A Child with Frequent Neurological Relapses
A six-year-old boy was presented with the diagnosis of left-sided hemiparesis and facial nerve paralysis. The findings showed multiple well-defined focal lesions bilaterally in the right, parietal region and the child was being treated with methylprednisolone followed by oral prednisolone. This was followed by several relapses, including recurrent episodes of limb weakness and facial nerve […]
Neuropsychiatric Symptoms After Fingolimod Withdrawal in Multiple Sclerosis Patient
Case Presentation A 26-year-old woman was presented with apathy, affective incontinence and motoric aphasia. Medical History Clinical Exam Her MRI revealed: Her neurological evaluation showed: Laboratory findings: Diagnosis The patient was diagnosed with acute multiple sclerosis lesion. Preliminary Treatment Post-Treatment Outcomes After 4th plasmapheresis, After 7th plasmapheresis, After 2 weeks, Further Treatment Follow-up After 7 […]
Multiple Sclerosis Manifested as Isolated Aphasia
Case Presentation A 33-year-old man was presented with progressive inability to speak since past 2 days. Medical History Clinical Exam His physical examination revealed: Speech evaluation showed: CT scan of the head and CT angiography of the head and neck: Unremarkable MRI Spine: Negative for any demyelinating plaques MRI of brain with contrast found: Diagnosis […]
A New Sub-Scalp EEG Monitoring System
A preliminary study on seizure detection and forecasting with a minimally invasive sub-scalp ultra-long term EEG monitoring device revealed successful and accurate monitoring of seziures comparable with conventional EEG monitoring. Five patients with refractory epilepsy were implanted with sub-scalp devices providing two channels of continuous data from both hemispheres of the brain, captured using a […]
High-frequency oscillations and Spikes to Enhance Localization of Epileptogenic Brain Parts
In epilepsy patients, concurrent high-frequency oscillations and spikes were found to be strong biomarkers forlocalizing epileptogenic brain as non-invasive presurgical diagnostic tools. High-frequency oscillations and spikes were also useful to guide successful neurosurgery. In a study, high-density (76-channel) EEG of 25 patients with temporal lobe epilepsy were recorded during long-term presurgical monitoring. Persistent high-frequency oscillations […]