articles Source Type: research

Potential Anti-Inflammatory and Anti-Coagulation Effects of One-Time Application of Remote Ischemic Conditioning in Patients With Subacute/Chronic Cerebral Arteriostenosis and Venostenosis
Conclusion: One-time RIC interventions may show seemingly coexisted proinflammatory and anti-coagulation effects of a single bout on patients with cerebral arteriostenosis. Older age was a negative predictor for multiple biomarkers in the cerebral arteriostensosis group. The protective effect of RIC on cerebral venostenosis patients needs to be further studied in a larger sample size. (Source: The Neurologist)
Source: The Neurologist - November 1, 2022 Category: Neurology Tags: Original Articles Source Type: research

Association Between Cerebral Autoregulation and Long-Term Outcome in Patients With Acute Ischemic Stroke
Background: Dynamic cerebral autoregulation (CA) is known to be impaired in patients with acute ischemic stroke (AIS), but whether or not dynamic CA can predict long-term outcomes is unclear. Materials and Methods: This prospective study included 103 patients with AIS between September 2017 and April 2019. We measured the middle cerebral artery blood flow velocity and blood pressure within 7 days of AIS onset using a transcranial Doppler and Finometer, respectively. We conducted transfer function analysis to calculate dynamic CA indices (phase and gain), with lower phase and higher gain parameters reflecting les...
Source: The Neurologist - November 1, 2022 Category: Neurology Tags: Original Articles Source Type: research

Analysis of the Failure of Removal of the Urinary Catheter for Patients With Intracerebral Hemorrhage Postoperatively
Background: We conducted this study to assess the value of clinically relevant data for predicting the failure of removing urinary catheters among patients with intracerebral hemorrhage postoperatively. Materials and Methods: We retrospectively analyzed the medical records of all patients with intracerebral hemorrhage who underwent surgery for removal of intracerebral hematoma between January 2014 and December 2019, all of whom retained their urinary catheter. The patients were classified into 2 groups. Group A included patients who underwent successful removal of the catheter while group B included patients who...
Source: The Neurologist - November 1, 2022 Category: Neurology Tags: Original Articles Source Type: research

The Relation of End-Tidal CO2 Values With Infarct Volume and Early Prognosis in Patients With Acute Ischemic Stroke
Conclusions: This study highlights the importance of capnography follow-up of patients with acute ischemic stroke. In patients with acute ischemic stroke, the EtCO2 value measured at the time of admission is lower in the group with high mRS at both admission and discharge. (Source: The Neurologist)
Source: The Neurologist - November 1, 2022 Category: Neurology Tags: Original Articles Source Type: research

Posterior Circulation Alberta Stroke Program Early Computed Tomography Score (pc-ASPECT) for the Evaluation of Cerebellar Infarcts
Background: Patients with cerebellar ischemic stroke may be misdiagnosed and may exhibit a delayed time to acute stroke treatment compared with patients with anterior circulation ischemic stroke. The posterior circulation Alberta stroke program early computed tomography score (pc-ASPECT) score has been used to evaluate hyperacute stroke, much as the ASPECT in anterior circulation stroke recently. Our main objective was to evaluate the associations of the clinical and etiological characteristics of ischemic cerebellar infarction patients on admission with their pc-ASPECT scores, as well as the correlations of the pc-ASP...
Source: The Neurologist - November 1, 2022 Category: Neurology Tags: Original Articles Source Type: research

Use of Diterpene Ginkgolides Meglumine Injection to Regulate Plasma Levels of PAI-1 and t-PA in Patients With Acute Atherosclerotic Cerebral Infarction
Background: To: (i) explore the effect of diterpene ginkgolides meglumine injection (DGMI) on neurological deficit symptoms in acute atherosclerotic cerebral infarction (AACI) patients; (ii) measure the level of plasma plasminogen activator inhibitor (PAI)-1 and tissue plasminogen activator (t-PA). Methods: Eighty AACI patients were divided equally and randomly into the DGMI group and control group. In addition to basic treatment, the DGMI group was treated with DGMI (25 mg/d) for 14 days. The control group had basic treatment without DGMI. Before and after treatment, the degree of neurological deficit was ass...
Source: The Neurologist - November 1, 2022 Category: Neurology Tags: Original Articles Source Type: research