Clinical neurology and neurosurgery
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Cervicogenic headache is characterized by unilaterality without sideshift, and the pain attack starts in the neck, in contradistinction to what is the case in common migraine. Signs of neck involvement (e.g. reduction of the range of motion; mechanical precipitation of attacks; ipsilateral, diffuse arm/shoulder pain) are typical in cervicogenic headache but not in common migraine. These and many other features aid in distinguishing these two headaches.
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Clin Neurol Neurosurg · Jan 1992
Case ReportsIntraspinal juxta-facet cysts: a case of bilateral ganglion cysts.
Juxta-facet cysts are relatively uncommon intraspinal lesions, causing radiculopathy, neurogenic claudication or myelopathy. To the best of our knowledge, only 4 cases of bilateral synovial or ganglioncysts were described. ⋯ Correct preoperative diagnosis is necessary for adequate treatment, namely the (microscopic) resection of the cyst. After adequate treatment, complete recovery may be expected.
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Clin Neurol Neurosurg · Jan 1992
Case ReportsPurulent meningitis due to aspergillosis in a patient with systemic lupus erythematosus.
We report a 39-year-old female patient with systemic lupus erythematosus under immunosuppressive therapy who developed persistent neutrophilic meningitis, for which no infectious agent could be identified. Intensifying the immunosuppressive therapy induced a short amelioration of the clinical picture. At autopsy, basal meningitis was found to be due to Aspergillus sp.
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Clin Neurol Neurosurg · Jan 1991
Case ReportsPosttraumatic hyperthermia: a possible result of fronto-diencephalic dysfunction.
A patient with traumatic bifrontal hemorrhagic lesions developed hyperthermia associated with autonomic dysfunction shortly after admission. This case illustrates that posttraumatic hyperthermia may also occur at a markedly less disturbed baseline neurological level, possibly secondary to disruption of fronto-diencephalic pathways.
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Clin Neurol Neurosurg · Jan 1991
Review Case ReportsTransient cerebellar mutism after posterior cranial fossa surgery in an adult. Case report and review of the literature.
Transient mutism, without disorders of consciousness or cranial nerve deficits, arising after surgical operations on the posterior cranial fossa is a recently described entity. To date 22 cases have been reported, to which we add the present case (the first report of the syndrome in an adult). We review the salient features of the syndrome in the light of the published cases and speculate on the underlying physiopathology.