# Unihemispheric atrophy, and a culinary culprit - Case Reports Oct 2025

Page: https://stenobird.com/podcast/practical-neurology-podcast-320148/unihemispheric-atrophy-and-a-culinary-culprit-case-reports-oct-2025
Text version: https://stenobird.com/podcast/practical-neurology-podcast-320148/unihemispheric-atrophy-and-a-culinary-culprit-case-reports-oct-2025.md
Podcast: [Practical Neurology Podcast](https://stenobird.com/podcast/practical-neurology-podcast-320148)
Published: 2025-10-23T00:00:00+00:00
Episode link: https://pnbmj.podbean.com/e/case-reports-oct-2025/
Audio file: https://mcdn.podbean.com/mf/web/sl91uwzs968jkqty/pn_091025_case_reports_october_2025.mp3
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JSON: https://stenobird.com/v1/public/podcasts/practical-neurology-podcast-320148/episodes/unihemispheric-atrophy-and-a-culinary-culprit-case-reports-oct-2025
Duration seconds: 2591

## Resource

Two new cases from the latest issue of the journal present the podcast team with some rare explanations, and a chance to test yourself on food trivia. In the first case (1:18), from Malaysia, a 49-yo left-handed woman develops 10 days of recurrent left-sided focal facial seizures. These seizures progressed to epilepsia partialis continua, which is controlled with some difficulty by employing a broad range of six different anti-seizure medications. Further symptoms arose during monitoring, including emotional lability as well as dystonia, left arm dysfunction, dysphasia and dysarthria. EEG imaging showed focal slowing in the right hemisphere. https://pn.bmj.com/content/25/5/475 The second case (22:20) features a Northamptonshire chef in her 60s, who presents to the emergency department with a week-long history of nausea, vomiting, and abdominal pain. This progressed to dysphagia and dypsnoea, as well as a downshift in the pitch of her voice. Her conditioned worsened, with respiratory arrest requiring CPR to re-establish circulation. Neurological examination was initially done while sedated, showed fixed and dilated pupils. https://pn.bmj.com/content/25/5/493 Overloaded with Greek terms today? Here are some definitions from BMJ Best Practice and NHS UK: Dystonia is a movement disorder characterised by sustained involuntary muscle contractions and abnormal postures of the trunk, neck, face, or extremities. Dysphasia, also known as aphasia, is an acquired impairment of language that affects comprehension and production of words, sentences, and/or discourse. Dysarthria is difficulty with speaking, caused by damage or weakness of the muscles needed for speech. Dysphagia is difficulty with the act of swallowing solids or liquids. Dyspnoea, also known as shortness of breath or…

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