Магнітно-резонансна томографія (МРТ) зробила революцію в практиці багатьох галузей медицини. Однак у галузі неврології МРТ використовується майже виключно для вивчення структури центральної нервової системи і залишається недооціненим методом при обстеженні периферичної нервової системи. У даній статті ми коротко обговоримо, як МРТ у поєднанні з клінічною оцінкою може сприяти діагностичному пошуку, і наведемо свій клінічний досвід використання МРТ у клініці нервово-м’язових захворювань.
We aim to report a COVID-19-related case of acute myelitis that has not been associated with any other viral infections. A 23-year-old student was admitted to the hospital within a month from the time of loss of smell and taste with features of acute-onset non-compressive myelitis with paresthesia on both sides from the Th9 level. Complex neurological, clinical, laboratory, and neuroimaging examination was performed within 24 hours of admission. MRI of the spine showed a segment of increased T2 signal in the center of the spinal cord at Th11-Th12. Elevated protein level and lymphocytic pleocytosis were detected in the cerebrospinal fluid. A serologic blood test for SARS-CoV-2 showed recent infection. PCR for other viral infections was negative. The patient was treated with injectable steroids and showed full recovery. Specific neurological features of acute myelitis associated with COVID-19 were reported, described, and analyzed. Patient was treated and recovered.
Пандемия коронавирусной инфекции 2019 г. (COVID-19) связана с тяжелым острым респираторным синдромом, вызванным коронавирусом 2 (SARS-CoV-2). Последние данные показывают, что SARS-CoV-2 проявляет нейротропные свойства и вызывает неврологические заболевания. Сообщалось о таких неврологических проявлениях у пациентов с COVID-19, как нарушение сознания, инсульт и судороги. Однако эти проявления не обязательно связаны с прямым инфицированием периферической или центральной нервной системы, а могут возникать вторично по отношению к тяжелой системной реакции в ответ на вирусную инфекцию вне нервной системы.
Limb-girdle muscular dystrophy is a genetically heterogeneous group of disorders that are characterized by slowly progressing muscle weakness and presents a diagnostic problem in the neurological practice. The combination of clinical, radiological, and laboratory methods of examination plays an important role in referring the patient to genetic counseling and making the correct diagnosis. Magnetic resonance imaging of muscles is increasingly used to give clues in the primary muscle damage diagnosis, based on specific patterns of muscle lesion. The article provides two clinical cases as an example of an integrated approach to the diagnosis of progressive muscular dystrophy using genetic analysis and magnetic resonance imaging of muscles
At all ages, skeletal muscle weakness characterizes Pompe disease, causes mobility problems and affects the respiratory system. We aimed to provide a narrative review of terminology, etiology, epidemiology, clinical manifestations, complications, and prognosis of Pompe disease, supported with a clinical case presentation. The clinical manifestation and complications of Pompe disease are illustrated with the clinical case presentation of a late-onset form in a white child. A comprehensive electronic literature search was performed on Ovid, Google Scholar, Scopus, PubMed, Embase, Cochrane Database, and World Health Organization databases to identify the articles that discussed Pompe disease.
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