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Hypothalamic activation in trigeminal autonomic cephalgia: functional imaging of an atypical case.

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We report headache induced BOLD changes in an atypical case of trigeminal autonomic cephalgia (TAC). A 68-year-old patient was imaged using fMRI during three attacks of a periorbital head-pain with a average duration of 3 min. During the attacks, left sided conjunctival injection, rhinorrhea,

Acute Presentation of Chiari I Malformation with Hemiparesis in a Pediatric Patient.

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BACKGROUND Chiari I malformation (CM-I) is defined by cerebellar tonsillar herniation through the foramen magnum. Patients typically present with chronic complaints, including headache, dizziness, and numbness, although there are few reports in the literature of pediatric patients presenting acutely

[Neurologic symptoms in inhalation poisoning with metallic mercury].

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Nineteen caisson workers had been exposed to metallic mercury vapours while digging tubes underneath the first district of Vienna (exposure between 470 and 2440 min; mean 1621 min). The blood mercury values on admission were between 29 and 166 micrograms/l (mean 75 +/- 34 micrograms/l). The main

Facial diplegia as unusual variant of Guillain-Barré syndrome: first case reported in Venezuela.

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The Guillain-Barré syndrome (GBS) is the most common cause of acute generalized paralysis. GBS is an acute inflammatory demyelinating polyradiculoneuropathy. It usually presents as a paralysis that starts in the lower limbs and then progresses symmetrically upward. The present study reports a case

Factors associated to bruxism in children from 4-6 years.

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BACKGROUND Bruxism has brought losses for the life quality of people. Its implications in the orofacial motricity and speech of children are still not well known. OBJECTIVE To investigate bruxism occurrence and associated factors concerning oral habits, orofacial motricity and functions of chewing,

Isolated involvement of substantia nigra in acute transient parkinsonism: MRI and PET observations.

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A woman, aged 27 years, developed acute headache and fever followed by tremor, rigidity, and bradykinesia. Masked face, drooling saliva, monotonous voice, and dysphagia were observed. She was totally bedridden during the worst period because of marked generalized rigidity and bradykinesia. There was

Radiology Case of the Month: A Case with Relapsing Episodes of Weakness and Seizures.

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A 23-year-old man presented to the clinic with a oneweek history of left upper and lower extremity numbness, starting in his left hand and progressing to his left foot. He then experienced intermittent difficulty walking and left-sided drooling. The patient also reported having a left arm abscess

Safety of the electroconvulsive therapy and amisulpride combination.

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BACKGROUND Electroconvulsive therapy is frequently considered when pharmacotherapy is ineffective. In such cases the combination of the two treatment modalities are commonly used. Amisulpiride, a second generation antipsychotic drug is used in the treatment of schizophrenia and psychotic depression.

Modification of tonic-clonic convulsions by atracurium in multiple-monitored electroconvulsive therapy.

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OBJECTIVE To determine the effect of two different doses of atracurium on the modification of tonic-clonic convulsions in multiple-monitored electroconvulsive therapy (MMECT). To compare recovery time and adverse reactions of these doses. METHODS Clinical study. Anesthesiologist was blinded in the

[Botulinum toxin in otorhinolaryngology].

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OBJECTIVE Through its anticholinergic effect, botulinum toxin is a suitable therapeutic option for dysfunctions of the muscular and the autonomic nervous system. METHODS Beside the classical indications like facial hyperkinesis (i.e. blepharospasm, hemifacial spasm), the treatment of complex

Biphasic illness pattern due to early relapse in Japanese-B virus encephalitis.

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Japanese-B virus encephalitis (JE) is considered a uniphasic illness with a variable outcome. Biphasic illness patterns have never been reported previously. From an endemic zone in India we observed six patients of JE (from 62 patients treated in 7 years) who had an early relapse resulting in the

Safety and tolerability of CI-979 in patients with Alzheimer's disease.

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CI-979 ((E)-1,2,5,6-tetrahydro-1-methyl-3-pyridinecarboxaldehyde, O-methyloxime monohydrochloride), a novel muscarinic agonist, is being investigated as a potential treatment for Alzheimer's disease (AD). The objective of the present study was to determine the safety and tolerance of multiple,

Botulinum toxin-physiology and applications in head and neck disorders.

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This article is structured around a literature review that was carried out using Ovid and Medline with the key words "botulinum," "toxin," and "ENT." Botulinum toxin has been used safely in humans for more than 20 years. The effects are transient, such that treatments are required to be repeated at

Update on botulinum toxin use in facial plastic and head and neck surgery.

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OBJECTIVE The purpose of this review is to discuss current trends in the medicinal use of botulinum toxin in head and neck and facial plastic surgery. The basic science of botulinum toxin is presented along with a comparison of the subtypes currently available on the market. Site-specific

Severe accidental overdose of 4-aminopyridine due to a compounding pharmacy error.

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BACKGROUND 4-Aminopyridine (4-AP) is a potassium channel-blocking drug used to ameliorate symptoms of multiple sclerosis and spinal cord injury by facilitating neural impulse conduction. It is not Food and Drug Administration (FDA) approved, but information about it is disseminated via the Internet,

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