Unihemispheric atrophy, and a culinary culprit - Case Reports Oct 2025

Unihemispheric atrophy, and a culinary culprit - Case Reports Oct 2025

Published on Oct 23
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Practical Neurology Podcast
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<p>Two new cases from the latest issue of the journal present the podcast team with some rare explanations, and a chance to test yourself on food trivia.  </p> <p>In the first case (1:18), from Malaysia, a 49-yo left-handed woman develops 10 days of recurrent left-sided focal facial seizures. These seizures progressed to epilepsia partialis continua, which is controlled with some difficulty by employing a broad range of six different anti-seizure medications. Further symptoms arose during monitoring, including emotional lability as well as dystonia, left arm dysfunction, dysphasia and dysarthria. EEG imaging showed focal slowing in the right hemisphere.</p> <p><a href='https://pn.bmj.com/content/25/5/475'>https://pn.bmj.com/content/25/5/475</a></p> <p>The second case (22:20) features a Northamptonshire chef in her 60s, who presents to the emergency department with a week-long history of nausea, vomiting, and abdominal pain. This progressed to dysphagia and dypsnoea, as well as a downsh...