by krezania | Jun 22, 2019 | Uncategorized
Diagnosis: GBS associated with HIV infection HIV-1 Ab titer was positive HIV RNA was 61,967 copies/mL, CD4 was 189 cells/mL: Polyneuropathy is the most common neurological manifestation of HIV infection, with prevalence as high as half but up to two thirds of the...
by krezania | Jun 22, 2019 | Uncategorized
The patient presents with a clinical picture consistent with Guillain Barre Syndrome (GBS), considering the fact that the peak of weakness occurred within a period of one month followed by spontaneous improvement. Follow up nerve conduction study (demonstrated below),...
by krezania | Jun 22, 2019 | Uncategorized
A 38 year old female presented with paresthesia of hands and feet followed by severe weakness of lower extremities over a period of 1-2 weeks, to the extent that she could not stand without assistance, and needed help from the family for most of her activities of...
by krezania | Jun 22, 2019 | Uncategorized
Diagnosis–Eaton myasthenic syndrome (LEMS)As history and electrodiagnostic tests were suggestive for myasthenic syndrome, he underwent serological testing for that condition: Ca channel P/Q antibody: 2.16 nmol/L (normal < 0.02), Ca channel N antibody: 0.05 nmol/L...
by krezania | Jun 22, 2019 | Uncategorized
Diagnosis: familial amyotrophic lateral sclerosis (FALS) Genetic testing for chromosome 9 open reading frame 72 (C9ORF72) showed repeat numbers of >44 and 8 (normal <30). Although FALS constitutes about 10% of ALS patients (the other 90% are termed sporadic...
by krezania | Jun 21, 2019 | Uncategorized
48 y/o woman presented with right sided foot drop which was noted one year before with no pain or sensory symptoms. Six months later she developed left sided foot-drop, and noted twitching in the thighs and arms. Family history was significant for ALS in the father...
