No abstract

Primary angiitis of the central nervous system is a rare idiopathic vasculitis affecting small- and medium-sized vessels, isolated to the brain, leptomeninges and spinal cord. We report a case of biopsy-proven primary angiitis of the central nervous system, displaying some atypical features. This case highlights several key diagnostic and management issues of the disorder as well as its potential heterogeneity.

We report a case of melancholic depression with catatonic features presenting as a rapidly progressive organic brain syndrome, initially thought to be probable Creutzfeldt-Jakob disease. The case highlights the fundamental importance of thorough exclusion of treatable pathology masquerading as an irreversible syndrome.

It is well recognised that the healthcare of those with learning disability (LD) has traditionally fallen behind the care received by the general population. It may be argued that sexual health is among the most difficult and challenging areas for healthcare professionals to address. Difficulties arise from unique communication problems, establishing consent and third party involvement from families and carers. GPs are ideally positioned to provide holistic sexual healthcare for those with learning disability; this article aims to set out some of the areas of difficulty and offer guidance to ensure the subject can be approached with confidence.