Browsing by Author "Burakgazi, Ahmet Z."

Now showing 1 - 6 of 6
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    Atypical presentation of Lyme neuroborreliosis related meningitis and radiculitis
    Dabiri, Iman; Calvo, Nicholas E.; Nauman, Feryal; Pahlavanzadeh, Mahsa; Burakgazi, Ahmet Z. (PAGEPress, 2019-10-11)
    Lyme disease related central and peripheral nervous system manifestations can occur in isolation or together. Radiculitis or inflammation of the nerve root can be seen 3-5% of the time in acute neuroborreliosis affecting the PNS with a typical presentation and meningitis affecting the CNS is usually seen 1% of the time. The appropriate diagnosis and management of neuroborelliosis can be challenging and require meticulous medical approaches. Herein we present a unique case of Lyme disease with neurologic manifestations including both radiculitis and meningitis due to its atypical and challenging clinical presentation and management with updated literature review.
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    Delayed diagnosed atypical case of Andersen-Tawil syndrome
    Burakgazi, Ahmet Z. (PAGEPress, 2019)
    Andersen-Tawil syndrome (ATS) is characterized by a triad of periodic paralysis, cardiac arrhythmias and distinctive dysmorphic features. Due to its rarity and high degree of clinical and phenotypic variability, a diagnosis of ATS can be very perplexing and challenging. Herein, an atypical case of ATS with a complicated presentation that caused an approximately 11-year delay in diagnosis is reported. The patient made a full recovery with acetazolamide after the diagnosis. The case and its management are presented with an updated literature review.
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    The development of myasthenia gravis in a patient with facioscapulohumeral muscular dystrophy: case report and literature review
    Nauman, Feryal; Fawwad, Muhammad; Hussain, Ahmed; Burakgazi, Ahmet Z. (PAGEPress, 2019-06-10)
    The co-existence of facioscapulohumeral muscle dystrophy (FSHD) and myasthenia gravis (MG) is very rare and few cases have been described in the literature. To increase the awareness of the health care providers, we present herein a rare case of MG in a patient with FSHD, discuss the diagnostic challenges, pre- and post-treatment findings and provide a literature review.
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    Dropped head syndrome due to neuromuscular disorders: Clinical manifestation and evaluation
    Burakgazi, Ahmet Z.; Richardson, Perry K.; Abu-Rub, Mohammad (PAGEPress, 2019-06-18)
    In this article, we discuss the clinical approach to patients with dropped head syndrome and identify the various neuromuscular causes of dropped head syndrome including muscle, neuromuscular junction, peripheral nerve and motor neuron etiologies. We aim to increase awareness of recognition the entity of dropped head syndrome and factors that may predict response to immunomodulating therapy in dropped head syndrome.
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    Medically Refractory Neuroborreliosis Case Presented with Coexistance Involvements of Cranial 7 and 8 Nerves
    Hareem, Anam; Dabiri, Iman; Zaheer, Nida; Burakgazi, Ahmet Z. (MDPI, 2021-03-18)
    In the US, Lyme disease (LD) has become the most common vector-borne disease. Less than 10% of patients develop cranial nerve palsy or meningitis. There are few reports on cases of Lyme disease with more than one cranial neuropathy. Herein, we will discuss a case of persistent neurological deficits as a result of chronic Lyme disease resistant to standard therapy. Our case is unique due to involvements of cranial seven and eight nerves at the same time. Our case illustrates an extreme example of treatment resistance. However, early diagnosis and prompt establishment of adequate antibiotic treatment are still important to prevent progression to further stages of disease.
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    Simultaneous involvement of optic and abducens nerves by Lyme disease: Case report with review of the literature
    Dabiri, Iman; Burakgazi, Ahmet Z. (PAGEPress, 2019)
    Ocular manifestations of Lyme disease (LD) remain a rare feature of the disease, but it may present a wide range of clinical presentations with different combinations. LD related optic neuritis or cranial nerve (CN) six palsy have been reported in the literature. However, this is the first case report of simultaneous involvement of CN 2 and CN 6 in a patient with LD. The diagnosis of LD can be challenging and initial laboratory tests can be a false negative. It is paramount important to repeat the diagnostic test if clinical suspicious is ongoing. With this case, we aim to increase awareness of clinicians for possible ocular manifestations of LD and its complex diagnostic process.