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Paraneoplastic neurological syndromes are neurological degenerative disorders that occur in patients with neoplasms outside the nervous system, associated with anti-neuronal cell antibodies that provide antitumour immunity. Fifty per cent of [...]

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The acute onset of symptoms of severe cervical radiculo-myelopathy in four patients with athetoid-dystonic cerebral palsy is reported. Neurological and radiological examination showed that the spondylotic changes of the cervical spine were responsible for new neurological deficits leading to the patients being bedridden. Dystonic-athetoid neck movements may cause excessive axial neck rotation as well as flexion and extension movements of the spine. These repetitive exaggerated movements may result in early degenerative changes of the vertebrae which may enhance the radiculo-myelopathy. The four patients were treated with an anterior discectomy with interbody fusion. They were bedridden pre-operatively but all have since been able to walk with or without a cane. It is concluded that early anterior decompression with interbody fusion is a treatment of choice for cervical spondylotic radiculo-myelopathy in association with athetoid cerebral palsy. [ABSTRACT FROM AUTHOR]

A 78 year old, right handed man developed the syndrome of alexia without agraphia due to a right occipital thrombotic stroke. The cerebral dominance test strongly suggests that his right hemisphere is dominant. This is believed to be the first case of alexia without agraphia secondary to a right occipital lesion in a right handed person. [ABSTRACT FROM AUTHOR]

We experienced two consecutive cases of Wallenberg syndrome that developed after COVID-19 infection. Case 1 had symptoms such as a sore throat, but also complained of strong stress related to work and home at the same time. Therefore, it was initially thought due to a mental cause, but the psychiatrist denied depression and pointed out that it was a physical problem. After conducting neurological examinations and a videofluoroscopic (VF) swallowing examination, it was found to be dysphagia. Based on these findings, Wallenberg syndrome was diagnosed by MRI. Due to these events, it took a very long time to diagnose. Because of this experience, Case 2 was diagnosed with Wallenberg syndrome in a short time. Therefore, if symptoms like those in this case report such as feeding problems are observed after COVID-19 infection, it is considered meaningful to suspect Wallenberg syndrome from the beginning., Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. The Medical Ethics Board of Hirose Hospital issued approval 202303. Written consent was obtained from the subjects, and individuals cannot be identified. Therefore, there is no problem in reporting this case. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work., (Copyright © 2024, Furuya et al.)