scholarly journals Neurocysticercosis presenting as isolated wall-eyed monocular internuclear ophthalmoplegia with contraversive ocular tilt reaction

2012 ◽  
Vol 03 (01) ◽  
pp. 84-86 ◽  
Author(s):  
Suresh R Chandran ◽  
Rojith K Balakrishnan ◽  
K Umakanthan ◽  
K Govindarajan
Keyword(s):  
Internuclear Ophthalmoplegia ◽  
Neurological Signs ◽  
Ocular Tilt Reaction ◽  
First Case

ABSTRACTNeurocysticercosis is a common tropical infection presenting with neurological signs. It commonly presents as seizures but various other focal neurological presentations have been reported. Though neurocysticercosis have been reported to present as isolated internuclear ophthalmoplegia, we report the first case of neurocysticercosis presenting as wall-eyed monoocular internuclear ophthalmoplegia syndrome with contraversive ocular tilt reaction.

A presumptive case of cerebral babesiosis in a dog in Poland caused by a virulent Babesia canis strain

2012 ◽  
Vol 40 (05) ◽  
pp. 367-371
Author(s):  
M Górna ◽  
P. Klimiuk ◽  
M Kalinowski ◽  
S. Winiarczyk ◽  
L. Adaszek
Keyword(s):  
Blood Cells ◽  
Babesia Canis ◽  
Canine Babesiosis ◽  
Neurological Signs ◽  
Tick Activity ◽  
First Case ◽  
Blood Smears ◽  
Pcr Method ◽  
The Brain ◽  
Activity Season

SummaryThe aim of this paper was to present the first case of cerebral canine babesiosis due to infection by Babesia canis in a dog in Poland. A 5-year-old American Staffordshire Terrier was presented with an unusual clinical manifestation of acute babesiosis that included neurological signs and pancytopenia. Despite treatment the dog died. Diagnosis was based on microscopic examination of Giemsa-stained blood smears (detection of piroplasms in red blood cells) and post mortem examination of the brain by histopathology and PCR method. The amplified segment of the Babesia 18S RNA gene was sequenced. This enabled to determine that the cause of the disease had been the strain 18S RNA-B EU622793. This is one of two B. canis strains found endemically in Poland, which reveals a greater virulence than the strain 18S RNA-A EU622792. The described case indicates that this form of canine babesiosis should be taken into account in differential diagnosis in dogs exhibiting neurological symptoms, especially in the tick activity season.

scholarly journals Progressive Supranuclear Palsy with Wall-Eyed Bilateral Internuclear Ophthalmoplegia Syndrome: Authors’ Second Case

2019 ◽  
Vol 11 (2) ◽  
pp. 205-208 ◽  
Author(s):  
Hideyuki Matsumoto ◽  
Tatsurou Inaba ◽  
Toshiyuki Kakumoto ◽  
Ryoji Miyano ◽  
Naohiro Uchio ◽  
...  
Keyword(s):  
Progressive Supranuclear Palsy ◽  
Brain Magnetic Resonance Imaging ◽  
Internuclear Ophthalmoplegia ◽  
Resonance Imaging ◽  
First Case ◽  
Horizontal Gaze ◽  
Vertical Gaze ◽  
Oculomotor Abnormalities ◽  
Marked Atrophy ◽  
Diagnostic Finding

Wall-eyed bilateral internuclear ophthalmoplegia (WEBINO) syndrome has previously been reported in only 2 patients with progressive supranuclear palsy (PSP). Herein, we report a third case of WEBINO syndrome with PSP. The patient was an 81-year-old man who had experienced gradually increasing gait disturbance and occasional falls since the age of 78 years. At 80 years of age, he presented with cognitive impairment, parkinsonism, and oculomotor abnormalities. The oculomotor abnormalities consisted of vertical gaze palsy and loss of eye convergence. Brain magnetic resonance imaging demonstrated marked atrophy of the midbrain. He was diagnosed with PSP. At the age of 81 years, he presented with alternating extropia in his forward gaze and adduction paresis and outward nystagmus of the abducted eye in his horizontal gaze, both of which were compatible with WEBINO syndrome. Previously, we reported the first case of PSP with WEBINO syndrome, and another group recently reported a second case. In light of the previous cases and the present case, WEBINO syndrome in PSP should not be considered extremely rare. Furthermore, WEBINO syndrome has not been reported in other neurodegenerative disorders, which suggests that it might be a useful and specific diagnostic finding in PSP.

Case Report: Ocular Tilt Reaction with Internuclear Ophthalmoplegia and Multiple Cranial Nerve Palsies

2020 ◽  
Vol 97 (12) ◽  
pp. 1018-1022
Author(s):  
Shee Kiang Teo ◽  
Safinaz Mohd Khialdin ◽  
Meng Hsien Yong ◽  
Othmaliza Othman ◽  
Malisa Ami
Keyword(s):  
Case Report ◽  
Cranial Nerve ◽  
Internuclear Ophthalmoplegia ◽  
Ocular Tilt Reaction ◽  
Cranial Nerve Palsies ◽  
Multiple Cranial Nerve

scholarly journals Wall-Eyed Monocular Internuclear Ophthalmoplegia (WEMINO) with Contraversive Ocular Tilt Reaction

2005 ◽  
Vol 1 (1) ◽  
pp. 101 ◽  
Author(s):  
Sang Beom Jeon ◽  
Sun J. Chung ◽  
Hyosook Ahn ◽  
Jae-Hong Lee ◽  
Jin Man Jung ◽  
...  
Keyword(s):  
Internuclear Ophthalmoplegia ◽  
Ocular Tilt Reaction

Impaired vestibular responses in internuclear ophthalmoplegia

Neurology ◽  
2017 ◽  
Vol 89 (24) ◽  
pp. 2476-2480 ◽  
Author(s):  
Seo-Young Choi ◽  
Hyo-Jung Kim ◽  
Ji-Soo Kim
Keyword(s):  
Vestibular Evoked Myogenic Potentials ◽  
Medial Longitudinal Fasciculus ◽  
Subjective Visual Vertical ◽  
Internuclear Ophthalmoplegia ◽  
Horizontal Canal ◽  
Head Impulse ◽  
Ocular Tilt Reaction ◽  
Ocular Reflex ◽  
Vestibulo Ocular Reflex ◽  
Visual Vertical

Objective:To determine the role of the medial longitudinal fasciculus (MLF) in conveying vestibular signals.Methods:In 10 patients with isolated acute unilateral internuclear ophthalmoplegia (INO) due to an acute stroke, we performed comprehensive vestibular evaluation using video-oculography, head impulse tests with a magnetic search coil technique, bithermal caloric tests, tests for the ocular tilt reaction, and measurements of subjective visual vertical and cervical and ocular vestibular evoked myogenic potentials (VEMPs).Results:The head impulse gain of the vestibulo-ocular reflex (VOR) was decreased invariably for the contralesional posterior canal (PC) (n = 9; 90%) and usually for the ipsilesional horizontal canal (n = 5; 50%). At least one component of contraversive ocular tilt reaction (n = 9) or contraversive tilt of the subjective visual vertical (n = 7) were common along with ipsitorsional nystagmus (n = 5). Cervical or ocular VEMPs were abnormal in 5 patients.Conclusions:The MLF serves as the main passage for the high-acceleration VOR from the contralateral PC. The associations and dissociations of the vestibular dysfunction in our patients indicate variable combinations of damage to the vestibular fibers ascending or descending in the MLF even in strokes causing isolated unilateral INO.

Lumbosacral disc disease in a cat

2004 ◽  
Vol 17 (02) ◽  
pp. 104-106 ◽  
Author(s):  
G. H. Jaeger ◽  
P. J. Early ◽  
K. R. Munana ◽  
E. M. Hardie
Keyword(s):  
Peripheral Nerves ◽  
Lumbar Pain ◽  
Type Ii ◽  
Disc Disease ◽  
Disc Space ◽  
Disc Protrusion ◽  
Neurological Signs ◽  
First Case ◽  
Acute Back Pain ◽  
History Of

SummaryAn eight-year-old male castrated domestic shorthair admitted with a two-day history of acute back pain, flaccid tail, and urinary and faecal incontinence. Diagnostic tests, including myelogram, epidurogram, and CT scan revealed an extradural lesion at the L7-S1 disc space. Exploratory surgery and histopathology confirmed a Type II lumbosacral intervertebral disc protrusion. The cat regained neurological function by six weeks after surgery. This is the first case report of a cat with documented lumbosacral disc disease. Lumbosacral disease should be considered as a differential diagnosis in cats with caudal lumbar pain or neurological signs localizable to the S1-S3 spinal cord segments or peripheral nerves.

scholarly journals Hiccups and psychosis: two atypical presentations of COVID-19

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Teresa Alvarez-Cisneros ◽  
Aldo Lara-Reyes ◽  
Stephanie Sansón-Tinoco
Keyword(s):  
Private Hospital ◽  
Altered Mental Status ◽  
Chest Ct ◽  
Shortness Of Breath ◽  
Neurological Signs ◽  
First Case ◽  
Atypical Manifestations ◽  
History Of ◽  
Atypical Presentations ◽  
Chest Ct Scan

AbstractThe WHO defines a possible case of COVID-19 as a person experiencing fever, cough, shortness of breath, and neurological signs including anosmia, ageusia, or dysgeusia. However, experiences from hospitals all over the world have shown that presentations vary widely. Some atypical presentations include cardiac, gastrointestinal, neurological, and cutaneous and while some are driven by the inflammatory response, others are a consequence of the hypercoagulable state. In our emergency department in a private hospital in Mexico City, we received two patients with very different symptoms on the same shift. Two previously healthy men in their 40s presented to the ER with very atypical manifestations of COVID-19. Neither of them complained of fever, cough, or shortness of breath. The first referred a 3-day history of hiccups that had not resolved with metoclopramide. The second presented with an acute episode of altered mental status. While the first case revealed lung involvement of the disease, the second case had a clean chest CT scan. These cases are relevant as manifestations of COVID-19 vary widely, especially in previously healthy young adults.

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