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Case report: A 25-year-old man with Behçet's disease was admitted because of weakness of the lower limbs and difficulty in urination. He had received a rabies vaccination 2 months previous because he had been bitten by a dog. Findings: Clinical and laboratory findings supported acute transverse myelitis. A hyperintense lesion and expansion at the level of conus medullaris was detected on spinal magnetic resonance imaging. Conclusion: Although neurologic involvement is one of the main causes of mortality and morbidity in Behçet's disease, the factors that aggravate the involvement of the nervous system are still unclear. Vaccination may have been the factor that had activated autoimmune mechanisms in this case. To our knowledge, involvement of the conus medullaris in Behçet's disease after rabies vaccination has not been reported.

Serum low-density lipoprotein, total cholesterol and homocysteine levels were associated with SBI.

Introduction:Routine conduction studies reflect the summation of all nerve fibers in a peripheral nerve. Nerve fiber groups to distal, small muscles have smaller diameters than the ones to large proximal muscles. There may be minimal differences between the diameters of nerve fiber groups innervating different muscles; even they are all same type of fibers. So, in neuropathic processes some nerve fiber groups may be more seriously affected.Materials and Methods:14 rats ( 7 diabetic, 7 control) were studied. Tibial nerve was stimulated from two points and while recorded from a distal (foot intrinsic muscles) and a proximal (gastrocnemius) muscle.Results:There was a significant difference between the proximal and distal recorded conduction velocities. Both proximal and distal recorded conduction velocities decreased during the hyperglycemic process.Discussion:Our method successfully demonstrated different nerve fiber groups; but, the neuropathic process seemed to be homogeneous in both fiber groups.

We evaluated the predictive factors of symptomatic intracranial hemorrhage (SICH) in endovascular treatment of stroke. We included 975 ischemic stroke patients with anterior circulation occlusion. Patients that had hemorrhage and an increase of ≥4 points in their National Institutes of Health Stroke Scale (NIHSS) after the treatment were considered as SICH. The mean age of patients was 65.2±13.1 years and 469 (48.1%) were women. The median NIHSS was 16 (13–18) and Alberta Stroke Program Early CT 9 (8–10). In 420 patients (43.1%), modified Rankin Scale was favorable (0–2) and mortality was observed in 234 (24%) patients at the end of the third month. Patients with high diastolic blood pressure ( P<.05) had significantly higher SICH. SICH was significantly higher in those with high NIHSS scores ( P<.001), high blood glucose ( P<.001), and leukocyte count at admission ( P<.05). Diabetes mellitus (DM) (OR 1.90; P<.001), NIHSS (OR 1.07; P<.05), adjuvant intra-arterial thrombolytic therapy (IA-rtPA) (OR, 1.60; P<.05), and puncture-recanalization time (OR 1.01; P<.05) were independent factors of SICH. Higher baseline NIHSS score, longer procedure time, multiple thrombectomy maneuvers, administration of IA-rtPA, and the history of DM are independent predictors of SICH in anterior circulation occlusion.

Opsoclonus–myoclonus syndrome is a rare disease and traditionally described as “dancing eyes, dancing feet syndrome.” It is characterized by opsoclonus (oscillations of the eyes in either horizontally or vertically) and myoclonus (spontaneous jerky movements of the limbs and trunk). There are numerous etiological factors defined such as paraneoplastic, para-infectious, toxic-metabolic, and idiopathic causes. The experience of opsoclonus–myoclonus syndrome in adults is very limited. Here, we present a case of treatment-refractory paraneoplastic opsoclonus–myoclonus syndrome associated with small-cell carcinoma of the lung.

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Bu çalışmada Guillain-Barré Sendromu (GBS) tanısı alan olgunun uzun dönem fizyoterapi ve rehabilitasyon sonuçları tartışıldı. 57 yaşındaki kadın olgunun yürümede güçlük ve üst ekstremitelerinde aniden başlayıp yayılım gösteren uyuşma şikayetleriyle hastaneye yatışı yapıldı. Klinik tablosundaki kötüleşme nedeniyle yoğun bakım servisine sevk edilen olgunun hastanede yatış süresi 63 gün sürdü. Akut dönemde başlayan fizyoterapi programı taburculuk sonrası süreçte devam etti. Olgu tedavi öncesinde ve takip sürecinde (6. ve 12. ayda) değerlendirildi. Olgunun kas kuvveti manuel kas testi, kavrama kuvveti el dinamometresi, ağrı düzeyi Vizüel Analog Skalası (VAS), yorgunluk seviyesi Yorgunluk Şiddeti Ölçeği (YŞÖ), denge performansı Berg Denge Ölçeği (BDÖ), fiziksel fonksiyonu ise Fonksiyonel Bağımsızlık Ölçeği (FBÖ) ve Fonksiyonel Ambulasyon Skalası (FAS) kullanılarak değerlendirildi. Fizyoterapi programı solunum egzersizleri, pasif, aktif yardımlı ve aktif egzersizler, germe egzersizleri, denge ve koordinasyon egzersizleri, aşamalı mobilizasyon ve günlük yaşam aktivitelerindeki bağımsızlığı sağlamak için fonksiyonel egzersizlerden oluştu. Bu çalışma prognozu kötü olan GBS'li olguda yoğun bakım servisinde başlayan ve bir yıl devam ettirilen fizyoterapi ve rehabilitasyon yaklaşımlarının kas kuvveti, ağrı, yorgunluk, denge, bağımsızlık düzeyi, fiziksel fonksiyon ve kavrama kuvveti parametrelerini iyileştirmede etkili olduğunu gösterdi.