Category Neurology
Friedrich Daniel von Recklinghausen (1833 – 1910) 340

Friedrich Daniel von Recklinghausen

Friedrich Daniel von Recklinghausen (1833 - 1910) was a German pathologist. Eponymously affiliated with von Recklinghausen disease (neurofibromatosis NF-1); von Recklinghausen tumor (adenoleiomyofibroma); and von Recklinghausen canals (lymphatic canaliculi).
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Argyll Robertson pupils

A reflex iridoplegia characterized by small, irregular, unequal pupils, with near-light dissociation; absence of a miotic reaction to both direct and consensual light with preservation of the accommodation reflex. Classically associated with neurosyphilis.
American ER doc walkabout Rick Abbott LITFL 340

Why do we get to treat so few strokes?

Rick Abbot is back at last, with the tale of his own potential neurological catastrophe - with musings on delayed ED presentations and the quality of neurological physical examination.

a perplexing paradox…

The case. a 70 year old female is bought to your ED at 10pm via ambulance with a dense right-sided hemiparesis following a witnessed collapse at home only 30 minutes earlier.

a splitting headache…

the case. 39 year old female presents to your Emergency Department with a four day history of a gradually worsening headache. Whilst she has a past history of migraines, this headache is much more severe and of different character to any migraine…

pupils predict pathology…

the case. A 34 year old male is bought to your ED with reduced level of consciousness. He was at a restaurant having dinner with family & friends when he excused himself to use the bathroom. They found him 15 minutes later…