A summary of recently published articles in the Neurology® Resident & Fellow Section
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September 1, 2020, issue
This issue showcases a Clinical Reasoning case of a 14-year-old boy with acute weakness, paresthesias, and headache. The Teaching Video NeuroImage case depicts Ross syndrome, and a Teaching NeuroImage examines amyloid myopathy. In the current era of expanding telemedicine in response to coronavirus disease 2019, the Training in Neurology article examines the current and future direction of teleneurology training for residents.
Clinical Reasoning: A 14-year-old boy with acute weakness, paresthesias, and headache
A 14-year-old boy with a history of atrial tachycardia presented to the emergency department with right foot and ankle weakness following a fall 5 days earlier. The case emphasizes the neurologic manifestations of Lyme disease.
Page e1285
Teaching Video NeuroImages: Disorder of sweat, tonic pupil, and areflexia: Ross syndrome
This Teaching Video NeuroImages case features a 40-year-old man experiencing anhidrosis and other symptoms of the autonomic disorder. The case summarizes the diagnosis and pathophysiology of Ross syndrome.
Page e1292
Teaching NeuroImages: Amyloid myopathy: Not your usual suspects
The case of a 31-year-old man with calf atrophy highlights interstitial amyloid deposits in amyloid myopathy. The case demonstrates the histopathologic findings and importance of genetic analysis in patients with muscular dystrophy.
Page e1290
Training in Neurology: Adoption of resident teleneurology training in the wake of COVID-19: Telemedicine crash course
This Training in Neurology article discusses the importance of resident training in teleneurology in light of the coronavirus disease 2019 (COVID-19) pandemic. Existing models of teleneurology are reviewed and proposed competencies and milestones for telemedicine curricula are proposed.
Page 404
September 8, 2020, issue
This issue features 2 Pearls & Oy-sters cases: 1 showcases Guillain-Barré syndrome as an unusual presentation of acute intermittent porphyria; the other highlights a neurologic complication of COVID-19. The first Teaching NeuroImage case depicts brain imaging abnormality in a child with a novel ATP1A2 mutation; the other shows a case of pupil-sparing oculomotor nerve palsy in a patient with cerebral aneurysm, defying the “rule of the pupil.”
Pearls & Oy-sters: Guillain-Barré syndrome: An unusual presentation of acute intermittent porphyria
This Pearls & Oy-sters case presents a 61-year-old man with progressive abdominal pain and acute kidney failure upon laboratory workup. The case emphasizes the differences between Guillain-Barré syndrome and porphyric neuropathy.
Page e1437
Pearls & Oy-sters: Bilateral globus pallidus lesions in a patient with COVID-19
A 52-year-old woman with a history of hypertension and type 2 diabetes mellitus presented with bilateral globus pallidus lesions and COVID-19. Brain imaging may be essential when investigating neurologic symptoms in patients with COVID-19.
Page 454
Teaching NeuroImages: Transient cytotoxic edema in a child with a novel ATP1A2 mutation
A 7-year-old boy with ATP1A2 mutation is described. Neuroimaging revealed transient diffusion restriction, which may be another radiographic feature in these patients.
Page e1441
Teaching NeuroImages: Pupil-sparing oculomotor nerve palsy with posterior communicating artery aneurysm
This case shows an exception to the “rule of the pupil.” A woman with ptosis and diplopia without anisocoria was diagnosed with pupil-sparing third nerve palsy due to posterior communicating artery aneurysm.
Page e1443
September 15, 2020, issue
The Right Brain essay in this issue examines a neurologist's experience losing a patient. The Clinical Reasoning article looks at a child with muscle weakness in all extremities. In the first Teaching NeuroImage case, a man presents with neuropsychiatric symptoms following treatment for bronchiectasis. The second Teaching NeuroImage examines a treatable cause of progressive myelopathy.
Right Brain: Echoes of loss
This nonfiction piece, winner of the Consortium of Neurology Resident & Fellow Essay Contest, highlights the account of a neurologist experiencing the loss of a patient and the emotional toll of this event.
Page 502
Clinical Reasoning: A child with muscle stiffness
A child experienced muscle stiffness while playing hockey. This case highlights the distinct muscle weakness exacerbated by exercise in paramyotonia congenita.
Page e1609
Teaching NeuroImages: Drowsiness, visual hallucination, grandiose delusion, and neologism of a 48-year-old man
A 48-year-old man presented with visual hallucinations and other psychiatric symptoms following treatment for bronchiectasis.
Page e1613
Teaching NeuroImages: Spinal xanthomatosis: A misdiagnosed, treatable cause of progressive myelopathy
This case presents a rare variant of cerebrotendinous xanthomatosis in a 57-year-old woman with progressive multiple sclerosis.
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September 22, 2020, issue
This issue features a Clinical Reasoning case of a teenage girl with vertigo in an article highlighting immunotherapy and tumor resection in opsoclonus-myoclonus syndrome. The Pearls & Oy-sters article looks at seizures in the presence of severe vitamin D deficiency. The first Teaching NeuroImage case showcases neurologic deterioration following atrial fibrillation ablation; the second highlights imaging findings in hemiplegic migraine.
Clinical Reasoning: An adolescent girl presenting with worsening vertigo, headache, and ataxia
This case describes a 16-year-old girl experiencing vertigo and abnormal jerking movements. Pelvic MRI revealed an ovarian teratoma. The case emphasizes the importance of evaluating for ovarian teratoma in adolescent patients with this presentation and the role of lesional control in management.
Page e1760
Pearls & Oy-sters: Focal hypocalcemic seizures secondary to severe vitamin D deficiency/rickets
Hypocalcemic seizures may be indicative of severe vitamin D deficiency. This case of an infant Indian boy shows the importance of culturally informed care.
Page e1764
Teaching NeuroImages: Neurologic deterioration after atrial fibrillation ablation
Chest CT led to a diagnosis of cardioembolic stroke in a 68-year-old man with neurologic decline following atrial fibrillation ablation.
Page e1766
Teaching NeuroImages: Magnetic resonance perfusion and diffusion findings in hemiplegic migraine
This case of a 6-year-old boy with a family history of hemiplegic migraine presents rare diffusion-weighted imaging changes.
Page 554
September 29, 2020, issue
This issue includes a Clinical Reasoning case presenting a rare variant of spinocerebellar ataxia in a 24-year-old man. The Global & Community Health article highlights regional differences in training by looking at ischemic stroke management in Toronto and Manila. A woman with left arm weakness and numbness is described in the first Teaching NeuroImage case; in the second, a case of a baby with sulfite oxidase deficiency is examined.
Clinical Reasoning: A 24-year-old man with head tremor and decreased ceruloplasmin level
A 24-year-old man experienced head tremor exacerbated by exercise and emotional stress. The case illustrates the rare variant SCA14, characterized by slowly progressive ataxia.
Page e1906
Global & Community Health: Acute ischemic stroke in Toronto and Manila: Bridging the gap
The global burden of stroke is rising, and this article looks at treatment in Toronto and Manila. The article highlights disparities in the experience of neurology trainees around the world and lessons learned to overcome these challenges through implementation of an international videoconferencing exchange program.
Page 604
Teaching NeuroImages: A large spinal cord syringomyelia associated with arachnoid web formation
Syringomyelia is presented in the case of a 31-year-old woman with numbness and weakness in her left arm.
Page e1911
Teaching NeuroImages: Early imaging of sulfite oxidase deficiency mimics severe hypoxic ischemic encephalopathy
An infant developed intractable multifocal seizures. Sulfite oxidase deficiency may mimic severe hypoxic ischemic encephalopathy.
Page e1913
Footnotes
Editor's Blog: NPub.org/rfblog
Resident & Fellow ePearls: NPub.org/epearls
Resident & Fellow Clinical Reasoning Book: NPub.org/crb
- © 2020 American Academy of Neurology
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