keyword
https://read.qxmd.com/read/38536549/visual-snow-syndrome-in-patients-with-migraine-widening-the-clinical-spectrum-of-the-syndrome-with-permanent-and-episodic-manifestations
#1
JOURNAL ARTICLE
Carmen González-Ávila, David García-Azorín, Ane Mínguez-Olaondo, Laura Rubio-Flores, Raquel Lamas, Candela Nieves-Castellanos, Alba López-Bravo, Albert Muñoz-Vendrell, Sergio Campoy, Fernando Sebastian-Valles, Sonia Quintas
PURPOSE: Migraine is the comorbidity most frequently associated with visual snow syndrome (VSS), but the prevalence of VSS in patients with migraine (PWM) has not been studied. Our objective was to evaluate the frequency of VSS in PWM and to analyze if symptoms of VSS happened in a permanent or episodic manner (eVSS) in this population. METHODS: We conducted a multicenter observational cross-sectional study. PWM was recruited from headache units, and a survey about the presence of visual snow symptoms was administered...
March 27, 2024: Neurological Sciences
https://read.qxmd.com/read/38536131/brain-abscess-secondary-to-streptococcus-intermedius-following-an-egd-with-biopsy-in-a-patient-with-eosinophilic-esophagitis
#2
JOURNAL ARTICLE
N Begum Ozturk, Tatjana Blazin, Aparna Hariharan, Naveen Reddy
Brain abscess is a rare complication of esophagogastro- duodenoscopy (EGD) with few reported cases in the literature. In this report, we discuss a patient presenting with altered mental status, headache, and dysarthria due to brain abscess caused by S. intermedius shortly after an EGD with an esophageal biopsy showing a new diagnosis of eosinophilic esophagitis. We highlight the rare association of EGD and brain abscess, and discuss the importance of prompt diagnosis and treatment.
April 1, 2024: Rhode Island Medical Journal
https://read.qxmd.com/read/38535597/challenges-in-toxocariasis-diagnosis-from-pericarditis-through-hepatic-tumor-to-the-detection-of-brain-aneurysms-case-report
#3
Martyna Biała, Joanna Nieleńczuk, Anna Chodorowska, Bartosz Szetela
Toxocariasis is the parasitic infection caused by the larvae of Toxocara roundworms species: Toxocara canis from dogs and, less frequently, Toxocara cati from cats. The high proportion of asymptomatic cases of toxocariasis and the uncharacteristic clinical manifestations mimicking other medical conditions make diagnosis challenging. The main clinical presentations of toxocariasis are visceral and ocular larva migrans. Migration to the central nervous system (neurotoxocariasis) is rare and can cause meningitis, encephalitis, myelitis, cerebral vasculitis, seizures, headache or asymptomatic CNS infection...
March 15, 2024: Pathogens
https://read.qxmd.com/read/38533675/onabotulinumtoxina-as-a-promising-treatment-for-primary-trochlear-headache-a-retrospective-case-series
#4
JOURNAL ARTICLE
Alex Jaimes, Andrea Gómez, Olga Pajares, Jaime Rodríguez-Vico
OBJECTIVES: To report the efficacy of onabotulinumtoxinA (BoNTA) injections in relieving pain in patients with primary trochlear headache (PRTH). METHODS: Examination of medical records for patients diagnosed with PRTH according to the International Classification of Headache Disorders, 3rd edition criteria and treated with BoNTA. Data were collected for variables related to pain relief, duration of effectiveness, and adverse effects. RESULTS: Six patients were included in the study...
March 27, 2024: Headache
https://read.qxmd.com/read/38533411/bickerstaff-encephalitis-in-childhood-a-review-of-74-cases-in-the-literature-from-1951-to-today
#5
REVIEW
Luca Gregorio Giaccari, Donatella Mastria, Rosella Barbieri, Rossella De Maglio, Francesca Madaro, Gianfranco Paiano, Maria Caterina Pace, Pasquale Sansone, Giuseppe Pulito, Luciana Mascia
Bickerstaff brainstem encephalitis (BBE) is a rare autoimmune disease characterized by the subacute onset of bilateral external ophthalmoplegia, ataxia, and decreased level of consciousness. BBE is part of a group of rare autoimmune diseases in children that can affect the nervous system at any level. The onset of neurological deficits is often sudden and nonspecific. The diagnosis is based on clinical findings and abnormal findings on cerebrospinal fluid (CSF), electroencephalography (EEG), electromyography (EMG), and magnetic resonance imaging (MRI)...
2024: Frontiers in Neurology
https://read.qxmd.com/read/38533410/epidemiology-and-outcomes-of-neurofibromatosis-type-1-nf-1-multicenter-tertiary-experience
#6
JOURNAL ARTICLE
Mohammed Almuqbil, Fatimah Yaseen Alshaikh, Waleed Altwaijri, Duaa Baarmah, Raid Harb Hommady, Maryam Yaseen Alshaikh, Fares Alammari, Meshal Alhussain, Reem Almotawa, Faris Alqarni, Amna Kashgari, Rayan Alkhodair, Jumanah N Alkhater, Lujeen Nasser Alkhater, Sawsan A Alharthi, Mada Abdulkarim Alsadi, Ahmed AlRumayyan
PURPOSE: The aim of this manuscript was to assess the epidemiology and clinical features of Neurofibromatosis type 1 (NF-1) based on the newly published revised NF-1 diagnostic criteria and to evaluate complications of NF-1 including neurodevelopmental disorders. PATIENTS AND METHODS: A retrospective cross-sectional observational study was conducted in the Ministry of National Guard Health Affairs (MNGHA) healthcare organization branches including four tertiary hospitals and 51 primary health care centers in different regions in Saudi Arabia...
2024: Journal of Multidisciplinary Healthcare
https://read.qxmd.com/read/38533169/from-pansinusitis-to-cerebritis-due-to-eikenella-corrodens
#7
Adriana América Silva, Inês Zão, João A Louro, Eduarda Pereira, Elisabete Monteiro
Meningitis is a rare but possible complication of sinusitis. We present a case of a 21-year-old woman with a history of fever, headache and nasal obstruction who presented at the emergency department with psychomotor agitation. Orotracheal intubation and invasive mechanical ventilation were given to protect airway. Blood analysis showed leukocytosis and elevated C-reactive protein. Cerebral and maxillofacial computed tomography (CT) demonstrated pansinusitis with gas foci more prominent in the left frontal sinus with an area of ​​bone rarefaction on the posterior wall with possible communication with the cranial cavity...
February 2024: Curēus
https://read.qxmd.com/read/38532937/the-association-between-intradialytic-symptom-clusters-and-recovery-time-in-patients-undergoing-maintenance-hemodialysis-an-exploratory-analysis
#8
JOURNAL ARTICLE
Arrti A Bhasin, Jennifer M MacRae, Braden Manns, Kelvin C W Leung, Amber O Molnar, Jason W Busse, David Collister, K Scott Brimble, Christian G Rabbat, Jessica Tyrwhitt, Andrea Mazzetti, Michael Walsh
BACKGROUND: Individuals receiving hemodialysis often experience concurrent symptoms during treatment and frequently report feeling unwell after dialysis. The degree to which intradialytic symptoms are related, and which specific symptoms may impair health-related quality of life (HRQoL) is uncertain. OBJECTIVES: To explore intradialytic symptoms clusters, and the relationship between intradialytic symptom clusters with dialysis treatment recovery time and HRQoL...
2024: Canadian Journal of Kidney Health and Disease
https://read.qxmd.com/read/38532910/cerebral-actinomycosis-following-a-facio-cranial-trauma-a-case-report
#9
Khaoula Oukrid, Hamid Ziani, Chaymae Ziani, Siham Bhallil, Siham Nasri, Imane Kamaoui, Imane Skiker
Cerebral actinomycosis is a rare, chronic, but curable bacterial brain infection. We report the case of an 18-year-old male patient with a history of facio-cranial trauma, admitted in our institution with severe headaches and behavioral disorders. Magnetic resonance imaging (MRI) was performed showing the presence of contiguous multiple small round and ovoid lesions in the right frontal lobe with "the dot in circle" appearance. The diagnosis of cerebral actinomycosis was confirmed by histological study of the biopsy sample...
June 2024: Radiology Case Reports
https://read.qxmd.com/read/38532850/a-case-report-of-primary-hyperparathyroidism-in-an-adolescent-during-ramadan-fast
#10
Ujunwa Justina Eze, Sundus Elfadil
Primary hyperparathyroidism is rare in children and usually presents with nonspecific symptoms. Ramadan fasting has been reported to unmask the diagnosis of primary hyperparathyroidism. A 15-year-old boy presented to the clinic for an emergency department follow up visit. He had started Ramadan fasting a week before his presentation to the clinic. He reported unintentional weight loss, abdominal pain, constipation, frequent headaches, exercise intolerance, tiredness, and palpitations. Physical examination was unremarkable except that he looked tired...
2024: SAGE Open Medical Case Reports
https://read.qxmd.com/read/38532189/encephalitis-like-episodes-with-cortical-edema-and-enhancement-in-patients-with-neuronal-intranuclear-inclusion-disease
#11
JOURNAL ARTICLE
Yu Shen, Kaiyan Jiang, Hanlin Liang, Ying Xiong, Ziwei Song, Bo Wang, Min Zhu, Yusen Qiu, Dandan Tan, Chengsi Wu, Jianwen Deng, Zhaoxia Wang, Daojun Hong
OBJECTIVES: Neuronal intranuclear inclusion disease (NIID) exhibited significant clinical heterogeneities. However, the clinical features, radiographic changes, and prognosis of patients with encephalitis-like NIID have yet to be systematically elucidated. METHODS: Clinical data including medical history, physical examination, and laboratory examinations were collected and analyzed. Skin and sural nerve biopsies were conducted on the patient. Repeat-primed PCR (RP-PCR) and fluorescence amplicon length PCR (AL-PCR) were used to detect the expansion of CGG repeat...
March 26, 2024: Neurological Sciences
https://read.qxmd.com/read/38531725/the-early-safety-profile-of-simultaneous-vaccination-against-influenza-and-respiratory-syncytial-virus-rsv-in-patients-with-high-risk-heart-failure
#12
JOURNAL ARTICLE
Jan Biegus, Leszek Szenborn, Robert Zymliński, Michał Zakliczyński, Krzysztof Reczuch, Mateusz Guzik, Szymon Urban, Marta Rosiek-Biegus, Berenika Jankowiak, Gracjan Iwanek, Marat Fudim, Piotr Ponikowski
The safety of simultaneous vaccination for Respiratory Syncytial Virus (RSV) and influenza in vulnerable high-risk heart failure (HF) patients remains unclear. In an open-label, prospective study, 105 patients received concurrent influenza (Vaxigrip Tetra, season 2023/2024, Sanofi) and RSV (Arexvy, GSK) vaccinations from September 15th to November 17th, 2023. Adverse events were collected on the fourth-day post-vaccination. Overall, the vaccination was well tolerated, with the most common reaction being injection site pain (63 %)...
March 25, 2024: Vaccine
https://read.qxmd.com/read/38531554/clozapine-induced-pneumonitis-mimicking-an-atypical-pneumonia
#13
JOURNAL ARTICLE
Natasha Marcella Vaselli, Stanley Du Preez, Nuwan Jasenthu Kankanamage
Clozapine is an antipsychotic used for treatment-resistant schizophrenia with a significant side effect profile, including agranulocytosis, myocarditis and fever. Clozapine-induced fever often occurs in the first 2 weeks of treatment and settle after a few days. We report a case of a woman in her mid-30s who developed fever and infective symptoms suggestive of an atypical pneumonia while on clozapine titration. She was on clozapine for 16 days before developing high-grade fever, dry cough, diarrhoea, headache and photophobia with a very high CRP...
March 25, 2024: BMJ Case Reports
https://read.qxmd.com/read/38531289/enigmatic-echoes-exploring-brainstem-neurenteric-cysts-a-case-series-and-literature-review
#14
JOURNAL ARTICLE
Sana Ahuja, Dipanker Singh Mankotia, Sufian Zaheer
INTRODUCTION AND IMPORTANCE: Neurenteric cysts (NCs) are rare congenital anomalies within the central nervous system, originating from the endodermal layer due to inappropriate embryonic notochordal plate and endoderm separation. Despite constituting a minute fraction of CNS tumors, their diverse clinical presentations and brainstem occurrence pose diagnostic challenges. CASE PRESENTATION: This study presents a series of three brainstem NCs, detailing demographics, clinical presentations, radiological features, and operative findings...
March 24, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38531241/primary-headache-disorders-among-people-living-with-hiv-in-lusaka-zambia
#15
JOURNAL ARTICLE
Curi Kim, Mashina Chomba, Arnold Phiri, Sombo Fwoloshi, Cassidy W Claassen, Lottie Hachaambwa, Deanna Saylor
OBJECTIVE: We completed a cross-sectional survey study to determine headache prevalence and its association with HIV characteristics among people living with HIV (PLHIV) in Lusaka, Zambia. BACKGROUND: Headaches are common but their association with HIV status is unknown. METHODS: The HARDSHIP survey, a headache epidemiology questionnaire previously validated in Zambia, was distributed during a 3-month period to 3666 consecutive adult PLHIV attending routine clinic appointments at the Adult Infectious Diseases Centre at the University Teaching Hospital in Lusaka, Zambia...
March 21, 2024: Journal of the Neurological Sciences
https://read.qxmd.com/read/38531164/clinical-characteristics-and-appropriateness-of-investigations-in-children-with-headaches-at-the-emergency-department
#16
JOURNAL ARTICLE
Hanan Azouz, Wafaa Muhammed, Marwa Abd Elmaksoud
BACKGROUND: Identifying the cause of headaches in pediatric emergency departments (PEDs) can be challenging due to the lack of comprehensive research. This study aims to identify the frequency, characteristics, and unnecessary diagnostic procedures of patients with headaches in the PED setting. METHODS: A six-month cross-sectional study was conducted at the PED of Alexandria University Children's Hospital, including all children with headaches. Children were classified as having primary headache (PH), secondary benign headache (SBH), and secondary serious headache (SSH) according to predetermined criteria...
March 5, 2024: Pediatric Neurology
https://read.qxmd.com/read/38530574/transitional-pain-service-an-update
#17
REVIEW
Ruben Klimke, Alexander Ott, Carolina S Romero, Andrea Berendes, Richard D Urman, Markus M Luedi, Vighnesh Ashok
PURPOSE OF REVIEW: Chronic Postsurgical Pain (CPSP) and the risk for long-term opioid dependency are known complications following major surgery. The idea of Transitional Pain Service (TPS) has been introduced as an interdisciplinary setting to manage pain in the perioperative continuum. We expand on the basic framework and principles of TPS and summarize the current evidence of the TPS and possible interventions to adress postoperative pain. Areas of future work in TPS-related research are discussed...
March 26, 2024: Current Pain and Headache Reports
https://read.qxmd.com/read/38529930/associations-between-daily-home-blood-pressure-measurements-and-self-reports-of-lifestyle-and-symptoms-in-primary-care-the-perhit-study
#18
JOURNAL ARTICLE
Ulrika Andersson, Peter M Nilsson, Karin Kjellgren, Mikael Ekholm, Patrik Midlöv
OBJECTIVE: To explore in a primary care setting the associations between patients' daily self-measured blood pressure (BP) during eight weeks and concurrent self-reported values of wellbeing, lifestyle, symptoms, and medication intake. We also explore these associations for men and women separately. DESIGN AND SETTING: The study is a secondary post-hoc analysis of the randomised controlled trial PERson-centeredness in Hypertension management using Information Technology (PERHIT)...
March 26, 2024: Scandinavian Journal of Primary Health Care
https://read.qxmd.com/read/38529897/muscae-volitantes-a-19th-century-precursor-of-visual-snow-syndrome
#19
JOURNAL ARTICLE
Mark W Weatherall
PURPOSE: Visual snow syndrome comprises a whole-field static-like visual disturbance, with increased awareness of entopic phenomena, an inability to suppress the 'just seen' and photophobia. Visual snow syndrome is often associated with other problems such as headache, tinnitus, and anxiety. The earliest reported case of a patient experiencing symptoms consistent with visual snow syndrome dates only to 1995. This paper seeks to find patterns of experience in the medical literature of the past that are reminiscent of visual snow syndrome, to challenge the view that it is in any sense a novel disorder...
March 2024: Cephalalgia: An International Journal of Headache
https://read.qxmd.com/read/38529343/bladder-paraganglioma-presenting-as-post-micturition-palpitations-a-case-report
#20
Ali Zare, Moein Bighamian, Farzad Moloudi, Behzad Narouie, Hamidreza Rouientan
INTRODUCTION: Paraganglioma of the urinary bladder (PUB) is an extremely rare extra-adrenal catecholamine-secreting neuroendocrine tumor, accounting for only 0.05% of all bladder tumors and 1% of all pheochromocytomas. The clinical presentation of PUB can be diverse and challenging to diagnose. CASE PRESENTATION: This case report presents a 37-year-old man with post-micturition palpitation, headache, and sweating, with no history of hematuria or other irritative urinary symptoms...
2024: Case Reports in Oncology
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