A sífilis é uma doença reemergente, com um aumento da sua prevalência em Portugal de 14,8 vezes em cinco anos (2016-2021). Nos doentes com infeção pelo vírus de imunodeficiência humana (VIH), a sífilis adquire formas atípicas e mais graves, principalmente nos doentes com imunossupressão severa, sendo um dos paradigmas a neurossífilis. Apresentamos o caso clínico de um homem de 29 anos com cefaleia com um mês de...
Hyperglycemia-induced chorea/ballism is a rare clinical entity that often occurs in the setting of nonketotic hyperglycemia due to poor glycemic control in elderly patients with a diagnosis of type 2 diabetes mellitus (DM). This condition is typically characterized by hemichorea/hemiballism and unique brain imaging findings in the contralateral basal ganglia. Treatment involves the correction of blood glucose, ...
INTRODUCTION: Several questions about pregnancy in women with multiple sclerosis (MS) have been discussed, but clarification is still needed in some very practical issues. Portuguese data on this subject remain scattered and need to be analyzed in order to standardize clinical practice. OBJECTIVE: This study aimed to describe and analyze the impact of MS on pregnancy and perinatal health of children born to Por...
Selective and bilateral involvement of the limbic system by gliomas is rarely reported. The authors report the case of a 58 years-male complaining of short-term memory loss in the preceding three weeks. The initial MRI revealed areas of hyperintensity on T2 and FLAIR sequences involving both hippocampus, amygdala, parahippocampus gyrus and the fornix, with contrast enhancement in the right mesial temporal regio...