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Condition: Ataxia

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Total 492 results found since Jan 2013.

Clinical Reasoning: Two see or not two see--Is it really double vision?
A 57-year-old right-handed woman presented to the emergency department with complaints of double vision and intractable nausea that began abruptly 2 days earlier. Her visual symptoms were characterized as seeing overlapping or separate horizontally or diagonally displaced objects. She had no history of headaches or stroke. Her cerebrovascular risk factors included hypertension, type II diabetes, coronary artery disease, and cigarette smoking. Her medications included clopidogrel, lisinopril, paroxetine, and oxycodone. Her family history was notable for late-onset ischemic heart disease in her parents with no first-degree r...
Source: Neurology - August 7, 2017 Category: Neurology Authors: Murphy, R. R., Al Sawaf, A., Rose, D. R., Goldstein, L. B., Smith, C. D. Tags: Clinical neurology examination, Diplopia (double vision), Visual fields, Visual processing, All Cerebrovascular disease/Stroke RESIDENT AND FELLOW SECTION Source Type: research

Generalized Net-Like Erythema and Stroke in a Young Female
A woman in her 40s with Raynaud syndrome and a medical history of stroke presented with erythema, ataxia, and left-sided hemidysesthesia. What is your diagnosis?
Source: JAMA Dermatology - September 13, 2017 Category: Dermatology Source Type: research

Rehabilitation Course and Specification of Dysmetria of a Patient with Ataxia, Dysmetria and Hemiparesis Following a Stroke in the Corona Radiata: A Case Presentation
We present a case of a patient with ataxia, dysmetria and hemiparesis following a stroke in the corona radiata. The patient had an excellent clinical course with near resolution of symptoms in two and a half weeks, and returned and back to work fully duty and full-time a couple of weeks later. We use a video of severeal neurological tests to demonstrate and characterize the dysmetria. Interestingly, a key characteristic of the dysmetria appears to be different from that seen in patients with dysmetria arising from a cerebellar, thalamic or pontine lesion.
Source: PM and R - February 6, 2018 Category: Rehabilitation Authors: Monir Mohar, Kosandra Hartman, Bronwyn Long, Peter Lee, Adrian Didita, Eric L. Altschuler Source Type: research

Rehabilitation Course and Specification of Dysmetria of a Patient With Ataxia, Dysmetria, and Hemiparesis After a Stroke in the Corona Radiata: A Case Presentation
We present a case of a patient with ataxia, dysmetria, and hemiparesis after a stroke in the corona radiata. The patient had an excellent clinical course with near resolution of symptoms in 2 and a half weeks and returned and back to work full duty and full time a couple of weeks later. We use a video of several neurologic tests to demonstrate and characterize the dysmetria. Interestingly, a key characteristic of the dysmetria appears to be different from that seen in patients with dysmetria arising from a cerebellar, thalamic, or pontine lesion.
Source: PM and R - February 6, 2018 Category: Rehabilitation Authors: Monir Mohar, Kosandra Hartman, Bronwyn Long, Peter Lee, Adrian Didita, Eric L. Altschuler Tags: Case Presentation Source Type: research

Coenzyme Q10 deficiency due to a COQ4 gene defect causes childhood-onset spinocerebellar ataxia and stroke-like episodes
We report on a new phenotype of COQ4 deficiency: a childhood onset spinocerebellar ataxia with stroke-like episodes.
Source: Molecular Genetics and Metabolism Reports - September 13, 2018 Category: Genetics & Stem Cells Source Type: research

Rehabilitation Course and Specification of Dysmetria of a Patient With Ataxia, Dysmetria, and Hemiparesis After a Stroke in the Corona Radiata: A Case Presentation
We present a case of a patient with ataxia, dysmetria, and hemiparesis after a stroke in the corona radiata. The patient had an excellent clinical course with near resolution of symptoms in 2 and a half weeks and returned back to work full duty and full time a couple of weeks later. We use videos of several neurologic tests to demonstrate and characterize the dysmetria. Interestingly, a key characteristic of the dysmetria appears to be different from that seen in patients with dysmetria arising from a cerebellar, thalamic, or pontine lesion. We propose a possible neurophysiologic mechanism—damage to and redundancy of par...
Source: PMandR - September 15, 2018 Category: Rehabilitation Source Type: research

Dentate nucleus stimulation in a patient with cerebellar ataxia and tremor after cerebellar stroke: A long-term follow-up
Cerebellar modulation has emerged as a promise therapy in the movement disorders field, as cerebellum pathways present connections with critical cortical areas. We have previously reported the short-term outcome in a patient with unilateral cerebellar stroke who improved the ataxia after cerebellar neuromodulation [1,2]. The rational hypothesis lies on the fact that unilateral chronic cerebellar ischemic lesions were linked with a decrease in intracortical inhibition in the contralateral motor cortex, culminating to inter-hemispheric asymmetry in cortical excitability, which could contribute to the motor impairment [3].
Source: Parkinsonism and Related Disorders - October 1, 2018 Category: Neurology Authors: Rubens Gisbert Cury, Carina Fran ça, Egberto Reis Barbosa, Ricardo Galhardoni, Guilherme Lepski, Manoel J. Teixeira, Daniel Ciampi de Andrade Tags: Correspondence Source Type: research

Discrepancy between perfusion- and diffusion-weighted images in ischemic stroke: A case report
Rationale: With the development of multi-slice computed tomography (CT) technology, perfusion CT angiography (p-CTA) is now widely used for the diagnosis of acute cerebral infarction. Although p-CTA has the advantage of distinguishing between an ischemic penumbra and an infarct core, more research is needed with respect to its clinical use. Patient concerns: A healthy 36-year-old man experienced sudden dizziness while swimming. His dizziness persisted irrespective of the change in position, and then improved during transport. He had no neurological abnormality when he arrived at the emergency room. Diagnoses: CT pe...
Source: Medicine - December 1, 2018 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

Acute alcohol intoxication may cause delay in stroke treatment – case reports
The signs and symptoms of acute alcohol intoxication resemble those of vertebrobasilar stroke. Due to their shared symptoms including double vision, nystagmus, dysarthria, and ataxia, the differential diagnosi...
Source: BMC Neurology - January 29, 2019 Category: Neurology Authors: Tamas Arokszallasi, Eszter Balogh, Laszlo Csiba, Istvan Fekete, Klara Fekete and Laszlo Olah Tags: Case report Source Type: research

WEBINO syndrome (wall-eyed bilateral internuclear ophthalmoplegia) secondary to ischemic stroke, about a case.
We present the case of a 68 year-old man who was initially attended in emergency department with sudden onset diplopia. Neurological exploration revealed WEBINO and gait ataxia. Relevant medical history included liver transplantation and subsequent tacrolimus prescription. Complementary exams revealed ischemic lesion in mesencephalic tegmentum, involving medial longitudinal fasciculus and pretectal area. WEBINO syndrome is unfrequent. Among its etiologies, ischemic and demyelinating are the most frequent. In our case, iatrogenic etiology was also considered. Clinical recognition of this syndrome is required to perform adeq...
Source: Archivos de la Sociedad Espanola de Oftalmologia - February 24, 2020 Category: Opthalmology Tags: Arch Soc Esp Oftalmol Source Type: research

Dupilumab for Atopic Dermatitis, a Possible Risk Factor of Juvenile Ischemic Stroke: A Case Report
We report the case of a 20-year-old man with atopic dermatitis treated with dupilumab for half a year, who presented with sudden onset of dizziness, nausea, and slight cerebellar ataxia. Brain magnetic resonance imaging revealed acute infarction in the bicerebellar hemispheres.
Source: Journal of Stroke and Cerebrovascular Diseases - April 3, 2020 Category: Neurology Authors: Ryo Iwase, Taro Ishiguro, Kyohei Fujita, Satoru Ishibashi, Takanori Yokota Source Type: research

Wall-Eyed Bilateral Internuclear Ophthalmoplegia by Ischemic Stroke: Case Report and Literature Review
Conclusion: Gaze-evoked upward nystagmus on upward gaze and bilateral limb ataxia accompanied by WEBINO due to a small brainstem lesion were the characteristic findings of our case.
Source: The Neurologist - May 1, 2020 Category: Neurology Tags: Case Report/Case Series Source Type: research