Midnight tetraparesis, and morning dysarthria - Case Reports

Midnight tetraparesis, and morning dysarthria - Case Reports

Published on Sep 4
2009
Practical Neurology Podcast
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<p>This month's cases both feature sudden onset neurological syndromes. The first case (1:23) is that of a 26-yo Brazilian man who awoke from sleep with weakness in all four limbs. The signs suggest a possibility of Guillain-Barré syndrome or polio. A normal cranial nerve examination follows, with no unusual findings - <a href='https://pn.bmj.com/content/24/4/342'>https://pn.bmj.com/content/24/4/342</a> </p> <p>A 69-yo woman is the subject of the second case (14:33), after she presents with sudden onset unsteadiness and slurred speech when getting out of bed. A stroke was initially examined for by CT head scan, proving unremarkable, but a subsequent MRI scan showed an intense midbrain lesion. The patient subsequently improved, but then returned three months later with occurrences of the same symptoms multiple times throughout the day - <a href='https://pn.bmj.com/content/24/4/310'>https://pn.bmj.com/content/24/4/310</a></p> <p>The case reports discussion is hosted by Prof. Martin Turne...