Teaching NeuroImages: Gasperini syndrome.

Teaching neuroimages: Postoperative bifocal stroke of the pontine tegmentum: why don't you smile anymore?

A 7-year-old boy underwent resection of a posterior fossa medulloblastoma. Two days later, he developed facial diplegia, left abducens nerve palsy, and mild hypalgesia below the neck. MRI documented 2 dot-like ischemic foci in the pons (figure). We diagnosed the unusual bilateral occurrence of Gasperini syndrome, a lesion of the sixth and seventh cranial nerve nuclei and the lateral spinothalam...

Teaching neuroimages: Gradenigo syndrome.

since 1951, it is now a weekly with 48 issues per year.

Teaching NeuroImages: differential diagnosis of scapular winging.

Teaching NeuroImages: Sturge-Weber syndrome presenting in a 58-year-old woman with seizures.

A 58-year-old woman with a history of migraine presented with headache, aphasia, right homonymous hemianopsia, and right hemiparesis, followed by 2 seizures. On examination, she was noted to have a facial angioma (figure 1) that was present from childhood. MRI findings (figure 2, A–C) were consistent with leptomeningeal angiomatosis, making the diagnosis of Sturge-Weber syndrome. Sturge-Weber s...

Teaching neuroimages: hemimegalencephaly in linear nevus sebaceous syndrome.

A 15-month-old girl presented with developmental delay, intractable right focal motor seizures, hyperpigmented patch on the left side of the face, facial asymmetry, and right hemiparesis (figure 1). A diagnosis of linear nevus sebaceous syndrome (LNSS) was considered. Brain MRI revealed hemimegalencephaly (figure 2). EEG showed spike/wave discharges in left occipital leads. Ophthalmologic and s...