Top Banner
Neurobowl 2013 AAN San Diego
74

Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Jan 15, 2016

Download

Documents

Beatrice Juba
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Page 1: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Neurobowl 2013

AAN San Diego

Page 2: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Cinematic Consultant – Joe Jankovic

Page 3: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Complex Partial Seizure with secondary

generalization in a Boston Terrier

Page 4: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Myasthenia Gravis

Page 5: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

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.

Page 6: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Voluntary Nystagmus

Page 7: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Answer

• Lincoln• Migraine

Page 8: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

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

Page 9: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.
Page 10: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Woody GuthrieHuntington Disease

Page 11: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.
Page 12: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

• Botticelli• Babinski Sign

Page 13: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

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

Page 14: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Ice Pick Lobotomy (Office Procedure)

Page 15: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Bruxism Artifact on EEG

Hirsch and CrispinNeurology 1999;53:669-669

Page 16: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

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

Page 17: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

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

Page 18: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Blazing SaddlesHorse Concussion

Page 19: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Hyocalcemic Tetany due to Hyperventilation

Page 20: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Causalgia

Page 21: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Bielschowsky Sign

Page 22: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Mirror MovementsKlippel Feil Syndrome

Page 23: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

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.

Page 24: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Myotonic Dystrophy

Page 25: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

What are Heterotopia,

Lissencephaly, and

Polymicrogyria

Page 26: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Palatal Tremor Progressive Ataxia Syndrome GFAP mutation

Page 27: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

BONUS ROUND

Page 28: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Neurological Condition?

Page 29: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Vascular Parkinsonism

Page 30: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.
Page 31: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.
Page 32: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

William Richard Gowers

Page 33: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

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

Page 34: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

My Left FootCerebral palsy

Page 35: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Catatonia

Page 36: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

TIE BREAKER OR BONUS

Page 37: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

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

Page 38: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

ROUND 2

Page 39: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

ParaplegiaOlfactory Epithelium implant

Page 40: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Tourette syndromeCongenital Nystagmus

Page 41: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Tuberous Sclerosis Complex

Page 42: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Insert MSA Stridor

Page 43: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Multiple System Atrophy

Page 44: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

INSERT MOVIE RABIES IN A HUMAN

Page 45: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Human Rabies

Page 46: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

. Progressive Supranuclear Palsy

Dudley Moore

Page 47: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.
Page 48: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Mercury Intoxication Alice in Wonderland

Lewis Carroll(Charles Lutwidge Dodgson)

Page 49: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Faciobrachial Dystonic Seizures

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

• The majority have VGKC antibodies

Page 50: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

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.

Page 51: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

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.

Page 52: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Tardive Oculogyric Crises

Page 53: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

The SessionsPoliomyelitis

Page 54: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Osmotic Demyelination

Page 55: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Myoclonus DystoniaEpsilon Sarcoglycan Mutation

Page 56: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Wernicke’s Aphasia

Page 57: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

The JerkConvergence Spasm

Page 58: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Midbrain Arteriovenous Malformation

Page 59: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

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.

Page 60: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Utilization Behavior

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

Page 61: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Post-Infectious ocular flutter and head jerks

Page 62: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

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.

Page 63: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Answer

• Eclampsia

Page 64: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

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

Page 65: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.
Page 66: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

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

Page 67: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

BONUS ROUND

Page 68: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Insert Double Whammy

Page 69: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Valsalva Maneuver Orbicularis Oculi Contraction

Page 70: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Diagnosis

• Left Atrial Myxoma

Page 71: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

A Patient with cerebral Hemorrhage

Page 72: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Hereditary Hemorrhagic Telangiectasia

Page 73: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

Periodic Alternating Nystagmus

Page 74: Neurobowl 2013 AAN San Diego. Cinematic Consultant – Joe Jankovic.

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