ABSTRACT Neuromyelitis optica spectrum disorder (NMOSD) is a rare autoimmune, demyelinating disorder of the central nervous system. Clinical manifestations include optic neuritis, longitudinally extensive transverse myelitis (LETM) involving three or more vertebral segments, and, in most cases, seropositivity for anti‐aquaporin‐4 antibodies (AQP4‐IgG). Although longitudinally extensive transverse myelitis (LETM) is a hallmark feature of NMOSD, it is not pathognomonic and may occur in a variety of infectious, metabolic, neoplastic, and autoimmune conditions, including systemic lupus erythematosus (SLE). Here we report the case of a female patient who presented with severe tetraparesis, secondary to transverse myelitis. Serological evaluation revealed positivity for anti‐AQP4 antibodies, anti‐dsDNA antibodies, and ENA antibodies, leading to the simultaneous diagnosis of NMOSD and SLE. Nevertheless, it remained uncertain whether the transverse myelitis represented a manifestation of NMOSD or neurological involvement of SLE.

To present a 29‐year‐old immunocompetent patient with neurosyphilitic changes characterized by multiple acute ischemic brain strokes along with significant narrowing of several large intracranial arteries. Ceftriaxone treatment for 14 days followed by benzathine benzylpenicillin weekly for additional 3 weeks, showed improvement in meningovascular changes.

Stroke related adult neuropsychiatric syndromes can be classified according to four axes: behavior or personality disorders, disorders of the perception identification of the self, other people, places, and time, cognitive disintegration (acute confusional state) and affective or mood disorders. Although cognitive dysfunctions or mood and affect disorders are very common after stroke and represent a very important factor in the recovery and rehabilitation, we will give short overview of rare behaviour or personality disorders related to stroke because we emphasize the need for a good knowledge of the these syndromes, in order to make valid diagnosis and start targeted etiological treatment.

FEMORAL SHAFT FRACTURE AS A RESULT OF INDIRECT TENSILE FORCES DURING EPILEPTIC SEIZURE IN PATIENT WITH JOUBERT SYNDROME CASE REPORT Jure Pupi -Bakra , Martin Kaji , Marko Ostoji , Anita Ivankovi , Nataša Pejanovi Škobi 4 & Ana Pupi -Bakra 5 Department of Emergency Medicine, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina Department of Surgery, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina Department of Orthopedics, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina Department of Neurology, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina Department of Family Medicine, Health Centre Mostar, Mostar, Bosnia and Herzegovina