The reduction of care for acute coronary syndrome during the COVID-19 pandemic is recognized. We describe a case patient with dextrocardia and situs solitus, rare condition that occurs in adults up to 1:900 thousand cases, admitted due context paroxysmal atrial fibrillation. Some particularities congenital are described, such as epidemiology, associated structural abnormalities, strategy perfor...

Relapsing polychondritis (RP) is a rare autoimmune disease that is characterized by inflammatory reaction of unknown etiology and destruction of cartilaginous structures. Characteristic symptoms of this disease include cartilage inflammation of the ear, nose, larynx, trachea, bronchi, joints, eyes, heart and skin. Concomitance with neurologic symptom is very rare in RP, and the detailed underly...

A 56-year-old female with a giant partially thrombosed unruptured carotid-ophthalmic aneurysm was treated with a Pipeline flow diverter. Three months after the procedure, in concomitance with the discontinuation of one of the antiplatelet medications, the patient suffered from a minor stroke and relapsing transient ischemic attacks. The angiography demonstrated the occlusion of the internal car...

Hydatid disease has a worldwide spreading. The most common site of the disease is the liver, lungs, kidney, bones, and brain. Splenic hydatid disease has been reported to constitute 2% to 6% of patients with abdominal hydatid disease. Because of the rarity of splenic hydatid disease, the probable concomitance of the liver and splenic hydatid cysts should be taken into consideration by clinician...

A 35-year-old female with pyoderma gangrenosum developed paraparesis with a sensory level at L1. Three months later she complained of diplopia and was found to have bilateral internuclear ophthalmoplegia with exotropia and no ocular convergence. The term Webino syndrome has been coined to design this set of neuro-ophthalmologic findings. Although it was initially attributed to lesions affecting...

Concomitance of idiopathic hypouricemia and Sjögren's syndrome is reported. A 37-year-old Japanese woman with Sjögren's syndrome and her 39-year-old sister without this syndrome both had extremely low levels of serum uric acid. Markedly increased urinary excretion of uric acid and poor response to the pyrazinamide suppression test revealed that the hypouricemia in these sisters was caused by a ...

A 66-year-old woman presenting progressive tetraparesis during the past month. Magnetic resonance (MR) showed nonspecific abnormalities in the cervical spinal cord (Figure 1), which could be related to demyelination, neoplasia or inflammation1. However, these findings, in concomitance with extensive dilated perimedullary vessels, suggested myelopathy secondary to dural arteriovenous fistula (DA...

The current study compared vowel and consonant duration in speech read by 10 French Parkinsonian speakers and 10 control speakers. The results show a different impact of Parkinson’s disease (PD) on speech segments. Consonants were shortened in PD speech while vowels were significantly longer. This results from the concomitance of articulatory movements of reduced amplitude of articulatory movem...