Dermatomyositis is considered a rare disease that affects the quality of life of patients. Herein, we described the case of a 48-year-old man with initial neuromuscular symptoms of disabling proximal-distal quadriparesis. He had an antinuclear antibody speckled pattern and elevated levels of creatine kinase and transaminases. Muscle magnetic resonance imaging revealed muscle edema and fatty atrophy in the pelvic girdle and shoulder girdle muscles. Electromyography showed signs of abundant denervation—predominantly proximal muscles and small-amplitude polyphasic motor units. Muscle biopsy revealed perivascular inflammation and perifascicular atrophy, CD3- and CD4-positivity, with CD8-positivity to a lesser extent than CD4 positivity, and CD20-negativity. He received induction treatment with methylprednisolone and cyclophosphamide and maintenance treatment with prednisone and azathioprin...

Venous pulsatile tinnitus is an uncommon type of tinnitus caused by cerebral venous vascular etiology such as stenosis or venous thrombosis. We report the case of a 58-year-old male with pulsatile venous tinnitus with persistent symptoms despite symptomatic treatment and without defined etiology. The patient was referred to the interventional neuroradiology unit and underwent an angiography where stenosis in the left transverse sinus at the level of the vein of Labbé drainage was identified, along with a small diverticulum with slow flow. Based on the findings, endovascular stent placement was performed in the left transverse sinus. At the one-month follow-up the patient reported complete resolution of the tinnitus since the procedure was performed. Given that venous pulsatile tinnitus is associated with a decrease in quality of life and sometimes indicative of a serious vascular condit...

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