To clinically and radiologically report a traumatic spinal epidural hematoma (SEH) that completely resolved, without surgical treatment. A 17-year-old woman presented with back pain, lower motor weakness, and sensory change after trauma to the lower back area. Neurologic examination revealed paraparesis (grade 3/5) and radiating pain in both legs at the L5 dermatome. Magnetic resonance imaging ...

Background: Neuropathy is a complication of Diabetes Mellitus that changes the structure and function peripheral nerves, causing diabetic neuropathy due to nerve degeneration. examination used prevent foot ulcers (DFU), but it still rarely done or has not become routine in health services. Alternative was with Ipswich Touch Test (IpTT). The purpose this study identify neurosensory-peripheral di...

Ataxia-telangiectasia (A-T) is a rare multisystem, neurodegenerative genetic disorder. We present a case of a 6-year-old girl who had a history of frequent respiratory infections and also had ocular and immunological features of this syndrome. The absence of neurological symptoms, which is very unusual for a patient of this age, raised many difficulties in the diagnosis of the disease. It is co...

In order to determine which aspects would be essential to the neurological examination (NE) in a given specific situation (a patient referred with a potential neurological complaint, but the history suggests that a neurological problem is unlikely), we presented the same questionnaire used by Moore and Chalk in Canada to 19 neurologists in Rio de Janeiro, Brazil. We considered significant aspec...

The patient denied irradiation of the pain and the neurological exam was completely normal. A neck radiograph was obtained, showing a defect in the posterior arch of the atlas (Figure 1). This defect was posteriorly evaluated with a CT-scan and better documented as a segmental aplasia of both hemiarches (Figure 2). Providing the lack of neurological symptoms, the patient was treated conservativ...

A 30-year-old man, a nonsmoker, was admitted to the hospital with symptoms of alcoholic withdrawal. A roentgenogram of the chest was obtained on admission (Fig 1). The physical examination was unremarkable except for neurologic changes. A few days later, he developed fever, became hypoxemic and dyspneic, and worsened clinically. A second chest roentgenogram was obtained 12 days after admission ...

A patient developed monocular blindness 23 minutes into a temporary balloon occlusion test of the carotid artery, on the side being tested. His vision returned to normal 1 minute after the balloon was deflated. The authors emphasize the importance of complete frequent neurologic examination during this kind of test.

While performing carotid angiography in a 76-year-old man, we found that the right internal carotid artery repeatedly opened and closed during the examination. The patient experienced no related neurologic events. The explanation, confirmed at surgery, was that a flap associated with an atherosclerotic plaque had acted as a ball valve.