neurobowl 2013 aan san diego. cinematic consultant – joe jankovic
TRANSCRIPT
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Neurobowl 2013
AAN San Diego
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Cinematic Consultant – Joe Jankovic
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Complex Partial Seizure with secondary
generalization in a Boston Terrier
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Myasthenia Gravis
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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.
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Voluntary Nystagmus
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Answer
• Lincoln• Migraine
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NEED MUSIC ONLY NO PICTURE– This Land is your land by Woody Guthrie
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Woody GuthrieHuntington Disease
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• Botticelli• Babinski Sign
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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
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Ice Pick Lobotomy (Office Procedure)
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Bruxism Artifact on EEG
Hirsch and CrispinNeurology 1999;53:669-669
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Proximal PCA Occlusion with Cerebellar outflow tremor due to posterior thalamic damage
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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
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Blazing SaddlesHorse Concussion
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Hyocalcemic Tetany due to Hyperventilation
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Causalgia
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Bielschowsky Sign
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Mirror MovementsKlippel Feil Syndrome
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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.
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Myotonic Dystrophy
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What are Heterotopia,
Lissencephaly, and
Polymicrogyria
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Palatal Tremor Progressive Ataxia Syndrome GFAP mutation
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BONUS ROUND
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Neurological Condition?
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Vascular Parkinsonism
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William Richard Gowers
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Median and Radial Nerve Injury at the Elbow due to Arterial Hematoma
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My Left FootCerebral palsy
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Catatonia
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TIE BREAKER OR BONUS
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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
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ROUND 2
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ParaplegiaOlfactory Epithelium implant
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Tourette syndromeCongenital Nystagmus
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Tuberous Sclerosis Complex
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Insert MSA Stridor
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Multiple System Atrophy
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INSERT MOVIE RABIES IN A HUMAN
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Human Rabies
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. Progressive Supranuclear Palsy
Dudley Moore
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Mercury Intoxication Alice in Wonderland
Lewis Carroll(Charles Lutwidge Dodgson)
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Faciobrachial Dystonic Seizures
• Irani S et al, Faciobrachial Dystonic Seizures: Ann Neurol,2011;69(5):892-900
• The majority have VGKC antibodies
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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.
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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.
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Tardive Oculogyric Crises
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The SessionsPoliomyelitis
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Osmotic Demyelination
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Myoclonus DystoniaEpsilon Sarcoglycan Mutation
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Wernicke’s Aphasia
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The JerkConvergence Spasm
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Midbrain Arteriovenous Malformation
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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.
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Utilization Behavior
Utilization behavior: clinical and theoretical approaches.Besnard J et al J Int Neuropsychol Soc. 2010 May;16(3):453-62
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Post-Infectious ocular flutter and head jerks
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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.
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Answer
• Eclampsia
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What is your name? Auguste. Last name? Auguste.What is your husband's name? Auguste, I think
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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
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BONUS ROUND
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Insert Double Whammy
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Valsalva Maneuver Orbicularis Oculi Contraction
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Diagnosis
• Left Atrial Myxoma
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A Patient with cerebral Hemorrhage
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Hereditary Hemorrhagic Telangiectasia
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Periodic Alternating Nystagmus
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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