Background: Large middle cerebral artery (MCA) infarcts may be complicated by and life-threatening brain edema. Objective: To identify brain computed tomographic (CT) findings that can predict neurologic deterioration in patients with large middle cerebral artery (MCA) territory infarctions. Neurological deterioration was defined as progressive drowsiness or signs of brain herniation. Patients ...

Anisocoria, or unequal pupil size, may be an early sign of an impending neurologic emergency in any patient.1 Acute unilateral mydriasis is often suggestive of a lifethreatening condition affecting cranial nerve function, such as tumor compression, intracranial hypertension with impending uncal herniation, expanding intracranial aneurysm, or hemorrhage. Benign mydriasis can be due to prior trau...

A 46-year-old male with juvenile myoclonic epilepsy was admitted to the neurological department for convulsive seizures just after lamotrigine was discontinued. On admission he was awake but had a right-sided hemiparesis with Babinski sign and ataxic finger-nose test on the left side. An MR scan showed a left-sided pontine infarction, an infarct in the left cerebellar hemisphere and a right ver...

The authors describe a case of neuropathy characterized by involvement of most of the right cranial nerves, the initial symptom of which was tinnitus. The most likely etiopathogenetic hypothesis seems to be the paraneoplastic syndrome in which a primitive neurogenic axon lesion is more likely, although a myelinopathic lesion cannot be ruled out. It is feasible to suggest that the tinnitus was c...

For 150 years, the variable clinical appearance of dural sinus thrombosis has plagued clinicians. Computed tomography (CT) has alleviated much of the difficulty in making this diagnosis. A high density lesion in the involved sinus on precontrast scans and a filling defect in the sinus on postcontrast scans were the most frequently observed CT abnormalities in 12 patients with sinus thrombosis. ...

Changes in brainstem auditory-evoked potential response were serially investigated in 20 head-injury patients with neurologic and computed tomographic signs of brainstem lesion. The reliability of computed tomography in the evaluation of indirect signs of brainstem lesion from the image was investigated with elaboration of the brainstem auditory-evoked potential response. The measurement of aud...

A 44-year-old man presented with 1 year of gradually progressive lower limb weakness and numbness and bowel and bladder incontinence. Neurologic examination revealed a T8 spinal sensory level and spastic paraparesis. Preoperative imaging (figure) of the thoracic spine revealed the scalpel sign, a radiologic entity diagnostic of a dorsal thoracic arachnoid web. The lesion was surgically and hist...

Cervical spinal pain, also will be referred to as cervical spinal hyperesthesia (CSH), is an abnormal clinical sign commonly associated with compressive or inflammatory diseases of the cervical spinal region. Hyperesthesia denotes an unpleasant behavioral response to a nonnoxious stimulus. As part of a routine neurologic examination, spinal hyperesthesia is evaluated by deep palpation of the sp...

BACKGROUND Copper deficiency leads to hematologic disorders like pancytopenia. In addition, myeloneuropathy was described in a few cases reports. CASE REPORT A 71-year-old woman was hospitalized because of increasing pancytopenia and ataxic gait, that resulted in a near-complete inability to walk without assistance. Additional symptoms included arthralgia, reduced appetite and weight loss. La...

Sign languages represent an interesting niche for statistical machine translation that is typically hampered by the scarceness of suitable data, and most papers in this area apply only a few, well-known techniques and do not adapt them to small-sized corpora. In this paper, we will propose new methods for common approaches like scaling factor optimization and alignment merging strategies which ...