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C Tilikete

Publications and source records attributed to C Tilikete.

22 records · Page 2Linked to original sources
PubMed2000

Idiopathic ocular neuromyotonia: a neurovascular compression syndrome?

Ocular neuromyotonia in the muscles innervated by the right oculomotor nerve was diagnosed in a patient without a history of radiation therapy. Electromyography of the levator palpebrae showed continuous motor unit activity. Brain MRI disclosed a close contact between the right third cranial nerve and a basilar artery dolichoectasia. The patient partly benefited from carbamazepine therapy. This unique finding suggests that neurovascular compression syndrome could be an hitherto unrecognised cause of ocular neuromyotonia.

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PubMed2000

[18F]fluorodeoxyglucose positron emission tomography in the diagnosis of cancer in patients with paraneoplastic neurological syndrome and anti-Hu antibodies.

The diagnosis of cancer is often difficult in patients with paraneoplastic neurological syndrome and anti-Hu antibodies. Fluorodeoxyglucose 18 positron emission tomography scanning is a highly sensitive and specific method to detect lung tumors. We investigated 15 patients with paraneoplastic neurological syndrome and anti-Hu antibodies. Radiological methods led to the diagnosis of cancer in 12 patients, and test results were negative in 3. Whole-body [18F]fluorodeoxyglucose positron emission tomography showed abnormal uptake in the mediastinum in these 3 patients in accordance with the expected location of the malignancy.

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PubMed2000

Otolith dysfunction in skew deviation after brain stem lesions. Abnormalities of eye movements induced by off-vertical-axis rotation (OVAR).

We investigated the horizontal and the vertical otolith-ocular reflex induced by off-vertical-axis rotation and subjective visual vertical in 14 patients with skew deviation due to brain stem lesion. Patients were divided into two groups: the group C (N = 7) with caudal brain stem lesions and the group R (N = 7) with rostral brain stem lesions as defined by the midpons level. The patient group was compared to a control group of 20 healthy subjects. The otolith-ocular reflex was evoked by constant velocity rotation in yaw plane around an axis tilted at 15 deg with respect to gravity. In group C, the horizontal off-vertical-axis nystagmus bias was negative i.e. anticompensatory to chair rotation, when directed toward the lesioned side. Furthermore, patients of group C were presenting with a significant tilt of subjective visual vertical. In group R, a vertical downward offset was induced predominantly in the hypotropic eye and in the direction of rotation away from the lesion. Finally, in patients of group R, horizontal and vertical modulation was increased for rotation away from the lesion. These results are discussed in terms of 1) asymmetrical horizontal and vertical dynamic otolith signals feeding the velocity storage network after brain stem lesion, 2) possible involvement of cerebellar function in OVAN modulation.

Adult↗