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[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Current admission ,[object Object],[object Object]
Past history ,[object Object],[object Object],[object Object],[object Object],[object Object]
Examination ,[object Object],[object Object],[object Object],[object Object],[object Object]
Laboratory investigation prior to admission ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Laboratory investigation prior to admission ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Brain MRI
Laboratory investigation during current admission ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Course ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Course cont. ,[object Object],[object Object],[object Object],[object Object]
Brain MRI after Seizure
Further Investigation ,[object Object],[object Object]
Course cont. ,[object Object],[object Object],[object Object]
 
 
 
 
 
Neurological features of chronic Lyme disease
CSF in Chronic Lyme ,[object Object],[object Object],[object Object]
 
Serology ,[object Object],[object Object],[object Object],[object Object],[object Object]
Value of Serology
 
 
 
Proposed diagnostic criteria ,[object Object],[object Object],[object Object]
Thyroid function
 
 
MRI in Hashimoto Encephalopathy
Summary of Neurological Features ,[object Object],[object Object],[object Object],[object Object]
CSF in Hashimoto Encephalopathy ,[object Object],[object Object],[object Object]
Imaging ,[object Object],[object Object],[object Object],[object Object],[object Object]
Antiphospholipid  syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MS ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 
Out of 31 MS patients 5 (16%) had Anti TPO Ab’s Normal values: TPO-Ab  0–10 IU/mL;
 
 
CNS Vasculitis  - GANS - PAN ( but no systemic features)  GANS CSF and angiography normal MRI probably “ too severe” given mild clinical features prior to stroke No headache Clinical course typical of MS Stroke Optic nerve and spinal cord involvement rare Can simulate relapsing – remitting course of MS Against For
Is MS associated with alteration of platelet function? “  platelet aggregation and MS”  Neu et al 1982 Acta neurologica Scand.
[object Object],[object Object],Agg % P < 0.01
Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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MS or Lyme or neither?