New-Onset Refractory Status Epilepticus Due to Autoimmune Encephalitis After Vaccination Against SARS-Cov-2: First Case Report
Case Presentation A 35-year-old woman who developed fever, skin rash, and headache 2 days after the second SARS-cov-2 vaccination with BNT162b2 (Pfizer/Biontech). Eight days later, she developed behavioural changes and severe recurrent seizures that led to sedation and intubation. Medical History Physical Examination Laboratory Findings Diagnosis Therapy Treatment Outcomes The patient’s condition rapidly improved beginning […]
Tumefactive Demyelination in MS patient
A 32-year-old man with tumefactive multiple sclerosis presented with an early onset of escalating gait unsteadiness, lower limb weakness, and four-day-long numbness. There was no preceding fever or associated trauma, neck pain or back pain. In the past, there were episodes of imbalance, dizziness, urinary urgency and incontinence. The neurological examination of right arms and […]
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 Case of Guillain-Barre Syndrome Preceding Multiple Sclerosis
Case Presentation A 19-year-old woman was presented with acute weakness of limbs and unsteady gait which progressed to facial weakness in 2 days. She developed symptoms over 2 weeks and was dependent at presentation. Medical History Clinical Exam Her physical examination was unremarkable. The neurological examination revealed: Laboratory evaluation: Normal Nerve conduction study: Normal Lumbar […]