OBJECTIVES Animal and human studies support mild therapeutic hypothermia as an effective means of preventing brain injury in comatose patients resuscitated from cardiac arrest. However, there is little clinical experience with predicting neurologic outcome in this patient population. We present 4 comatose patients resuscitated from cardiac arrest treated with mild hypothermia whose in-hospital ...

Vital signs included a respiratory rate of 24 breaths/min and a temperature of 38.5°C. Head and neck examination showed dried blood in both nostrils and no sinus tenderness. Lung examination revealed scattered rhonchi and no wheezes or rales. There was no synovitis or deformity of the joints. Her skin had several small, red, nonblanching papules on both lower legs. Results of cardiovascular, ab...

A 73-year-old woman with a history of hypertension and a recent stroke presented with recurrent nonsensical speech and visual problems. One month prior, she had been diagnosed with a stroke, after sudden-onset speech and visual difficulties that resolved after a few hours. Thirteen days before, she had had a second episode of similar symptoms. She was seen in our institution after a few hours o...

HYPOTHESIS Trauma patients with normal motor examination results and normal cervical spine helical computed tomographic (CT) scans with sagittal reconstructions do not have significant cervical spine injury. DESIGN Prospectively collected registry data. SETTING Level II community-based trauma center. PATIENTS All patients admitted to the trauma service from January 1, 1999, to December 31...

OBJECTIVES The objectives of this study were to delineate the etiologic profile and neurodevelopmental outcome of neonatal seizures in the current era of neonatal intensive care and to identify predictors of neurodevelopmental outcome in survivors. METHODS Eighty-nine term infants with clinical neonatal seizures underwent neurologic examination, electroencephalography (EEG), neuroimaging, and...

Small breed dogs were visited for the evaluation of neurologic deficits. On neurologic examination, all dogs were showed hyperesthesia, pain, neck stiffness or ataxia. After diagnosis by magnetic resonance imaging (MRI) dogs had cranial cervical decompression with durotomy. These dogs had the durotomy patched with autologous subcutaneous fat. The clinical signs of all dogs improved postoperativ...

P a t i e n t s 308 patients (mean age 28 y, 64% women) who had presented with a first neurologic episode (unifocal or multifocal involvement of the central nervous system) suggesting MS in the previous 3 months, with ≥ 1 abnormality evident during the neurologic examination and a positive magnetic resonance imaging (MRI) scan result. Exclusion criteria included immunosuppressive or immunomodul...

A 54-year-old, right-handed male presented with acute-onset severe headache, vertigo, and vomiting. Initial neurologic examination illustrated dysarthria (lingual), nystagmus (horizontal), left dysmetria on finger-to-nose testing, weakness of the upper lower limb. Magnetic resonance imaging showed lateral medullary infarction (Wallenberg syndrome). The patient was discharged 3 weeks later to an...

Cardiac myxomas are rare benign tumors in childhood. They most commonly occur left atrium. Irregular surface of atrial is associated with a high risk embolic events. The majority cardiac myxoma patients diagnosed symptoms. In the literature, there limited number case reports on neurological symptoms childhood which after detailed examination. We present 16-year-old female patient who presented ...