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Rehabilitation Oculomotor Screening Evaluation in Persons with Traumatic Brain Injury.

Background: Many individuals with traumatic brain injuries (TBIs) exhibit oculomotor dysfunctions that impact their daily functioning. As cu … d Up and Go (TUG) for mobility, and a visual analogue scale for the subjective perception of visual vertigo. Neurotypical individuals (n = 24) who were age- and sex-matched completed only ROSE. Results: The group with mTBI (n = 18) had significantly higher ROSE scores compared to the neurotypical group, with a large effect size. Significant correlation wa …

Periodontoid pseudotumor with cranial retroclival extension and brainstem compression in a patient with rheumatoid arthritis: illustrative case.

BACKGROUND: Periodontoid pseudotumor is a nonneoplastic mass arising around the odontoid process and is most commonly associated with chronic atlantoaxial instability in inflammatory and noninflammatory conditions. Although traditionally managed with direct anterior resection, increasing evidence suggests that posterior stabilization may promote lesion regression by addressing the underlying biomechanical driver. OBSERVATIONS: A 73-year-old male with a history of rheumatoid arthritis was admitted to the authors' institution with a history of gait instability and vertigo. Contrast-enhanced MRI…

Recurrent embolic cerebellar infarction due to bow hunter's syndrome of the non-dominant vertebral artery.

We describe a rare presentation of bow hunter's syndrome (BHS) involving the non-dominant vertebral artery (VA), leading to recurrent embolic cerebellar infarction. A male in his mid-70s presented with sudden-onset immobilising vertigo. MRI revealed acute cerebellar ischaemia with occlusion of the left superior cerebellar artery. Dynamic duplex ultrasonography and angiography revealed an occlusion of the left VA in the V2 segment during head rotation to the left due to an osteophyte protruding from the C3/C4 vertebrae. The patient was diagnosed with embolic strokes due to compression of the le…

Triple semicircular canal occlusion as an alternative treatment for Tumarkin crisis in patients associated with Meniere's disease before labyrinthectomy or vestibular neurectomy.

BACKGROUND: Triple Semicircular Canal Occlusion (TSCO) has been developed in recent years as a surgical method for treating Meniere's diseas … None of the 7 patients in the Tumarkin group experienced drop attacks after TSCO surgery. Regarding vertigo control, 6 out of 7 patients (85.7%) achieved grade A improvement while 1 patient (14.3%) achieved grade B. No statistically significant differences were found in disease duration, pure tone average, ACS-cVEMP, or ACS-oVEMP between the two groups (a …

Uncommon Locations for Brain Herniations Into Arachnoid Granulations: 5 Cases and Literature Review.

BACKGROUND: Arachnoid granulations are extensions of the subarachnoid space, an important component of the complex circulation of brain cerebrospinal fluid. While these structures primarily transmit cerebrospinal fluid into the dural venous sinuses, they also may serve as a conduit for brain tissue herniation. Such occurrences have been referred to in the literature as brain herniations into arachnoid granulations (BHAGs), which are considered incidental and asymptomatic but can be associated with nonspecific neurologic symptoms such as headache, tinnitus, vertigo, and seizure. BHAGs can be vi…

Bullous Myringitis in an Adult With Chronic Noise Exposure.

Bullous Myringitis (BM) is an acute painful infection in which vesicles or bullae form on the tympanic membrane. It is rare in adults and co … treatment, the patient's condition worsened with bilateral hearing loss and intermittent peripheral vertigo. Ear, nose and throat (ENT) consultation and advanced diagnostics led to a diagnosis of BM with AOM, and asymmetric sensorineural hearing loss. The treatment was escalated to include high-dose steroids, azithromycin, valacyclovir, and daily aspirati …

Successful Use of Difelikefalin in Severe Chronic Kidney Disease-Associated Pruritus in a Patient With Complex Etiological Contributors: A Case Report.

Introduction: Chronic kidney disease-associated pruritus (CKD-aP) is a frequently experienced, unpleasant skin condition. Difelikefalin, an … rrence of itching toward the end of each long interdialytic interval. Apart from a short episode of vertigo at the initiation of treatment, no adverse events were observed over the long duration of treatment (currently more than 2.5 years). Conclusion: In a patient with longstanding conditions and multiple comorbidities, difelikefalin showed sustained eff …

[Theory and innovative clinical practice of inner ear comorbidity].

Inner ear comorbidity (IEC) refers to a group of diseases caused by lesions in the cochlea, vestibule, and their neural pathways. These diseases are usually accompanied by hearing loss, tinnitus, vertigo and other symptoms simultaneously or dynamically alternating, forming a comorbidity phenomenon with inner ear dysfunction as the core. Inner ear comorbidities increase the complexity and cost of diagnosis and treatment, putting high difficulty and stress on clinicians and health systems. At present, the main symptoms are mostly treated in clinical practice, and the inherent connection between …

Gastroparesis-A часто преображаемый признак множественного склероза: Case Report.

Множественный склероз (MS) — хроническое аутоиммунное заболевание и демиелионирующее расстройство центральной нервной системы (КНС) с различными клиническими представлениями, которые могут затруднить диагностику. В данном случае мы описываем редкое первоначальное представление MS, ошибочное в отношении сахарного диабета типа 1 (T1DM), поврежденного желудочно-кишечной способностью. Пациентка - 32-летняя женщина с историей, значимой для T1DM, у которой было 3 дня неразрешимого вертиго, нистагмуса и непристойного поведения. Её выписали за 2 дня до неразрешимой тошноты и рвоты, предположительно из

Совпадение в аннотации оригинала
Multiple sclerosis (MS) is a chronic autoimmune disease and demyelinating disorder of the central nervous system (CNS) with diverse clinical … s a 32-year-old female with a history significant for T1DM who presented with 3 days of intractable vertigo, nystagmus, and gait disturbance. She was discharged 2 days prior for intractable nausea and vomiting presumed to be due to impaired gastric motility called gastroparesis. There was no prior history of focal neurologic deficits. Her family history r …

Endovascular treatment of unruptured aneurysm arising from duplicate origin of the middle cerebral artery - A case report and literature review.

BACKGROUND: Duplicate origin of the middle cerebral artery (MCA) is a rare variation of MCA, often mislabeled as the fenestration of the M1 segment of MCA. CASE DESCRIPTION: The authors treated an unruptured aneurysm, 8 mm in diameter, associated with a duplicate origin of MCA in a 42-year-old woman who underwent magnetic resonance imaging for transient vertigo. Clipping surgery was inapplicable due to the lack of space to insert clip blades between the neck and two origins of MCA. Under stent-assisted maneuver, the aneurysm sac was successfully obliterated using three coils, resulting in Ray…

Creeping through the cranium: A rare and interesting presentation of a meningioma.

A meningioma is a rare primary CNS tumor that tends to present more so in females in a slowly progressive fashion. The cavernous sinus and cerebellopontine angle are uncommon locations for meningiomas. We present a case of a meningioma in a 60-year-old female presenting to the emergency department for a sudden onset headache, vertigo, facial paresthesias, and chest pain. Inpatient workup revealed orthostatic hypotension, a meningioma spanning from the left cavernous sinus to the left cerebellopontine angle encasing the left cavernous internal carotid artery on MRI and CTA, and an incidental 12…

Postpartum Onset of Multiple Sclerosis: A Case Report.

A breastfeeding 29-year-old woman who gave birth to her first child three months ago presented at the family doctor's appointment with a diverse array of symptoms, including vertigo, blurred vision, right lower limb weakness, and abdominal allodynia. She has a history of obesity and anxiety. The patient had a pre-pregnancy history of several visits to the family doctor. She takes folic acid, vitamin B12, iodine, and omega-3 supplements. The diverse symptomatology, the patient's insistence on seeking medical care, and the history of anxiety pose significant hurdles in arriving at a timely diagn…

Neuronal antibodies in nonparaneoplastic autoimmune cerebellar ataxias.

PURPOSE OF REVIEW: To describe relevant advances in nonparaneoplastic autoimmune cerebellar ataxias (ACA) with neuronal antibodies. RECENT … to 25% of patients with glutamic acid decarboxylase (GAD) antibodies present transient episodes of vertigo or diplopia that antedate the development of the ACA. There is in-vitro evidence that septin-5 is partially exposed to the membrane and the antibodies may interfere with septin-5 function. The clinical significance of the remaining antibodies agains …