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86-Year-Old Woman With Fever, New-Onset Dysarthria, and Ataxia
An 86-year-old woman with a medical history of hypertension, hyperlipidemia, permanent atrial fibrillation receiving anticoagulation, and chronic venous stasis causing recurrent leg cellulitis presented to the emergency department for new-onset dysarthria and imbalance, which began earlier that morning. She denied a history of stroke, chills, unintentional weight loss, diarrhea, dysuria, frequency, or recent head trauma. The patient endorsed taking her anticoagulation as prescribed without skipped doses.
Source: Mayo Clinic Proceedings - August 1, 2023 Category: Internal Medicine Authors: Nikita Jhawar, Abdallah El Sabbagh Tags: Residents ’ Clinic Source Type: research

Ataxia and hyperkinetic movement disorders
Hyperkinetic movement disorders comprise excessive involuntary movements, the different types of movement having characteristic clinical features. Ataxia is a disorder of impaired coordination and balance, most commonly caused by cerebellar pathology. Sensory ataxia occurs when the pathways conveying proprioceptive sensory information are impaired. Chorea is a random writhing involuntary movement that can be caused by acute medical causes such as stroke and hyperglycaemia. Huntington disease is the most common cause of progressive chorea.
Source: Medicine - July 24, 2023 Category: Internal Medicine Authors: Christopher Kobylecki Tags: Movement disorders Source Type: research

Cerebellopontine angle meningioma in a patient presented as acute cerebrovascular accident
CONCLUSION: Although stroke is the main cause of sudden onset ataxia in a patient with cerebrovascular risk factors, yet other less common causes may be found as in this case of CPA meningioma.PMID:37427233 | PMC:PMC10328571 | DOI:10.1097/MS9.0000000000000928
Source: Annals of Medicine - July 10, 2023 Category: Internal Medicine Authors: Mohamed Sheikh Hassan Ayhan K öksal Source Type: research

Lateral medullary syndrome: uncommon form of brainstem stroke
CONCLUSION: LMS is a rare form of brainstem stroke and carries a favorable prognosis if early hospitalization and treatment is applied. Brain MRI, including diffusion sequence, is the most useful diagnostic tool for detecting LMS.PMID:36923779 | PMC:PMC10010825 | DOI:10.1097/MS9.0000000000000260
Source: Annals of Medicine - March 16, 2023 Category: Internal Medicine Authors: Abdiwahid Ahmed Ibrahim Ahmet Bakir Nor Osman Sidow Abdiladhif Mohamed Ali Mohamed Farah Osman Abdulkadir Ahmed Mohamed Sheikh Hassan Source Type: research

Acute dysphagia: A rare initial symptom of lateral medullary syndrome: A case report
CONCLUSION: The diagnosis of LMS was queried owing to the presentation of the single most important common symptom, with no other characteristic manifestations of LMS.PMID:36582892 | PMC:PMC9793181 | DOI:10.1016/j.amsu.2022.104851
Source: Annals of Medicine - December 30, 2022 Category: Internal Medicine Authors: Farhan Ali Amraha Zubair Fatima Nazir Kashif Ali Sobia Mansoor Source Type: research

Malaria causing post-infectious cerebellitis, a case report and literature review
CONCLUSION: Malaria should be included as a differential diagnosis in a patient presenting with cerebellar signs as its devastating if left untreated. However, it responds well to anti-malarial regimens if started early during the course.PMID:36147173 | PMC:PMC9486712 | DOI:10.1016/j.amsu.2022.104462
Source: Annals of Medicine - September 23, 2022 Category: Internal Medicine Authors: Mohamad Hijazi ELMustafa Abdalla Abdalla Fadul Doaa Ahmed Eltayeb Abdulrahman Al-Mashdali Source Type: research

Relationship between ataxia and inferior cerebellar peduncle injury in patients with cerebral infarct
In this study, using diffusion tensor tractography (DTT), we investigated the relationship between ataxia and ICP injury in patients with cerebral infarct. Methods: We recruited 14 stroke patients with ataxia after the onset of stroke and 12 normal subjects. The Score of Assessment and Rating of Ataxia (SARA) was used to evaluate ataxia. The values of fractional anisotropy (FA), apparent diffusion coefficient, and fiber number (FN) of the ICP were measured for the diffusion tensor imaging parameters. Results: Significant differences were observed in the FA and FN values of the ICP in the affected hemisphere between t...
Source: Medicine - February 1, 2020 Category: Internal Medicine Tags: Research Article: Clinical Trial/Experimental Study Source Type: research

Atypical presentation of giant cell arteritis in a patient with vertebrobasilar stroke: A case report
Rationale: Giant cell arteritis (GCA) is known to present with typical manifestations like temporal headache and visual abnormalities. However, several cases with atypical manifestations were reported. Stroke occurs in 3% to 7% of patients with GCA. Patient concerns: A 67-year-old male patient with known hypertension presented with somnolence, disorientation and mild bilateral limb ataxia. The magnetic resonance imaging showed multiple acute infarctions in the territory of the vertebrobasilar system with occlusion of the left vertebral artery. Diagnosis: Ten months later, during a routine neurovascular follow-up, r...
Source: Medicine - August 1, 2019 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

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