A 62-year-old man with progressive action tremor and a 74-year-old man with progressive ataxia Teaching NeuroImages Neurology Resident and Fellow Section.

Slides:



Advertisements
Similar presentations
63 year-old woman with subacute parkinsonism Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology.
Advertisements

Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology Neonatal Parechovirus Encephalitis: Typical MRI findings.
A 56-year-old man with intense facial pain Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology.
A 52-year old man with recently diagnosed HIV infection with irregular shaking of his hand Teaching NeuroImages Neurology Resident and Fellow Section ©
A 62-year-old man presented with mild left hemiparesis, headache and blurred vision of his right eye Teaching NeuroImages Neurology Resident and Fellow.
Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology A 51-year-old woman with triplegia and blindness.
48-year-old man with ascending sensory deficits Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology.
A 48-year-old man with ptosis and limitation of elevation in the left eye © 2014 American Academy of Neurology Teaching NeuroImages Neurology Resident.
A 68 year old woman with a troublesome chin tremor Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology.
Muscle cramps and a raised creatine kinase. Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology.
Teaching NeuroImages An 83-year-old woman with phonatory breaks and left hand rest tremor Neurology Resident and Fellow Section © 2013 American Academy.
A 30 year old man with sub-acute ataxia Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology.
Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology A 3-year-old boy with silvery gray hair and leukodystrophy.
Teaching NeuroImages: A 38-year-old woman with chronic progressive dysarthria, and gait disturbance. by Keon-Joo Lee, Jangsup Moon, Soon-Tae Lee © 2014.
A 43-year-old man with decreased consciousness Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology.
A 17-year-old girl with encephalomyelitis Teaching NeuroImages Neurology Resident and Fellow Section © 2015 American Academy of Neurology.
Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology A 54 year old man with progressive apathy and cognitive.
A 53-year-old man with abrupt hearing loss Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology.
Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology A dangerous case of orthostatic headache.
47-year-old with progressive upper limb weakness Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology.
Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology An unusual cause of conus medullaris syndrome.
Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology Cerebral White Matter Involvement in a Patient with Bilateral.
A 30-year male with cognitive decline and unsteady gait Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology.
A 39-year old man with facial diplegia Teaching NeuroImages Neurology Resident and Fellow Section Campbell J, et al © 2013 American Academy of Neurology.
A 4 year old girl presenting with short stature Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology.
Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology A 23 month old full term male with seizures.
68 year old man with aphasia and facial droop © 2014 American Academy of Neurology Teaching NeuroImages Neurology Resident and Fellow Section.
Teaching NeuroImages A 54-year-old man with progressive muscle weakness, hand tremor, tongue and perioral fasciculation Neurology Resident and Fellow Section.
Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology A 32-year-old man with a neuroendocrine disorder.
A 22 years old man with slow movements and mounding phenomenon © 2013 American Academy of Neurology Teaching NeuroImages Neurology Resident and Fellow.
Progressive fetal intracranial lesion Teaching NeuroImages Neurology Resident and Fellow Section © 2015 American Academy of Neurology.
A 26 year old woman with headache, diplopia, and pulsatile tinnitus Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy.
Teaching NeuroImages Neurology Resident and Fellow Section A 32-year-old woman presented with headaches, ataxia, diplopia © 2015 American Academy of Neurology.
A 45 year old man with painful right eye blindness Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology.
A 4 Year Old Boy With Proptosis of Left Eye Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology.
6-year-old boy with progressive neurologic decline Teaching NeuroImages Neurology Resident and Fellow Section © 2015 American Academy of Neurology.
A 71 year old man with rapid onset of anterograde amnesia Teaching NeuroImages Neurology Resident and Fellow Section © 2015 American Academy of Neurology.
An (un)usual case of leg pain? Teaching NeuroImage Neurology Resident and Fellow Section © 2014 American Academy of Neurology.
2 year old girl with mild ataxia and truncal dystonia Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology.
57 year-old man with confusion Teaching NeuroImages Neurology Resident and Fellow Section © 2015 American Academy of Neurology.
Teaching NeuroImages Neurology Resident and Fellow Section Spherules in Spine: Vertebral Coccidioidomycosis © 2014 American Academy of Neurology.
Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology MRI-visible Virchow-Robin Perivascular Spaces in Cerebral.
Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology 57-year-old man with a painful tumoral mass in the leg.
Neurology Resident and Fellow Section
Hemigeographic tongue following an acute ischemic stroke
Teaching NeuroImages Neurology Resident and Fellow Section
Neurology Resident and Fellow Section
55 year-old man with acute headache and dizziness Teaching NeuroImages Neurology Resident and Fellow Section David Yen-Ting Chen, MD Ying-Chi Tseng, MD.
A 22-year-old woman with progressive ataxia and feet dystonia
A 58-year-old man with cerebellar ataxia
Neurology Resident and Fellow Section
A 54-year old woman with subacute encephalopathy
A 10 month old boy with macrocephaly
Acquired hepatocerebral degeneration
A 9 year old boy with slowly progressive spastic ataxic syndrome
68-year-old patient with memory impairment
Figure 4 Neuromyelitis optica spectrum disorder brain lesions
A 21 year old woman with frequent vomiting
A 50-year-old man with progressive dysautonomia and leg stiffness
Figure Brain MRI of the patient throughout the disease course(A) Brain MRI at the time of cerebral toxoplasmosis diagnosis (a) and after 1 month of toxoplasmosis.
A 74-year old woman with progressive amnesia
Acute bilateral ptosis in an 82-year old man
20 year old man with multiple strokes territories
A 47-year old HIV infected man with jerking of his right hand
A 26-year-old Turkish male with progressive spastic gait and premature alopecia Teaching NeuroImages Neurology Resident and Fellow Section  © 2015 American.
A 2 year old girl with progressive neurological deficits
A 11-month-old girl with acute irritability and hypotonia
A 3-year-old boy with increased head circumference
A 64-year-old man with an intra-abdominal abscess (patient 3).
A treatable case of subacute encephalopathy
Presentation transcript:

A 62-year-old man with progressive action tremor and a 74-year-old man with progressive ataxia Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology

First patient: 62-year-old man with progressive action tremor since 3 years Second patient: 74-year-old man with progressive ataxia since 5 months Clinical examination did not show other abnormalities Brain MRI revealed bilateral middle cerebellar peduncle hyperintensities associated with a hyperintensity of the inferior part of the splenium of the corpus callosum on FLAIR sequences. Patient 2 also showed a traumatic subdural hematoma due to a ataxia-related fall. © 2014 American Academy of Neurology Renard, et al Vignette

Imaging © 2014 American Academy of Neurology Renard, et al

Middle cerebellar peduncle and splenial hyperintensities Disorders associated with middle cerebellar peduncle hyperintensities include multiple system atrophy, multiple sclerosis, autosomal dominant spinocerebellar atrophy, leukodystrophy syndromes, anterior inferior cerebellar artery infarctions, and fragile X-associated tremor ataxia syndrome (FXTAS). FXTAS was genetically proven in both our patients. Causes of focal splenial hyperintensities include Marchiafava- Bignami disease, mild encephalitis with a reversible splenial lesion, multiple sclerosis, trauma, and leukodystrophy. Splenial hyperintensity has been recently reported as frequently encountered and proposed as an additional radiological diagnostic criterion in FXTAS. © 2014 American Academy of Neurology Renard, et al

Feedback: Privacy Policy Feedback
Do Not Sell My Personal Information
About project: SlidePlayer Terms of Service

© 2024 SlidePlayer.com Inc. All rights reserved.