Electromyography and Clinical Neurophysiology, 2010
BACKGROUND: The neurological manifestations of Crohn's disease are rare, dominated by multiple mo... more BACKGROUND: The neurological manifestations of Crohn's disease are rare, dominated by multiple mononeuropathies, peripheral neuropathies (PN) of axonal and demyelinating types, myopathies and the abnormalities of the white matter. In our study, we aimed to report electrophysiological follow-up of a patient with chronic polyradiculoneuritis associated with newly diagnosed active Crohn's disease.CASE: A 32-year-old male patient was admitted with the complaints of abdominal pain and diarrhea for three years and an ascending weakness of all four extremities since two years. On his medical history he did not have any other disease and none of the members of his family had similar complaints. The neurological examination revealed a weakness of the especially distal muscles (2-3/5) with areflexia, hypotonia and distal atrophia in all extremities. He also had a glove and stocking hypoestesia. Routine biochemical and hematological examination were in normal ranges except C-reactive protein. The analysis of the cerebrospinal fluid showed an albumino-cytological dissociation.CONCLUSION: Our results suggest that peripheral neurological findings could be regarded as a possible extraintestinal manifestation of Crohn's disease. It is important to remember that inflammatory bowel diseases may be a reason for a newly diagnosed polyneuropathy (acute or chronic demyelinated polyneuropathy) and therefore detailed examinations are needed if the patients do not have the commonly observed reasons for the development of polyneuropathy and be careful in inflammatory disease patient to develop polyneuropathy.
ÖZET
Eşlik eden başka bir nörolojik defisit olmaksızın kortikal enfarkta bağlı izole monoparezi h... more ÖZET Eşlik eden başka bir nörolojik defisit olmaksızın kortikal enfarkta bağlı izole monoparezi hakkında pek bilgi bulunmayan ve seyrek karşılaşılan ve kolaylıkla gözden kaçırılabilecek ya da piramidal bulguların azlığı nedeni ile periferik patolojilerle karıştırılabilecek bir durumdur. Anahtar Sözcükler: Saf motor monoparezi, serebral kortikal enfarkt, difüzyon
MR ISOLATED MONOPARESIS DUE TO CORTICAL INFARCTION: A CASE REPORT
ABSTRACT Isolated monoparesis due to cortical infarction without any accompanying neurological deficit with inadequate information about is a rarely encountered condition and can be ignored easily or can be confused with peripheral pathology because of lack of pyramidal signs.
Moyamoya disease is a cerebrovascular disease which is characterized with stenosis and occlusions... more Moyamoya disease is a cerebrovascular disease which is characterized with stenosis and occlusions at the distal part of internal carotid artery and at the proximal part of anterior and middle cerebral arteries. It rarely causes temporary or recurrent hemiparesis due to intracranial hemorrhage while symptoms like headache, convulsion, nystagmus, aphasia and ataxia may also occur. In this paper, we present a case of Moyamoya disease which was diagnosed with a 23 year old female patient who was admitted to our emergency department with headache, nausea and vomiting complaints and whose radiological findings showed occipital lobe hemorrhage.
Electromyography and Clinical Neurophysiology, 2010
BACKGROUND: The neurological manifestations of Crohn's disease are rare, dominated by multiple mo... more BACKGROUND: The neurological manifestations of Crohn's disease are rare, dominated by multiple mononeuropathies, peripheral neuropathies (PN) of axonal and demyelinating types, myopathies and the abnormalities of the white matter. In our study, we aimed to report electrophysiological follow-up of a patient with chronic polyradiculoneuritis associated with newly diagnosed active Crohn's disease.CASE: A 32-year-old male patient was admitted with the complaints of abdominal pain and diarrhea for three years and an ascending weakness of all four extremities since two years. On his medical history he did not have any other disease and none of the members of his family had similar complaints. The neurological examination revealed a weakness of the especially distal muscles (2-3/5) with areflexia, hypotonia and distal atrophia in all extremities. He also had a glove and stocking hypoestesia. Routine biochemical and hematological examination were in normal ranges except C-reactive protein. The analysis of the cerebrospinal fluid showed an albumino-cytological dissociation.CONCLUSION: Our results suggest that peripheral neurological findings could be regarded as a possible extraintestinal manifestation of Crohn's disease. It is important to remember that inflammatory bowel diseases may be a reason for a newly diagnosed polyneuropathy (acute or chronic demyelinated polyneuropathy) and therefore detailed examinations are needed if the patients do not have the commonly observed reasons for the development of polyneuropathy and be careful in inflammatory disease patient to develop polyneuropathy.
ÖZET
Eşlik eden başka bir nörolojik defisit olmaksızın kortikal enfarkta bağlı izole monoparezi h... more ÖZET Eşlik eden başka bir nörolojik defisit olmaksızın kortikal enfarkta bağlı izole monoparezi hakkında pek bilgi bulunmayan ve seyrek karşılaşılan ve kolaylıkla gözden kaçırılabilecek ya da piramidal bulguların azlığı nedeni ile periferik patolojilerle karıştırılabilecek bir durumdur. Anahtar Sözcükler: Saf motor monoparezi, serebral kortikal enfarkt, difüzyon
MR ISOLATED MONOPARESIS DUE TO CORTICAL INFARCTION: A CASE REPORT
ABSTRACT Isolated monoparesis due to cortical infarction without any accompanying neurological deficit with inadequate information about is a rarely encountered condition and can be ignored easily or can be confused with peripheral pathology because of lack of pyramidal signs.
Moyamoya disease is a cerebrovascular disease which is characterized with stenosis and occlusions... more Moyamoya disease is a cerebrovascular disease which is characterized with stenosis and occlusions at the distal part of internal carotid artery and at the proximal part of anterior and middle cerebral arteries. It rarely causes temporary or recurrent hemiparesis due to intracranial hemorrhage while symptoms like headache, convulsion, nystagmus, aphasia and ataxia may also occur. In this paper, we present a case of Moyamoya disease which was diagnosed with a 23 year old female patient who was admitted to our emergency department with headache, nausea and vomiting complaints and whose radiological findings showed occipital lobe hemorrhage.
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Eşlik eden başka bir nörolojik defisit olmaksızın kortikal enfarkta bağlı izole monoparezi hakkında pek bilgi bulunmayan ve seyrek karşılaşılan ve kolaylıkla gözden kaçırılabilecek ya da piramidal bulguların azlığı nedeni ile periferik patolojilerle karıştırılabilecek bir durumdur.
Anahtar Sözcükler: Saf motor monoparezi, serebral kortikal enfarkt, difüzyon
MR ISOLATED MONOPARESIS DUE TO CORTICAL INFARCTION: A CASE REPORT
ABSTRACT
Isolated monoparesis due to cortical infarction without any accompanying neurological deficit with inadequate information about is a rarely encountered condition and can be ignored easily or can be confused with peripheral pathology because of lack of pyramidal signs.
internal carotid artery and at the proximal part of anterior and middle cerebral arteries. It rarely causes temporary or recurrent hemiparesis due to intracranial hemorrhage while symptoms like headache, convulsion, nystagmus, aphasia and
ataxia may also occur. In this paper, we present a case of Moyamoya disease which was diagnosed with a 23 year old
female patient who was admitted to our emergency department with headache, nausea and vomiting complaints and whose radiological findings showed occipital lobe hemorrhage.
Eşlik eden başka bir nörolojik defisit olmaksızın kortikal enfarkta bağlı izole monoparezi hakkında pek bilgi bulunmayan ve seyrek karşılaşılan ve kolaylıkla gözden kaçırılabilecek ya da piramidal bulguların azlığı nedeni ile periferik patolojilerle karıştırılabilecek bir durumdur.
Anahtar Sözcükler: Saf motor monoparezi, serebral kortikal enfarkt, difüzyon
MR ISOLATED MONOPARESIS DUE TO CORTICAL INFARCTION: A CASE REPORT
ABSTRACT
Isolated monoparesis due to cortical infarction without any accompanying neurological deficit with inadequate information about is a rarely encountered condition and can be ignored easily or can be confused with peripheral pathology because of lack of pyramidal signs.
internal carotid artery and at the proximal part of anterior and middle cerebral arteries. It rarely causes temporary or recurrent hemiparesis due to intracranial hemorrhage while symptoms like headache, convulsion, nystagmus, aphasia and
ataxia may also occur. In this paper, we present a case of Moyamoya disease which was diagnosed with a 23 year old
female patient who was admitted to our emergency department with headache, nausea and vomiting complaints and whose radiological findings showed occipital lobe hemorrhage.