Renal insufficiency has many protean effects on the central nervous system. Early symptoms such as fatigue, clumsiness, and impaired concentration may progress to hallucinations, agitation, disorientation and coma if the renal insufficiency is untreated. The pathophysiology of these changes, due to uraemic encephalopathy are thought to be mediated by impaired neurotransmission (Burn & Bates, 19...

The emerging of new H7N9 influenza virus infection in February 2013 brings attention of world health scientists on its possibility to cause worldwide pandemic. The new H7N9 bird flu is a new disease manifesting with acute respiratory features plus additional atypical clinical manifestations. Of those atypical clinical features, neurological presentation is an interesting issue. This work presen...

Sir, Polyradiculopathy is a rare but potentially devastating syndrome more common in Acquired Immunodeficiency Syndrome (AIDS). Although cytomegalovirus (CMV) is most commonly implicated, the differential diagnosis includes tuberculosis, syphilis, and lymphoma. We admitted a 36-year-old army truck driver from Haryana, India, HIV-positive since May 2004, with ascending, asymmetric flaccid parapl...

hysteria is one of the conversion disorders that can be presented similar to neurological and organic disorders. conversion symptoms are usually associated with emotional conflicts of the patient. belching is often reported in patients with gastroesophageal reflux and is a rare manifestation of hysteria. the authors would describe a young female patient with serial belching that, after several ...

Fabry disease is an X-linked recessive glycolipid storage disease. It is caused by deficiency of the lysosomal enzyme alpha-galactosidase A and leads to the accumulation of the enzyme substrate, globotriasylceramide (Gb3) in many tissues including endothelial cells, pericytes and smooth muscle cells of blood vessels, renal epithelial cells, cardiac myocytes and numerous neuronal cells. In this ...

We describe two patients who presented with dementia as the primary neurological manifestation of their dural arteriovenous fistula (dAVF). Although dementia is not the most common presentation for a dAVF, these cases show that obliterating the fistula can eliminate this dreadful manifestation. This awareness may facilitate the diagnosis of dementia in cases caused by dAVF and allow for a minim...

CONTEXT AND OBJECTIVE Lhermitte's sign, a classical neurological sign, is a rare manifestation of vitamin B12 deficiency. The aim here was to report on a case of an elderly patient with vitamin B12 deficiency whose first clinical manifestation was the presence of Lhermitte's sign. CASE REPORT We describe an elderly patient with vitamin B12 deficiency who presented cognitive dysfunction, perip...

Guillain-Barré syndrome is a rare neurological manifestation associated with dengue infection. More common antecedent infections include Campylobacter jejuni and Cytomegalovirus infection. Here, we report two cases of Guillain-Barré syndrome complicating dengue infection.

purpose: to determine the clinical and paraclinical features of multiple sclerosis (ms) in patients presenting for the first time with optic neuritis. methods:  in this descriptive study, 35 patients with clinical evidence of optic neuritis were enrolled. our evaluation included a neurological examination, visual evoked potentials (vep), brainstem-auditory evoked potentials (baep), and brain mr...

PURPOSE Ehlers-Danlos syndrome (EDS) comprises a variety of inherited connective tissue disorders that have been described in association with various neurological features. Until now the neurological symptoms have not been studied in detail; therefore, the aim of this review is to analyze the possible association between EDS, epilepsy and periventricular heterotopia (PH). METHODS We have car...