We present a case of acute cortical blindness in the setting of carbon monoxide poisoning that reversed with hyperbaric oxygen therapy.
This case highlights the importance of pursuing workup for autoimmune epilepsy in individuals who present with medically refractory epilepsy provoked by music.
Individuals with LGI1 antibody encephalitis may present with atypical symptoms, requiring a comprehensive diagnostic work-up and vigilance by clinicians.
Diffuse corpus callosum lesions can be associated with myriad clinical syndromes and require thoughtful investigation.
Reversible Cortical Blindness Secondary to Acute Carbon Monoxide Poisoning
We present a case of acute cortical blindness in the setting of carbon monoxide poisoning that reversed with hyperbaric oxygen therapy.
Leah Rosen, MS; Gabriella Schmuter, MD; Wyatt Smith, MD; James P. Winebrake, MD; Erin Lanzo, MD; Johanna Haejean Yun, MD; Rita Okumu, MD; and Marc Dinkin, MD
A Case of Anti–GAD65 Autoimmune Musicogenic Epilepsy
This case highlights the importance of pursuing workup for autoimmune epilepsy in individuals who present with medically refractory epilepsy provoked by music.
Amanda Summers, MD; Katherine Park, MD; and David Spencer, MD
LGI1 Antibody Encephalitis Presenting as Focal Cortical Encephalitis
Individuals with LGI1 antibody encephalitis may present with atypical symptoms, requiring a comprehensive diagnostic work-up and vigilance by clinicians.
Nirumal Khumar, MBBS, MD; Allimuthu Nithyanandam, MBBS, MD, DM, FRCP; Velusamy Subramanian, MBBS, MD, DM; Natarajan Elamurugan, MBBS, MD; Balasubramanian Samivel, MBBS, MD, DM, FRCP; Aravind Gautham, MBBS, MD, DM; and Noel James, MBBS, MD
Investigation and Management of Confusion in an Individual With Diffuse Corpus Callosum Lesions
Diffuse corpus callosum lesions can be associated with myriad clinical syndromes and require thoughtful investigation.
Gustavo Dalto Barroso Machado, MD, MSc; David Pasquale, MD; and José Biller, MD, FACP, FAAN, FANA, FAHA
Neuromyelitis Optica Spectrum Disorder With Atypical Imaging Features
We present an unusual, diagnostically challenging case of neuromyelitis optica spectrum disorder with a trident sign and nerve root enhancement on imaging.
Julia Greenberg, MD; Kaiulani Houston, MD, PhD; Kevin Spiegler, MD, PhD; Sujata Thawani, MD, MPH; Harold Weinberg, MD, PhD; and Ilya Kister, MD
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Neuromyelitis Optica Spectrum Disorder in Castleman Disease
A novel case report involving two rare clinical entities.
Paola Andrea Ortiz-Salas, MD, MSc; Monica Ortiz-Pereira, MD; Jorge Molinares, MD; Neiry Zapa-Perez, MD; and Jorge Aníbal Daza-Buitrago, MD
Pseudotumor Cerebri Syndrome Related to a Dural Arteriovenous Fistula After Vascular Trauma
A case of secondary pseudotumor cerebri caused by dural arteriovenous fistula development after an injury repaired by jugular vein ligation.
Andrew Anastos, BS; Misha Pless, MD; Rabih Tawk, MD; and Eric Eggenberger, DO
Supplementary Motor Area Glioma Presenting with Musicogenic Epilepsy: “Singing Seizures”
Recognition of musicogenic epilepsy should prompt a standard seizure workup to include neuroimaging.
Hannah Kelly, MD; Timothy Gregory, MD; and Jerome Graber, MD, MPH, FAAN
Case Report: Progressive Muscle Weakness
Arjun Seth, MD; and Quiha Fan, MD
Management of Vein of Galen Thrombosis With Mechanical Thrombectomy
A severe manifestation of Vein of Galen thrombosis, refractory to medical management, treated with life-saving mechanical thrombectomy.
Justin Gelman, BS; Rohan Jha, SB; Joshua Chalif, MD, PhD; Saksham Gupta, MD; Eric Chalif, MD; and Nirav Patel, MD
Ischemic Complications from a Facial Lipofilling Procedure
Ischemic complications resulting from facial fat injection performed during a cosmetic procedure.
Sanaz Rezaei, MD; Fatemeh Talebi, MD; Reza Mirshahi, MD; Maziar Emamikhah, MD; and Nafiseh Mohebi, MD
Bilateral Vertebral Artery Dissection and Occlusion After a Long-Distance Open-Water Swim
In this first known case of bilateral vertebral artery dissection and occlusion after long-distance open-water swimming, rapid identification of ischemic stroke despite the atypical presentation allowed for appropriate intervention and survival.
Rachel Vassar, MD; Lauren Patrick, MD; and Yi Li, MD
Stroke in a Young Adult:
Immunomodulation-Responsive Bilateral Supraclinoid Carotid Artery Vasculopathy Secondary to Systemic Lupus Erythematosus
A rare case of ischemic stroke in the setting of large-vessel vasculopathy in an individual with systemic lupus erythematosus.
Sneha Lingam, MD; Jacob M. Stout, MD; Amy K. Guzik, MD, FAAN; and Tamra I.J. Ranasinghe, MD
An Unusual Case of a Vertebrobasilar Transient Ischemic Attack Involving the Subclavian Steal Syndrome
Subclavian steal syndrome, a rare clinical entity that may result in vertebrobasilar ischemic strokes, should be considered in the presence of substantial atherosclerotic burden.
Yazmin Martinez-Lopez, MD, MSc; Nicolás Escobedo-Zúñiga, MD; Diego López-Mena, MD; Antonio Arauz, MD; and Vanessa Cano-Nigenda, MD
Corpus Callosum Stroke:
A Rare Localization for an Isolated Cerebral Infarction
A rare case of isolated corpus callosum infarction secondary to recurrent atherosclerotic carotid disease.
Alexis García-Sarreón, MD; Vanessa Cano-Nigenda, MD; Karla Jonguitud, MD; Nicole Somerville-Briones, MD, MSc; and Daniel Aguirre-Fernández, MD
Disulfiram-Ethanol Reaction Causing Cortical Blindness
A severe manifestation of disulfiram-ethanol reaction resulting in cortical blindness.
Noel James, MBBS, MD; Nirumal Khumar, MBBS, MD; Aravind Gautham, MBBS, MD, DM; Nithyanandam Allimuthu, MBBS, MD, DM, FRCP; Balasubramanian Samivel, MBBS, MD, DM, FRCP; Natarajan Elamurugan, MBBS, MD; and Lakshmi Narasimhan Ranganathan, MBBS, MD, DM, FRCP, FAAN
CIDP in an Adolescent After Pfizer-BioNTech COVID-19 Vaccination
A case of pediatric CIDP temporally related to the Pfizer-BioNTech COVID-19 vaccine; more information is needed to leverage the vaccine-related risk with the risk associated with primary COVID-19.
Holly Keeley, MD; Vamshi Rao, MD; Nancy Kuntz, MD; and Abigail Schwaede, MD
Sphenoid Wing Meningioma Presenting With a Temporal Fossa Mass
Dural-based meningioma with intraosseous involvement and extension into the temporal and infratemporal fossa is a rare occurrence, seen in only 2% of people with meningiomas.
Kelsey Carey, MPH, and Robert Koenigsberg, DO
Acute Encephalopathy With Unusual Brain Lesions
Atypical neuroimaging findings may present a challenge in the diagnosis of a common neurologic syndrome.
Gustavo Maximiano Alves, MD; Gabriel Rosa Vilela, MD; Maria Clara Zanon Zotin, MD; Frederico Fernandes Alessio Alves, MD; Cristiano Milani, MD; Octávio Marques Pontes Neto, MD, PhD; and Millene Rodrigues Camilo, MD, PhD
A rare complication of central nervous system tuberculosis
Sarah Braun, MD; Mulenga Chilando, MD; Naluca Mwendaweli-Beckford, MD; Neil Naik, MD; Mashina Chomba, MD; Doris Da May Lin, MD, PhD; Uta Meyding-Lamadé, MD; and Burc Bassa, MD
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