Neurosyphilis

May 3, 2021 by in NEUROLOGY Comments Off on Neurosyphilis

Syphilis, caused by the bacterium Treponema pallidum , is able to invade the central nervous system early in the course of infection. As many as 40% of patients will have…

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Tuberculosis Affecting the Nervous System

May 3, 2021 by in NEUROLOGY Comments Off on Tuberculosis Affecting the Nervous System

Neurologic manifestations of infection with tuberculosis (TB) are diverse and can be challenging to diagnose given the limitations of available diagnostic tests. Suspicion for TB should be heightened in patients…

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Subacute and Chronic Meningitis

May 3, 2021 by in NEUROLOGY Comments Off on Subacute and Chronic Meningitis

Patients with subacute or chronic meningitis typically have fluctuating but slowly progressive symptoms of fever, headache, neck pain or stiffness, vomiting, and/or cognitive changes over four or more weeks. Meningitis…

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Acute Meningitis

May 3, 2021 by in NEUROLOGY Comments Off on Acute Meningitis

Acute meningitis is a neurological emergency. Clinical evaluation alone cannot accurately determine the cause of meningitis; lumbar puncture (LP) is essential and should be performed without delay. Empiric treatment should…

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Encephalitis

May 3, 2021 by in NEUROLOGY Comments Off on Encephalitis

Encephalitis refers to a constellation of syndromes that present with brain inflammation and rapidly progressive neurologic symptoms. Although traditionally recognized as being caused by infection, a growing number of autoimmune…

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Paraneoplastic Syndromes

May 3, 2021 by in NEUROLOGY Comments Off on Paraneoplastic Syndromes

Paraneoplastic neurologic syndromes are characterized by an immune response targeting the central or peripheral nervous system in the presence of an underlying malignancy. This autoimmune response is usually associated with…

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Meningioma

May 3, 2021 by in NEUROLOGY Comments Off on Meningioma

Meningiomas are the most common primary central nervous system tumor. These extraaxial tumors can arise from the dura at any site along the neuroaxis, although are most frequently found at…

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Glioma

May 3, 2021 by in NEUROLOGY Comments Off on Glioma

Diffusely infiltrating gliomas are a heterogenous group of central nervous system tumors arising from glial cells, such as astrocytes and oligodendrocytes. The diagnosis, classification, and treatment of gliomas have evolved…

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Rhabdomyolysis

May 3, 2021 by in NEUROLOGY Comments Off on Rhabdomyolysis

Acute rhabdomyolysis is a medical emergency that often requires hospitalization for infusion of intravenous fluids to protect from renal injury. In the acute period, the cause of rhabdomyolysis and the…

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Myotonia

May 3, 2021 by in NEUROLOGY Comments Off on Myotonia

Myotonia is a failure of muscle cell relaxation manifesting clinically as impaired relaxation after voluntary muscle contraction (e.g., grip myotonia, Video 100.1) or prolonged reflexive contraction during specific neurological examination…

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