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Latest Research Articles From JNNP


    • THUR 001 An unusual (ne)urological presentation

      We present the case of a 78-year-old female with a background of diabetes, who presented with acute-onset hemichorea whilst on the surgical ward under the care of the Urology team. She had an extensive past medical history including type two diabetes; additionally, she reported she had experienced similar transient symptoms during an admission ten months previously. CT and MRI brain demonstrated n …

     

    • THUR 002 An unusual presentation: two aetiologies for the price of one!

      70-year-old female receptionist presented with acute onset lower back pain whilst sitting down. She tried to weight bear but felt her left leg ‘gave way’. There were no sensory complaints and no sphincter disturbance. Positive examination findings in her left lower limb include reduced tone, power 2/5 throughout, and left extensor plantar. In addition, she had absent knee and ankle ref …

     

    • THUR 004 Foramen magnum decompression for tonsillar herniation secondary to meningoencephalitis

      Tonsillar herniation and coning is a rare complication of meningoencephalitis and is associated with poor neurological outcome. Our patient presented unresponsive with radiological evidence of tonsillar herniation secondary to meningoencephalitis. She underwent an emergency foramen magnum decompression and C1 laminectomy with full recovery. 16 years old female presented to her local ED with headac …

     

    • THUR 005 Two atypical presentations of pres?

      Posterior reversible encephalopathy syndrome (PRES) is characterised by acute neurological symptoms with vasogenic oedema typically in parieto-occipital lobes. PRES involving atypical locations is becoming increasingly recognised. Here we report two atypical cases. An 83-year-old male with ureteric carcinoma presented with confusion, headache and high blood pressure (170/80). MRI revealed symmetri …

     

    • THUR 006 A case of GABA-B antibody mediated encephalopathy

      A previously well 17 year old female presented with a self-limiting episode of derealisation and depersonalisation lasting 24 hours. Initial MRI demonstrated new left peri-trigonal white matter hyperintensity. Initial bloods were normal and serum was negative for white cell enzymes, VLCFA and broad autoimmune screen but positive for GABA-b antibodies (Ab). Six months later, an acute cognitive decl …