Articles
  • Guidelines

    China guidelines for the diagnosis and treatment of myasthenia gravis

    Zhu-Yi Li
    Myasthenia gravis (MG) is a typical autoimmune disease mediated by auto-antibodies, immune cells and complement systems at the postsynaptic membrane of the neuromuscular junction. Over 80 % of MG patients have anti-acetylcholine receptor antibody. This guideline will describe the clinical manifestations and classification, laboratory examinations, diagnosis and differential diagnosis, treatment and prognosis.
    Published on: 20 Jan 2016
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  • Review

    The conflict on posttreatment Lyme disease syndrome: a clinical mini review

    Manos Bogdos , Sotirios Giannopoulos , Maria Kosmidou
    Is Borrelia burgdorferi responsible for the persistence of symptoms after the standard successful course of antibiotics in Lyme disease patients? This highly controversial issue, concerning the underlying mechanism of posttreatment Lyme disease syndrome (PTLDS), still seems to be a matter of intense conflict of opinion. PTLDS is the manifestation of nonspecific symptoms including fatigue, musculoskeletal pain, dysesthesias, and neurocognitive deterioration after the standard antimicrobial therapy administered to patients suffering from Lyme disease. In this article, we review the...
    Published on: 20 Jan 2016
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  • Case Report

    Artery of Percheron occlusion: role of diffusion-weighted imaging in the early diagnosis

    Murali Krishna Menon , Suma Mariam Jacob , Muhammed Jasim Abdul Jalal
    Bilateral thalamic infarcts have a low frequency among different subtypes of strokes. Since it does not involve a particular vascular territory, it therefore usually involves the occlusion of the artery of Percheron (AOP). Here we report a 79-year-old right-handed Parkinsonian female patient, who was found unresponsive in bed. On examination, the patient was drowsy with a Glasgow Coma Score (GCS) of 10/15 (E2M5V3). She had absent doll’s eye response with anisocoric pupils and intermittent vertical gaze palsy. Although the patient had no apparent motor deficits, she was in a state of...
    Published on: 20 Jan 2016
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  • Case Report

    Central nervous system blastomycosis presenting as a year-long chronic headache

    Elena Grebenciucova , Maciej S. Lesniak , Peter Pytel , Rimas V. Lukas
    This case describes a posterior fossa mass due to blastomycotic infection in a non-immunocompromised 41-year-old male presenting with a chronic headache for over one year. Given the risk of herniation, no lumbar puncture could be performed. A full work-up found no evidence of systemic infection. Surgical resection helped identify the mass as a blastomycotic abscess. Magnetic resonance imaging characteristics of the mass were helpful in the identification of the mass as a fungal abscess
    Published on: 20 Jan 2016
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