Neurobowl 2013

AAN San Diego

Cinematic Consultant – Joe Jankovic

Complex Partial Seizure with secondary

generalization in a Boston Terrier

Myasthenia Gravis

Fencing Response

• Hosseini AH, Lifshitz J. Brain Injury Forces of Moderate Magnitude Elicit the Fencing Response. Med. Sci. Sports Exerc., 2009;41(9):1687–97.

Voluntary Nystagmus

Answer

• Lincoln• Migraine

NEED MUSIC ONLY NO PICTURE– This Land is your land by Woody Guthrie

Woody GuthrieHuntington Disease

• Botticelli• Babinski Sign

R. Aaron Robison et al, Surgery of the Mind, Mood, and Conscious State: An Idea in Evolution. World Neurosurgery Volume 77, Issues 5-6 2012 662 - 686

Christian Need Music LOBOTOMY

Ice Pick Lobotomy (Office Procedure)

Bruxism Artifact on EEG

Hirsch and CrispinNeurology 1999;53:669-669

Proximal PCA Occlusion with Cerebellar outflow tremor due to posterior thalamic damage

Congenital insensitivity to pain

Klein CJ et al. J Neurol Neurosurg Psychiatry. 2012 .(Epub ahead of print) Infrequent SCN9A mutations in congenital insensitivity to pain and erythromelalgia

Blazing SaddlesHorse Concussion

Hyocalcemic Tetany due to Hyperventilation

Causalgia

Bielschowsky Sign

Mirror MovementsKlippel Feil Syndrome

Purple Glove Syndrome

Purple Glove Syndrome: a dreadful complication of intravenous phenytoin administration BMJ Case Rep. 2012 Aug 24;2012.Lalla R, Malhotra HS, Garg RK, Sahu R.

Myotonic Dystrophy

What are Heterotopia,

Lissencephaly, and

Polymicrogyria

Palatal Tremor Progressive Ataxia Syndrome GFAP mutation

BONUS ROUND

Neurological Condition?

Vascular Parkinsonism

William Richard Gowers

Median and Radial Nerve Injury at the Elbow due to Arterial Hematoma

My Left FootCerebral palsy

Catatonia

TIE BREAKER OR BONUS

Chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids (CLIPPERS)

Pittock SJ et al; Chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids (CLIPPERS). Brain. 2010 Sep;133(9):2626-34

ROUND 2

ParaplegiaOlfactory Epithelium implant

Tourette syndromeCongenital Nystagmus

Tuberous Sclerosis Complex

Insert MSA Stridor

Multiple System Atrophy

INSERT MOVIE RABIES IN A HUMAN

Human Rabies

. Progressive Supranuclear Palsy

Dudley Moore

Mercury Intoxication Alice in Wonderland

Lewis Carroll(Charles Lutwidge Dodgson)

Faciobrachial Dystonic Seizures

• Irani S et al, Faciobrachial Dystonic Seizures: Ann Neurol,2011;69(5):892-900

• The majority have VGKC antibodies

Case History

A 53-year-old man developed episodic visual disturbances manifesting as flashing vague shapes in the left hemi-field for a few months. MRI was performed.

SOLITARY FIBROUS TUMOR

Ginat DT, Bokhari A, Bhatt S, Dogra V. Imaging features of solitary fibrous tumors. AJR Am J Roentgenol. 2011

Mar;196(3):487-95.

Tardive Oculogyric Crises

The SessionsPoliomyelitis

Osmotic Demyelination

Myoclonus DystoniaEpsilon Sarcoglycan Mutation

Wernicke’s Aphasia

The JerkConvergence Spasm

Midbrain Arteriovenous Malformation

Surfer’s Myelopathy

Takakura T, Yokoyama O, Sakuma F, Itoh R, Romero RR.Complete Paraplegia Resulting from Surfer's Myelopathy. Am J Phys Med Rehabil. 2012 Jan 17.

Utilization Behavior

Utilization behavior: clinical and theoretical approaches.Besnard J et al J Int Neuropsychol Soc. 2010 May;16(3):453-62

Post-Infectious ocular flutter and head jerks

Diagnosis

• Dysguesia due to Zinc deficiency

Heckmann SM et al Zinc gluconate in the treatment of dysgeusia--a randomized clinical trial. J Dent Res. 2005

Jan;84(1):35-8.

Answer

• Eclampsia

What is your name? Auguste. Last name? Auguste.What is your husband's name? Auguste, I think

Answer

• Auguste Deter who was the first patient reported by Alois Alzheimer

• She demonstrates perseveration

Auguste D.:Alzheimer Alois. Über eine eigenartige Erkrankung der Hirnrinde [About a peculiar disease of the cerebral cortex]. Allgemeine Zeitschrift fur Psychiatrie und Psychisch-Gerichtlich Medizin. 1907;64(1–2):146–148

BONUS ROUND

Insert Double Whammy

Valsalva Maneuver Orbicularis Oculi Contraction

Diagnosis

• Left Atrial Myxoma

A Patient with cerebral Hemorrhage

Hereditary Hemorrhagic Telangiectasia

Periodic Alternating Nystagmus

Andersen–Tawil syndrome

• Hypokelemic periodic paralysis and Long QT syndrome

• Type 1, (60%) mutation in the KCNJ2 gene• Autosomal dominant• Potassium channel defect expressed in skeletal

and cardiac muscleKamate M, Chetal V.Andersen Tawil syndrome - periodic paralysis with dysmorphism. Indian Pediatr. 2011 Jan;48(1):64-5