Pearls & Oy-sters: Upbeat Nystagmus and Quadriplegia in a Young Girl with Bilateral Medial Medullary Syndrome
The presence of nystagmus differentiates a high cervical cord and a brainstem lesion in a quadriplegic patient.
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Teaching Video NeuroImage: Spontaneous Upbeat-Torsional Nystagmus From Medial Medullary Infarction
A 71-year-old man presented with acute dizziness and right-sided paresthesia. Examination revealed spontaneous torsional nystagmus (top pole of eyes beating to the left) with a…
Spinal cord lesions and brain grey matter atrophy independently predict clinical worsening in definite multiple sclerosis: a 5-year, multicentre study
Objectives To evaluate the combined contribution of brain and cervical cord damage in predicting 5-year clinical worsening in a multicentre cohort of definite multiple sclerosis…
Pearls & Oy-sters: Grisel Syndrome Presenting as Pseudodystonia: A Twist in the Neck
Pseudodystonia is a term that describes abnormal postures, repetitive movements, or both, where clinical analysis, imaging, laboratory, or electrophysiologic investigations indicate that these movements are…
Dorsal vagal nucleus involvement relates to QTc‐prolongation after acute medullary infarction
Background Infarction of the medulla has been associated with prolongation of the QTc, severe arrhythmia, and sudden cardiac death, yet the precise anatomical substrate remains…
Clinical Reasoning: A 43-Year-Old Man With Subacute Onset of Vision Disturbances, Jaw Spasms, and Balance and Sleep Difficulties
A brainstem syndrome is recognizable in patients presenting with a combination of visual disturbances, incoordination, gait problems, speech and swallowing difficulties, and new-onset sleep symptomatology.…
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