Interesting Cases in Neurology

Author/Editor :

Dr. Priyanka Vikas Kashyap, Dr. Vaibhav O.P. Pandey, Dr. Mayur K. Bhat, Dr. Aniketh V. Hegde, Dr. Naman Sahu, Dr. Althesnie S.S.

Pages :

132

Specialty :

Neurology and Neurosurgery

Book Type :

Academic & Professional

Neurology has always stood at the crossroads of observation, reasoning, and empathy. Each patient offers a unique clinical narrative that challenges our diagnostic acumen and deepens our understanding of the human brain. Over years of working in neurology wards and emergency settings, I encountered numerous cases that not only tested my clinical judgment but also taught invaluable lessons about the subtleties of neurological diagnosis and management.

This book emerges from those experiences—a collection of real clinical cases that reflect the thought process, uncertainty, and eventual clarity that accompany everyday neurology practice. It aims to bridge the gap between textbook knowledge and bedside medicine, highlighting the nuances that make each case distinctive.

The cases have been carefully anonymized and presented with an emphasis on clinical reasoning, diagnostic approach, and critical decisionmaking. Rather than focusing solely on rare or dramatic presentations, this compilation seeks to represent the diversity of neurological disorders that clinicians face in real-world settings—from acute emergencies to chronic diagnostic puzzles.

This work is intended for neurology residents, medical students, and practicing clinicians who share a curiosity for learning from lived clinical experience. I hope that readers will find in these pages not only academic insight but also a renewed appreciation for the art of listening, observing, and thinking as neurologists.

If these cases inspire even a few readers to approach their next patient with keener observation, deeper compassion, and sharper reasoning, the purpose of this book will have been fulfilled.

Dedication

Preface

Acknowledgement

Chapter 1

Cortical Vein Thrombosis with Normal CT Venogram Leading to Acute Symptomatic Seizures: A Case Report 1

Chapter 2

Lyme Disease–Related Cauda Conus Syndrome in a Newly Diagnosed Patient Living with HIV: A Rare Presentation 4

Chapter 3

A Rare Case of Focal CIDP: Unilateral Motor-sensory Monoplegia Secondary to Brachial Plexus Neuropathy 7

Chapter 4

Wake-Up Stroke with Right Centrum Semiovale Non-Lacunar Infarct in a Middle-Aged Male with Hypertension and Dyslipidemia 11

Chapter 5

Acute Disseminated Encephalomyelitis Secondary to Scrub Typhus Infection in a 31-Year-Old Female: A Rare Post-Infectious Complication 14

Chapter 6

Asymmetric UMN Quadriparesis with Bilateral Optic Neuritis and Bowel–Bladder Dysfunction in a Patient with NMOSD and Serology Positive for Scrub Typhus: An Uncommon Association 17

Chapter 7

Bilateral Symmetrical Distal Brachial Diparesis with Sensory Involvement in Hirayama Disease: An Uncommon Manifestation 20

Chapter 8

Bulbar-Onset Clinically Defi nite ALS With Spastic Quadriparesis in the Sixth Decade: Diagnostic, Clinical, and Therapeutic Perspectives 23

Chapter 9

Anti-Synthetase Syndrome Mimicking Chronic Dermatomyositis 26

Chapter 10

SLE-Associated Gray Matter Myelitis Mimicking Infectious Myelopathy 29

Chapter 11

Familial Myopathy with 3rd Decade-Onset Scapulohumeroperoneal LMN Quadriparesis and Familial Cardiac Arrhythmia: Myofi brillar Myopathy Type 1 Presenting in Diagnostic Limbo with LGMD Mimicry 33

Chapter 12

The Dive Bomber Unmasking Proximal Myotonic Myopathy (PROMM) 38

Chapter 13

Rare phenotype of Amyotrophic Lateral Sclerosis presenting as glove stock pattern 42

Chapter 14

Horryfying Acute Vestibulopathy - A MRI Negative Lateral Medullary Infarct: Bridging the Posterior Circulation Diagnostic Gap 45

Chapter 15

Probable Steroid-Responsive Encephalopathy Associated with Autoimmune Thyroiditis (SREAT) Presenting as Cognitive Decline 49

Chapter 16

Nifedipine-Induced Parotitis Complicating Left MCA Infarct Recovery in a 39-Year-Old Male with Newly Diagnosed Hypertension: A Rare Adverse Drug Reaction 53

Chapter 17

Anti – HMGCR Immune – Mediated Necrotizing Myopathy with Atypical Course: A Diagnostic Challenge 72

Chapter 18

Isolated Central Nervous System Small Vessel Vasculitis disguised as Rapidly Progressive Subcortical Dementia 77

Chapter 19

Drug-Induced CLOCC Syndrome: Pathophysiology and Two Illustrative Cases 84

Chapter 20

Two Cases of Relapsing MOGAD: Challenges in Treatment 97

Chapter 21

Amyotrophic Lateral Sclerosis Crossing Boundaries : An Atypical Diagnostic Challenge 104

"Quest to Quench"

"Interesting Cases in Neurology" builds neuro-clinical stamina, sharpening differentials across varied clinical phenotypes before reaching for diagnostic tools. It brings insight into a wide spectrum of neurological illness — an effort to ignite the minds of every neuro-beginner. Dr. Priyanka Vikas Kashyap is a neurologist with a strong academic and clinical background in the diagnosis and management of complex neurological disorders. She completed her MD in Medicine from the Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, followed by a DM in Neurology from King George's Medical University (KGMU), Lucknow. She further specialized through a Post-DM Fellowship in Epilepsy at G.B. Pant Institute of Postgraduate Medical Education and Research (GIPMER), New Delhi, honing her expertise in epilepsy diagnosis, EEG interpretation, and comprehensive seizure management. She currently serves as Associate Professor and lead the Department of Neurology at the All India Institute of Medical Sciences (AIIMS), Bhopal, where she continues to contribute to patient care, teaching, and the academic training shaping the next generation of Neurologist. With over twenty years of experience in academic neurology, specializing in epilepsy, headache, and movement disorders, she has authored numerous indexed papers and book chapters.

This book focuses on mastering and unveiling the hidden neuroskills within each beginner, inculcating the art of mindful observation of unique clinical clues, and training the mind to become a master neurointellect — offering rapid access to decoding diseases that are simple yet complex.

Discover the personal testaments of patients sailing through life-altering neurological shifts. Step deep within the patient — the answers aren't always in the textbooks.

Drawing on years of clinical experience and exposure to a wide spectrum of neurological presentations, Dr. Kashyap brings together an insightful collection of real-world clinical vignettes in Interesting Cases in Neurology. The book refiects her commitment to bridging the gap between textbook knowledge and bedside clinical reasoning, offering readers a practical, case-based approach to understanding neurological disorders. Through this work, Dr. Priyanka Vikas Kashyap aims to serve as both a learning resource and a source of inspiration for residents, postgraduates, and practicing clinicians navigating the diagnostic challenges that define the field of neurology.

N/A

Subject Category : Neurology and Neurosurgery


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BIBLIOGRAPHY


ISBN 978-81-687704-6-1
Publisher Red Flower Publications
Publication Date 2026-08-27
Edition 1/e
Cover (PDF)


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