Τρίτη 12 Νοεμβρίου 2019

Cryptococcus and parvovirus B 19 central nervous system coinfection in patient with HIV presenting with bilateral facial and oculomotor palsy,

Hereditary leukodystrophy with axonal spheroids (HDLS) presenting subacutely: a CNS-vasculitis mimic

An unusual case of late-infantile onset Krabbe disease with selective bilateral corticospinal tract involvement, peripheral demyelinating neuropathy, and mild phenotype

Inter-occipital communication through the anterior commissure in callosal agenesis: a necessary prerequisite for normal binocularity?

Crowned dens syndrome: a neurologist’s perspective

Abstract

Crowned dens syndrome is an under-recognized entity that can mimic neurological disease, in particular meningitis or giant-cell arteritis. We present a 48-year-old woman presenting with an inflammatory meningitis-like syndrome with headache and neck stiffness. Lumbar puncture was normal and computed tomography (CT) of the atlantoaxial joint showed abnormal calcifications around the odontoid process, leading to a tentative diagnosis of crowned dens syndrome. In addition, signs of active inflammation in and around the dens were present on cervical MR imaging. Since CDS can mimic meningitis or giant-cell arteritis, neurologists should be aware of this entity. If CDS is suspected, the bone window on the head CT scan can lead to the diagnosis. On the other hand, asymptomatic periodontoid calcifications are common and should not preclude further investigations.

X-linked adrenoleukodystrophy presenting as isolated spastic paraparesia

An adult case of metapneumovirus-induced acute encephalitis

A rare self-induced reflex epilepsy: sunflower syndrome

Super refractory status epilepticus in a patient with insulinoma

A Val30Met sporadic familial amyloid polyneuropathy case with atypical presentation: upper limb onset of symptoms

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