A summary of recently published articles in the Neurology® Resident & Fellow Section
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July 7, 2020, issue
This issue showcases a Clinical Reasoning article featuring multifocal neuropathies in a patient with Waldenstrom macroglobulinemia. A Teaching NeuroImages case highlights slowly progressive hypertrophic brachial plexopathy.
Clinical Reasoning: Multifocal neuropathies in a patient with Waldenstrom macroglobulinemia and prior borreliosis
A 77-year-old man with a history of tick exposure presented with left-side facial palsy, back pain, night sweats, confusion, and other symptoms. The case highlights the importance of appropriate interpretation of Lyme disease CSF antibody index and of the consideration of neurolymphomatosis in emergence of multifocal neuropathies.
Page 44
Teaching NeuroImages: Slowly progressive hypertrophic brachial plexopathy due to SEPT9 mutation
This Teaching NeuroImages case shows—in the case of a 51-year-old man with muscle wasting, weakness, and paresthesia of the upper right limb—hereditary neuralgic amyotrophy presenting as brachial plexopathy.
Page e109
July 14, 2020, issue
This issue features a Global & Community Health article on neurologists treating patients experiencing homelessness. The Teaching NeuroImage case presents high-resolution MRI in sentinel headache.
Global & Community Health: Bringing neurologists into shelters for better patient care: Neurons on Wheels
This Global & Community Health article reflects on the experiences of and what can be learned from treating patients experiencing homelessness for neurologic issues.
Page 91
Teaching NeuroImages: High-resolution MRI before and during a sentinel headache demonstrates aneurysm wall hemorrhage
This case's high-resolution MRI highlights an imaging marker of aneurysm instability.
Page e224
July 21, 2020, issue
In this issue, a Clinical Reasoning article focuses on complex ataxia. The Teaching Video NeuroImages case looks at paroxysmal hyperkinesia with diurnal fluctuations.
Clinical Reasoning: Complex ataxia: Unpicking the threads
A 20-year-old woman presented with progressive unsteadiness. Genetic causes of ataxia should be considered in sporadic cases, and clinicians should consider key clinical features in complex ataxias.
Page 136
Teaching Video NeuroImages: Paroxysmal hyperkinesia with diurnal fluctuations due to sepiapterin-reductase deficiency
A 42-year-old man showed nonepileptic movements in late day, which improved following sleep. The case highlights the differential diagnosis for a patient with a combination of neurodevelopmental syndrome and a movement disorder with diurnal fluctuation.
Page e332
July 28, 2020, issue
This issue features a Clinical Reasoning article on a baby with hypotonia and developmental delays, highlighting the differential diagnosis for a profoundly hypotonic infant. The Teaching NeuroImages case shows neuroimaging and EEG in a case of spindle coma.
Clinical Reasoning: A 12-month-old child with hypotonia and developmental delays
This case describes a 12-month-old girl presenting with hypotonia and gross motor delays. The case highlights the challenge of diagnosing multiple mitochondrial dysfunctions syndrome without whole exome sequencing.
Page 184
Teaching NeuroImages: Spindle coma following cerebral herniation and pontine infarction
A case of spindle coma in a 67-year-old woman with bilateral subdural hematomas is presented.
Page e434
Footnotes
Editor's Blog: NPub.org/rfblog
Resident & Fellow Child Neurology Book: NPub.org/cn_about
Resident & Fellow ePearls: NPub.org/epearls
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