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<title>Edwiser-Journal-of-Neurology-Neurosurgery-Psychiatry-Research-ISSUE VOLUME Volume 7 ISSUE Issue 1</title>
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Edwiser-Journal-of-Neurology-Neurosurgery-Psychiatry-Research: VOLUME Volume 7 ISSUE Issue 1, Jan-June 2026
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<title>Edwiser-Journal-of-Neurology-Neurosurgery-Psychiatry-Research-ISSUE VOLUME Volume 7 ISSUE Issue 1</title>
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		<title>A-Rare-Case-of-Right-Hemiparkinsonism-Due-to-Demyelination-Disorder-Case-Report</title>
		<pubDate>13-May-2026</pubDate>
<link>http://JNNPR.edwiserinternational.com/admin/uploads/v51GD6.pdf</link>
		<author>Sanjiv-Chamraj-and-Sharan-Srinivasan</author>
		<comments>{http://www.edwiserinternational.com/contact-us.php}</comments>
		<category>Medical Science,Clinical Science</category>
		<description>{<![CDATA[Hemiparkinsonism, characterized by tremor, rigidity, and bradykinesia affecting one side of the body, can occur as a secondary, often subacute, symptom of demyelinating diseases like multiple sclerosis or osmotic demyelination syndrome. We reported a very rare case of right hemiparkinsonism due to demyelination disorder in a 47-year-old female from south India. A 47-year-old female presented with a history of hemiparkinsonism characterized by imbalance while walking. She was having normal blood pressure and blood sugar levels. She was doing well and able to do her activities of daily living. CSF for oligoclonal band revealed type 2 band pattern oligoclonal bands seen only in CSF, while no bands were seen in serum indicating intrathecal IgG synthesis. However, tests for anti-aquaporin-4 (NMO) IgG antibodies and Anti-MOG IgG antibodies showed negative. Her contrast MRI brain scan suggestive of multiple chronic cerebral and brainstem demyelinating plaques. Additionally, the left frontoparietal and right parietal periventricular lesions with paramagnetic rim signs indicate chronic active (smouldering) lesions. Furthermore, abnormal VEP showed bilateral optic nerve demyelination. The patient condition of right sided hemiparkinsonism secondary to demyelinating disorders improved on treatment with neuro anti-inflammatory drugs. Inconclusion, to the best of our literature this is the very rare case of right sided hemiparkinsonism secondary to demyelination disorders presented with clinical manifestations of imbalance while walking in a 47-year-old female from south India.]]>}</description>
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		<title>A-Novel-Case-of-SCA42-Masquerading-as-SCA12-in-Clinical-Presentation</title>
		<pubDate>06-Aug-2026</pubDate>
<link>http://JNNPR.edwiserinternational.com/admin/uploads/fFzWGj.pdf</link>
		<author>Chamraj-S-Srinivasan-S-</author>
		<comments>{http://www.edwiserinternational.com/contact-us.php}</comments>
		<category>Medical Science,Clinical Science</category>
		<description>{<![CDATA[Spinocerebellar ataxias (SCAs) are a heterogeneous group of neurodegenerative disorders involving the cerebellum or its connections. 48 subtypes of SCAs are described till date. To the best of our literature knowledge SCA42 masquerading as SCA12 in clinical presentation has never been reported. We reported a novel case of SCA42 masquerade as SCA12 in clinical presentation with predominant hand tremors followed by ataxic gait. A 65-year-old male patient presented with history of predominant hand tremors since past 5 years followed by ataxic gait. He had a family history of ataxia (mother, mother brother, and sister). Vermian atrophy, bilateral superior cerebellar peduncle hyperintensity, and mild brainstem atrophy were detected in MRI. The whole exome sequencing test of patient identified the heterozygous missense variant c.6764A>Glp.Gln2255Arg detected in the CACNA1G gene on chromosomal position chr17:50626381:A>G that can leads to a change in amino acid from Glutamine to Arginine at codon 2255. The whole exome sequencing of patients mothers sisters son identified the autosomal dominant heterozygous triple nucleotide CAG repeat number of approximately 54  4 in the PPP2R2B gene that can leads to pathogenic SCA12 expression. These findings emphasize the fact that SCA42 could masquerade as SCA12 in clinical presentation could be due to pathogenic SCA12 expression in the same family member. In conclusion, we reported the first novel case from Indian subcontinent that the heterozygous missense variant c.6764A>Glp.Gln2255Arg detected in the CACNA1G gene on chromosomal position chr17:50626381:A>G in 65-year-old male patient could masquerade as SCA12 in clinical presentation with clinical features of predominant hand tremors followed by ataxic gait.]]>}</description>
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