Chronic inflammatory demyelinating polyneuropathy in an HCV-related cirrhotic patient with acute hepatitis B superinfection

[No abstract available

Bilateral ischemic lumbosacral plexopathy presenting as acute paraparesia due to vascular graft occlusion in a patient with leriche syndrome [Leriche sendromlu bir olguda vasküler greft oklüzyonu sonucu akut paraparezi Şeklinde prezente olan bilateral ıskemik lumbosakral pleksopati]

Acute ischemia of peripheral nerves generally results from occlusion of a main proximal limb artery or from occlusion of many distal arteries. The rareness of such neuropathies can be explained by the relative resistance of peripheral nerves to ischemia. Leriche syndrome is an aortoiliac occlusive disease that is known to cause neurologic complications such as ischemic neuropathy and spinal cord ischemia. Here, we present a man aged 55 years with bilateral lumbosacral plexopathy that presented as acute paraparesia due to thrombotic occlusion of an axillobifemoral graft, which was performed for the treatment of Leriche syndrome. © 2017, Ege University Press. All rights reserved

Anesthetic management of Guillain-Barré syndrome in pregnancy

PubMed ID: 17572328We report the case of a 23-year-old woman who was diagnosed with an axonal type of Guillain-Barré syndrome at 16 weeks' gestation. The patient had severe motor loss but she was treated effectively with intravenous immunoglobulin, and she underwent cesarean delivery with epidural anesthesia at full term. © 2007 Elsevier Inc. All rights reserved

Sensory nerve conduction in branches of common interdigital nerves: A new technique for normal controls and patients with Morton's neuroma

PubMed ID: 20479659In this article, a new electrodiagnostic approach is described for patients with Morton's neuroma. The new method is based on the anatomic fact that the two branches of the common plantar interdigital nerves innervate the lateral side of one toe and the medial side the next one. This study included 20 normal subjects (aged 28-58 years, 10 men and 10 women) and 4 patients with Morton's neuroma (aged 44-52 years, 4 women). The branches of adjacent common plantar interdigital nerves that innerve one toe were stimulated superficially and separately with half of one toe covered with a piece of medical tape. The recordings were obtained on the posterior tibial nerve at the medial malleolus with needle electrodes. Thus, the difference in latencies of obtained sensory nerve action potentials on the posterior tibial nerve with needle electrode was measured. From normal subjects' data, it was determined that a latency difference value of above 0.17 milliseconds (mean ± 2.5 SD) in one toe was abnormal. All of the patients with Morton's neuroma showed abnormal interlatency difference values. This new method, which we have developed, is more sensitive, simple to use, does not require extra equipment, and does not cause excessive pain. We suggest that interlatency difference between branches of the common plantar interdigital nerves is a useful and sensitive method for the diagnosis of Morton's neuroma. Copyright © 2010 by the American Clinical Neurophysiology Society

Cerebral venous thrombosis and Turner Syndrome: A rare reported association

PubMed ID: 26625661Cerebral venous thrombosis and Turner Syndrome: a rare reported association: Turner Syndrome is the only known viable chromosomal monosomy, characterised by the complete or partial absence of an X chromosome. It's the most common chromosomal abnormality in females. Apart from the well known dysmorphic features of the syndrome, it has been associated with a number of vascular pathologies; mainly involving the cardiovascular, renovascular, peripheral vascular and cerebrovascular system. It seems striking that thromboembolism is not considered as a feature of the syndrome. Most of the thromboembolism cases are related to the arterial vascular system; except for some rare reported portal venous thrombosis cases, peripheral venous thrombosis cases and to the best of our knowledge a single case of cerebral venous thrombosis with Dandy Walker malformation and polymicrogyria. We herein report a cerebral venous thrombosis case with Turner Syndrome. With no other found underlying etiology, we want to highlight that Turner Syndrome, itself, may have a relationship not only with the cerebral arterial vascular system pathologies but also with the cerebral venous thrombosis

Cutaneous silent periods of the vastus medialis evoked by the stimulation of lateral femoral cutaneous nerve

WOS: 000229984300011PubMed ID: 15978495Objective: Cutaneous silent period (CSP), which is a spinal reflex mediated by A-delta cutaneous afferents, is transient suppression of the electromyographic activity. In this study, our aim is to investigate CSPs of vastus medialis muscle (vm-CSP) evoked by the stimulation of the lateral femoral cutaneous nerve (LFCN) in healthy controls and in patients with meralgia paresthetica (NIP). Methods: Twenty-one patients with MP (17 unilateral, 4 bilateral) and 27 healthy controls were included. Nerve conduction studies of LFCN and vm-CSP were analyzed in all subjects. A stimulus train consisting of five electrical shocks was applied to the skin at the anterolateral side of the thigh for recording of the vm-CSP. Results: Nerve conduction abnormalities of LFCN were observed in all patients with NIP. Mean duration of vm-CSP was 69.7 +/- 9.2 ins, and mean onset latency was 44.7 +/- 6.9 in healthy controls. Onset latency of vm-CSP was significantly prolonged and the duration of vm-CSP was significantly shortened in patients with MP. Vm-CSP abnormalities were observed in 20/25 extremities with MP. Conclusions: Dysfunction of A-delta afferents may cause these findings in patients with MP. Additionally, spinal modulation of pain may also play a role in the explanation of our findings. Significance: The present study demonstrates the CSP alterations in the patients with entrapment neuropathy of a cutaneous nerve. (c) 2005 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved