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