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Sechi E, Gallus E, Solla P, Puggioni D, Amadu AM, Ortu R, Piras M, Defazio G, Erre GL. Teaching Video NeuroImage: Bilateral Hemifacial Spasm in Giant Cell Arteritis. Neurology 2022; 99:256-257. [PMID: 35940893 DOI: 10.1212/wnl.0000000000200837] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2021] [Accepted: 04/22/2022] [Indexed: 11/15/2022] Open
Affiliation(s)
- Elia Sechi
- From the University of Sassari (E.S., E.G., P.S., D.P., A.M.A., R.O., M.P., G.L.E.); and University of Cagliari (G.D.), Italy
| | - Emmanuel Gallus
- From the University of Sassari (E.S., E.G., P.S., D.P., A.M.A., R.O., M.P., G.L.E.); and University of Cagliari (G.D.), Italy
| | - Paolo Solla
- From the University of Sassari (E.S., E.G., P.S., D.P., A.M.A., R.O., M.P., G.L.E.); and University of Cagliari (G.D.), Italy.
| | - Daniele Puggioni
- From the University of Sassari (E.S., E.G., P.S., D.P., A.M.A., R.O., M.P., G.L.E.); and University of Cagliari (G.D.), Italy
| | - Antonio M Amadu
- From the University of Sassari (E.S., E.G., P.S., D.P., A.M.A., R.O., M.P., G.L.E.); and University of Cagliari (G.D.), Italy
| | - Renato Ortu
- From the University of Sassari (E.S., E.G., P.S., D.P., A.M.A., R.O., M.P., G.L.E.); and University of Cagliari (G.D.), Italy
| | - Marco Piras
- From the University of Sassari (E.S., E.G., P.S., D.P., A.M.A., R.O., M.P., G.L.E.); and University of Cagliari (G.D.), Italy
| | - Giovanni Defazio
- From the University of Sassari (E.S., E.G., P.S., D.P., A.M.A., R.O., M.P., G.L.E.); and University of Cagliari (G.D.), Italy
| | - Gian Luca Erre
- From the University of Sassari (E.S., E.G., P.S., D.P., A.M.A., R.O., M.P., G.L.E.); and University of Cagliari (G.D.), Italy
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Urso D, Monje MHG, Piredda R, Ortu R, Pineda-Pardo JA, Martínez-Fernández R, Sechi G. Clinical Reasoning: A 58-year-old man with hand tremor and episodes of neck pain. Neurology 2019; 93:557-561. [PMID: 31527099 DOI: 10.1212/wnl.0000000000008130] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- Daniele Urso
- From the Department of Neurology, (D.U., R.P., R.O., G.P.S.), University of Sassari, Italy; University Hospital HM (M.H.G.M., J.A.P.P, R.M.F), CINAC, Madrid, Spain; and Neurodegeneration Imaging Group (D.U.), Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.
| | - Mariana H G Monje
- From the Department of Neurology, (D.U., R.P., R.O., G.P.S.), University of Sassari, Italy; University Hospital HM (M.H.G.M., J.A.P.P, R.M.F), CINAC, Madrid, Spain; and Neurodegeneration Imaging Group (D.U.), Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK
| | - Rosanna Piredda
- From the Department of Neurology, (D.U., R.P., R.O., G.P.S.), University of Sassari, Italy; University Hospital HM (M.H.G.M., J.A.P.P, R.M.F), CINAC, Madrid, Spain; and Neurodegeneration Imaging Group (D.U.), Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK
| | - Renato Ortu
- From the Department of Neurology, (D.U., R.P., R.O., G.P.S.), University of Sassari, Italy; University Hospital HM (M.H.G.M., J.A.P.P, R.M.F), CINAC, Madrid, Spain; and Neurodegeneration Imaging Group (D.U.), Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK
| | - José A Pineda-Pardo
- From the Department of Neurology, (D.U., R.P., R.O., G.P.S.), University of Sassari, Italy; University Hospital HM (M.H.G.M., J.A.P.P, R.M.F), CINAC, Madrid, Spain; and Neurodegeneration Imaging Group (D.U.), Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK
| | - Raul Martínez-Fernández
- From the Department of Neurology, (D.U., R.P., R.O., G.P.S.), University of Sassari, Italy; University Hospital HM (M.H.G.M., J.A.P.P, R.M.F), CINAC, Madrid, Spain; and Neurodegeneration Imaging Group (D.U.), Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK
| | - GianPietro Sechi
- From the Department of Neurology, (D.U., R.P., R.O., G.P.S.), University of Sassari, Italy; University Hospital HM (M.H.G.M., J.A.P.P, R.M.F), CINAC, Madrid, Spain; and Neurodegeneration Imaging Group (D.U.), Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK
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Sotgiu S, Giua A, Murrighile MR, Ortu R. A case of anti-myelin-associated glycoprotein polyneuropathy and multiple sclerosis: one disease instead of two? BMJ Case Rep 2009; 2009:bcr06.2008.0212. [PMID: 21686895 DOI: 10.1136/bcr.06.2008.0212] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023] Open
Abstract
A male patient diagnosed elsewhere as having multiple sclerosis (MS) was recently referred to our MS centre. Despite the presence of scattered T2-hyperintense MS-like lesions on MRI and cerebrospinal fluid (CSF) oligoclonal bands, his MS diagnosis was unpersuasive. Distal symmetric hypotonia, tendon areflexia and distal muscle weakness were present. A mostly demyelinating sensory polyneuropathy was disclosed at electroneurography. Serum IgM band, free monoclonal light chains and increased anti-myelin-associated glycoprotein IgM were detected. At 18 months later, and after three intravenous Ig treatments, a clinical electroneurographic improvement was evident along with the disappearance of some brain MRI lesions, reduction of serum anti-myelin-associated glycoprotein (MAG) IgM level and of the number of CSF oligoclonal bands. Although the cause/effect relation cannot be proven, we hypothesise that not only peripheral but also central demyelination may be related to the presence of anti-MAG antibodies with central nervous system (CNS) patterns on MRI resembling those seen in MS.
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Affiliation(s)
- Stefano Sotgiu
- University of Sassari, Section of Neurology, Department of Neuroscience and Maternal-Infant Sciences, Viale San Pietro, 10, Sassari, 07100, Italy
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