1/8. A 15-year-old boy with central nervous system vasculopathy presenting with dysarthria-clumsy hand syndrome.dysarthria-clumsy hand stroke syndrome has been described frequently in adults but not in children. We report a 15-year-old right-handed boy with sudden onset of dysarthria, dysphagia, right facial weakness, and mild right-hand clumsiness. Computed tomographic scan and magnetic resonance imaging demonstrated infarction in the genu and posterior limb of the left internal capsule. magnetic resonance angiography and conventional angiography demonstrated stenosis of the supraclinoid portion of the left internal carotid artery and the origin of the left ophthalmic artery. Lacunar infarction in an older adult is not the only mechanism leading to dysarthria-clumsy hand syndrome.- - - - - - - - - - ranking = 1keywords = central nervous system, nervous system (Clic here for more details about this article) |
2/8. Psychogenic voice disorders: literature review and case report.This paper explores some of the similarities and differences between hysteria and hypochondriasis and suggests that voice disorders are a prototype of disorders which reflect the intricate interplay of emotional, cognitive and physiological functions. Speech production requires the involvement of various systems of the body, including the central nervous system, respiratory and vocal systems. Voice disorders can take many different forms and can be caused by a variety of factors. A review of the relevant literature is presented along with a clinical case record of a woman with hysterical dysarthria.- - - - - - - - - - ranking = 0.25keywords = central nervous system, nervous system (Clic here for more details about this article) |
3/8. Hemiparesis and ischemic changes of the white matter after intrathecal therapy for children with acute lymphocytic leukemia.Three children with acute lymphocytic leukemia (ALL) developed delayed-onset transient hemiparesis and facial palsy after intrathecal (IT) administration of methotrexate (MTX) alone or as part of triple intrathecal chemotherapy for central nervous system (CNS) prophylaxis. The hemiparesis developed 10 to 14 days after IT therapy. Two of three children also experienced transient, profound expressive dysarthria. These episodes occurred during maintenance treatment after multiple IT administrations and without previous CNS toxicity. Two of three children received intermediate-dose MTX, 1 g/m2, not less than 5 weeks before events. These patients had not received cranial irradiation and had no evidence of CNS leukemia before or after these episodes. Ischemic changes on computerized tomographic scan or magnetic resonance imaging studies were documented in all three cases. Such changes are unusual manifestations of neurotoxicity in children after intrathecal therapy.- - - - - - - - - - ranking = 0.25keywords = central nervous system, nervous system (Clic here for more details about this article) |
4/8. tobacco intolerance in multiple system atrophy.In a patient with multiple system atrophy, the ataxia was temporarily exacerbated by cigarette smoking. The phenomenon is attributed to a direct effect of nicotine on the central nervous system, rather than being secondary to autonomic changes. Its prevalence and specificity are currently unknown.- - - - - - - - - - ranking = 0.25keywords = central nervous system, nervous system (Clic here for more details about this article) |
5/8. Hyperkinetic dysarthria as an early indicator of impending tardive dyskinesia.Tardive dyskinesia is a potentially irreversible disturbance of the central nervous system that is associated with the chronic ingestion of neuroleptic medications. Abnormal movements within the oral musculature are characteristic of tardive dyskinesia and are manifested in motor speech production as hyperkinetic dysarthria. Early detection of hyperkinetic dysarthria in patients who have chronically ingested neuroleptic agents may play a critical role in preventing an irreversible condition of tardive dyskinesia.- - - - - - - - - - ranking = 0.25keywords = central nervous system, nervous system (Clic here for more details about this article) |
6/8. Neurogenic dysphonia.Disorders of phonation and resonation subsequent to damage to the central or peripheral nervous system (neurogenic dysphonia) typically occur with alterations in other aspects of motor speech: articulation, prosody, and respiration. Deficits in voice initiation or coordination of resonation with speech that occur without significant neuromuscular impairment following a lesion to Broca's area are compatible with a motor speech programming disorder, or apraxia of speech. Conversely, damage to upper or lower motor neurons subserving motor speech results in a group of neuromuscular speech disorders, the dysarthrias, which have signs including aberrations of phonation and resonation which can be differentiated. The neuropathologic and perceptual characteristics of neurogenic dysphonia are elucidated, and suggestions are provided for their identification and differentiation.- - - - - - - - - - ranking = 0.073232218608842keywords = nervous system (Clic here for more details about this article) |
7/8. Computerized tomographic findings in neuro-Behcet's disease.Exacerbations of neurologic deficit in a patient with neuro-Behcet's disease were accompanied by a contrast-enhancing lesion on cerebral computerized tomography. Such lesions are consistent with the histopathologic findings in neuro-Behcet's disease, and can increase the clinical suggestion of the diagnosis in patients whose first symptoms are restricted to the nervous system.- - - - - - - - - - ranking = 0.073232218608842keywords = nervous system (Clic here for more details about this article) |
8/8. Spinal cord stimulator activation by an antitheft device. Case report.The authors present a case in which electrical injury to the central nervous system resulted from uncontrolled activation of a cervical spinal cord stimulation device by an antitheft device. The injury resulted in long-term neurological sequelae.- - - - - - - - - - ranking = 0.25keywords = central nervous system, nervous system (Clic here for more details about this article) |