Case presentation: This is a newborn patient, male. Vaginal delivery with no complications, preterm birth. The initial physical examination of the (NB) identified hard and painful mass in left flank. patient was transferred to Neonatal Intensive Care Unit (NICU) for extended workup monitoring. In first neurological examination, opsoclonus, myoclonus ataxia limbs trunk were identified. During ho...

Serial clinical examination represents the most fundamental and basic form of neurological monitoring, and is often the first and only form of such monitoring in patients. Even in patients subjected to physiological monitoring using a range of technologies, the clinical examination remains an essential tool to follow neurological progress. Key aspects of the clinical examination have now been s...

BACKGROUND Involvement of the peripheral nervous system in patients with primary Sjögren's syndrome (SS) has been reported, but its prevalence in neurologically asymptomatic patients is not well known. OBJECTIVE To assess clinical and neurophysiological features of the peripheral nervous system in patients with primary SS. PATIENTS AND METHODS 39 (38 female) consecutive patients with primar...

Multicentric glioblastoma is a uncommon brain malignant tumour.We report the case of a 43-years-old woman, born in Ukraine and living in Italy, who manifested an initial isolated epileptic seizure and subsequent atypical psychiatric symptoms. Clinical neurological examination, Brain Computed Tomography and standard EEG examinations were negative at the moment of admission. A month later, she pr...

INDIAN PEDIATRICS 1276 VOLUME 41DECEMBER 17, 2004 An 11-year-old girl was advised desmopressin nasal spray for nocturnal enuresis present since early childhood. Her routine urine examination, urine cultures, urine specific gravity and X-ray of the lumbosacral spine done before starting treatment were normal. She was advised 1 puff (10 μg per actuation) in each nostril. The first night she took ...

The objective of this study was to establish the etiology of epilepsy in 210 chronic epileptics (110 female, 100 male), aged 14-82 years (34.2 +/- 13.3). Patients less than 10 years-old and alcoholism were excluded. All underwent neurological examination, routine blood tests, EEG and CT-scan. Twenty patients (10.5%) were submitted to spinal tap for CSF examination. Neurological examination was ...

Schwannomatosis is a rare tumour syndrome characterized by more than one schwannoma without any sign of neurofibromatosis (NF). A 22-year-old male patient was admitted with weakness in his extremities. Neurological examination revealed a tetraparesis syndrome below the C6 level. Magnetic resonance (MR) imaging showed a demarcated mass with strong enhancement at the C4-7 levels. The patient impr...

A 21-year-old man was referred to dermatology clinic for skin biopsy. He presented to neurology center with behavioral changes with cognition and memory disorders. He had two episodes of genealized tonic clonic seizure and series of myoclonc jerks in his limbs and face especially after awakening since several months ago. In neurological examination, he had mini mental score as 13; with so...

Introduction. Evaluation of medical students has been usually restricted to evaluation of their medical information rather than their clinical skills . Meanwhile, perfect diagnosis and treatment of a medical illness is highly related to the quality of making therapeutic alliance and physical examination. This article is a trial study to investigate the quality of medical student's skill in pe...