Although multiple sclerosis’ (MS) diagnosis is usually made in adulthood, clinical presentation before the age of 18 occurs in up to 10% of the individuals. McDonald’s criteria applicability in diagnosing MS in adolescents is already established with the 2010 revision. The first clinical case we present is an adolescent with a family history of MS and a right retrobulbar optic neuritis’ presentation. Magnetic r...
Introdução: A romboencefalite é um síndrome raro cuja etiologia poderá ser de causa infeciosa, autoimune ou paraneoplásica. Descrição do caso: Criança de 24 meses (M), antecedentes de hipotonia dos membros inferiores. Seguido em consulta de Neonatologia; ecografia transfontanelar (8M) e ressonância magnética (RMN) cerebral (11M) normais. Internado por febre e prostração, sem sinais neurológicos focais. Punção l...
Background: Localized scleroderma en coup de sabre (LScs) is a form of localized scleroderma thought to be an autoimmune disorder. Central nervous system involvement is not rare and neurological manifestations include seizures, focal neurological deficits, headache and neuropsychiatric changes. Methods: Patients attending the Neurology Clinic with the final diagnosis of LScs with neurological manifestations wer...
Wallerian degeneration (WD) after ischemic stroke has been associated to persistent motor impairment, but signal intensity changes on conventional magnetic resonance imaging (MRI) are generally not detected until four weeks after the event. We report a 54 year old male patient, referred to our hospital for sudden-onset left hemiparesis. Cerebral CT showed right fronto-parietal infarct (middle cerebral artery st...