A 65−year−old man, who had been diag− nosed 20 years previously with noncir− rhotic portal hypertension due to bilhar− ziasis, was admitted with gastric variceal bleeding. He had undergone esophageal variceal eradication in the past. The vari− ces were injected with cyanoacrylate di− luted with Lipiodol (1.5 ml/2.1ml). After several hours, the patient complained of chest pain and an inability t...

N Engl J Med 2005;353:2361-72. Copyright © 2005 Massachusetts Medical Society. A 38-year-old man notes abrupt loss of vision in his right visual field while reading. He has no significant medical history and reports that he neither smokes nor uses alcohol or illicit drugs. Physical examination reveals right homonymous hemianopia but no other abnormalities. Magnetic resonance imaging reveals acu...

With the availability of contrast echocardiography, patent foramen ovale is frequently detected in patients with stroke, especially in those with no clear etiology and/or the young patient with stroke. Before this report, an association of stroke with ventricular septal defect had not been reported. In this communication, we describe a 38-year-old patient who developed an occipital lobe infarct...

Vertebral Artery Occlusion Following Hyperextension and Rotation of the Head • This is a case report of a lateral medullary syndrome of Wallenberg following occlusion of one vertebral artery and stenosis of the opposite artery precipitated by combined motion of hyperextension, rotation, and lateral flexion of the head within physiological limits. Sufficient duration of such head position appear...

Asterixis is not yet considered a common neurological sign of cerebellum infarction, and the pathogenic mechanism for asterixis remains elusive. We report a 58-year-old male with moderate hypertension who presented to our emergency department for acute headache in both cervical and occipital regions of the left side. About 2 hours later the patient developed ipsilateral asterixis in the upper l...

abstract seizure disorders are the most common neurological illnesses in infants and children. presented is an 8 year old boy with nocturnal vomiting episodes, found to have eeg characteristics of early onset benign occipital epilepsy, better known as panayiotopoulos syndrome.