Intramyelinic Edema in Infancy

May 10, 2026 by in NEUROLOGY Comments Off on Intramyelinic Edema in Infancy
History and Physical A 4-day-old, full-term male was born by vaginal delivery to a mother with no significant medical history. There were no complications during pregnancy or with delivery. The…
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Remember the Veins

May 10, 2026 by in NEUROLOGY Comments Off on Remember the Veins
History and Physical A 13-month-old girl was evaluated in the emergency department for gastroenteritis and dehydration and discharged after 48 hours. Twenty days later, she returned with vomiting, irritability, and…
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Postinfectious Stroke

May 10, 2026 by in NEUROLOGY Comments Off on Postinfectious Stroke
History and Physical An 8-year-old boy arrived in the emergency department with sudden-onset dysarthria and right hemiparesis, which evolved over 6 hours to complete right hemiplegia. During the week prior…
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Severe Neonatal Communicating Hydrocephalus

May 10, 2026 by in NEUROLOGY Comments Off on Severe Neonatal Communicating Hydrocephalus
History and Physical A 20-week ultrasound of a female fetus showed severe ventriculomegaly. The mother was referred for genetic and metabolic evaluation. There was no significant prior family history of…
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Stroke-Like Episodes

May 10, 2026 by in NEUROLOGY Comments Off on Stroke-Like Episodes
History and Physical A 23-year-old female with a known history of mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes (MELAS) presented with 1 day of fever, reduced oral intake, and acute…
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Hidden Impact

May 10, 2026 by in NEUROLOGY Comments Off on Hidden Impact
History and Physical A 3-year-old previously healthy male was referred to the emergency department with a sudden-onset unsteady gait that persisted for 8 hours. He had no headache or neck…
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Widened Sylvian Fissures and Basal Ganglia

May 10, 2026 by in NEUROLOGY Comments Off on Widened Sylvian Fissures and Basal Ganglia
History and Physical A 12-month-old male patient of Yemeni descent presented to the emergency room after 48 hours of fever, poor oral intake, and impaired movements. He was reportedly in…
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From Heart to Brain

May 10, 2026 by in NEUROLOGY Comments Off on From Heart to Brain
History and Physical A 2-month-old infant male prenatally diagnosed with transposition of the great arteries experienced neonatal seizures that were treated with phenobarbital. He then underwent an arterial switch operation,…
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Neurodegenerative Diseases

May 10, 2026 by in NEUROLOGY Comments Off on Neurodegenerative Diseases
Introduction Neurodegenerative diseases of childhood have different forms of presentation and it can be clinically challenging to identify regression. In the early stages, it is usually very difficult to establish…
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When the Hindbrain Causes Headache

May 10, 2026 by in NEUROLOGY Comments Off on When the Hindbrain Causes Headache
History and Physical A 10-year-old previously healthy girl presents with headaches for the past 6 months. Headaches occur one to two times per week, with variable duration from several minutes…
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