scholarly journals Oral Cenesthopathy Proceeding Dementia with Lewy Body: a Case Report

2021 ◽  
Vol 3 (5) ◽  
pp. 1206-1209
Author(s):  
Yuta Sawada ◽  
Yuki Konishi ◽  
Atsuko Ikenouchi ◽  
Reiji Yoshimura
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Major Depression ◽  
Lewy Body ◽  
Dementia With Lewy Body ◽  
Late Onset ◽  
Mibg Scintigraphy ◽  
Resonance Imaging ◽  
Early Symptom ◽  
Oral Cenesthopathy

AbstractWe herein report a case of oral cenesthopathy that proceeded dementia with Lewy body (DLB). A 70-year-old female presented with oral cenesthopathy. She was diagnosed with major depression/late-onset schizophrenia and treated with paroxetine and perospirone. Subsequently, she developed severe parkinsonism. Her diagnosis changed to DLB based on clinical features and her magnetic resonance imaging, MIBG scintigraphy, and DAT scans. After tapering off paroxetine and perospirone, the patient was treated with donepezil and levodopa. The DLB symptoms, including oral cenesthopathy and parkinsonism, were relieved. This case indicates that oral cenesthopathy may occur as an early symptom of DLB.

scholarly journals Oral cenesthopathy proceeding dementia with Lewy body: a case report

2020 ◽  
Author(s):  
Yuta Sawada ◽  
Yuki Konishi ◽  
Atsuko Ikenouchi ◽  
Reiji Yoshimura
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Lewy Body ◽  
Dementia With Lewy Body ◽  
Late Onset ◽  
Mibg Scintigraphy ◽  
Resonance Imaging ◽  
Case Presentation ◽  
Early Symptom ◽  
Oral Cenesthopathy

Abstract Background We herein report a case of oral cenesthopathy that proceeded dementia with Lewy body (DLB). Case presentation: A 70-year-old female presented with oral cenesthopathy. She was diagnosed with major depression/late-onset schizophrenia and treated with paroxetine and perospirone. Subsequently, she developed sever parkinsonism. Her diagnosis changed to DLB based on clinical features and her magnetic resonance imaging, MIBG scintigraphy, and DAT scans. After tapering off paroxetine and perospirone, the patient was treated with donepezil and levodopa. The DLB symptoms, including oral cenesthopathy and parkinsonism, were relieved. Conclusion This case indicates that oral cenesthopathy may occur as an early symptom of DLB.

Late onset aura may herald cerebral amyloid angiopathy: A case report

Cephalalgia ◽  
2016 ◽  
Vol 36 (10) ◽  
pp. 998-1001 ◽  
Author(s):  
Bedia Samanci ◽  
Oguzhan Coban ◽  
Betul Baykan
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Magnetic Resonance ◽  
Cerebral Amyloid Angiopathy ◽  
Late Onset ◽  
Periventricular White Matter ◽  
Amyloid Angiopathy ◽  
Resonance Imaging ◽  
Visual Aura ◽  
Cerebral Amyloid

Background Although migraine usually begins in the early decades of life, late onset of migraine with aura is occasionally observed and can occur without headache, causing confusion in the differential diagnosis. Case report A 72-year-old man presented with recurrent episodes of visual aura lasting for 20 minutes. These episodes had started at 57 years of age and were only once accompanied by a severe headache. Magnetic resonance imaging revealed changes in the periventricular white matter, left occipital haemorrhage and subcortical haemosiderin deposits, compatible with cerebral amyloid angiopathy. Previous treatment with antiplatelet drugs was discontinued. His episodes of visual aura stopped on treatment with lamotrigine and add-on treatment with verapamil. Conclusion In patients with a late onset of migraine aura, doctors must consider other under-recognized causes of transient neurological symptoms, such as cerebral amyloid angiopathy. Blood-sensitive magnetic resonance imaging sequences are the best tool for the early detection of an underlying pathology and therefore treatment with antiplatelet/anticoagulant drugs should be avoided as this may increase the risk of haemorrhage.

scholarly journals Oral Cenesthopathy Proceeding Dementia With Lewy Body: A Case Report

2020 ◽  
Author(s):  
Yuta Sawada ◽  
Yuki Konishi ◽  
Atsuko Ikenouchi ◽  
Reiji Yoshimura
Keyword(s):  
Case Report ◽  
Lewy Body ◽  
Dementia With Lewy Body ◽  
Chronic Schizophrenia ◽  
The Body ◽  
Oral Cenesthopathy

Abstract Somatic hallucination is defined as the false sensation of an occurrence in the body. When the hallucination is grotesque and visceral, it is classified as a cenesthopathy (1). Cenesthopathy is likely influenced by culture; one study reported that, of the seven unique countries from which patients were recruited, those from Ghana and those with chronic schizophrenia were significantly more likely to report cenesthesia (2).

Detection of the development of late-onset idiopathic aqueductal stenosis (LIAS) by chronological magnetic resonance imaging: a case report

2014 ◽  
Vol 30 (7) ◽  
pp. 1317-1319 ◽  
Author(s):  
Daisuke Kita ◽  
Yasuhiko Hayashi ◽  
Tomohiro Kitabayashi ◽  
Masashi Kinoshita ◽  
Michiko Okajima ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Magnetic Resonance ◽  
Late Onset ◽  
Aqueductal Stenosis ◽  
Resonance Imaging

Computed tomography and magnetic resonance imaging findings of primary bladder angiosarcoma: a case report

2014 ◽  
Vol 38 (2) ◽  
pp. 212-214 ◽  
Author(s):  
Mehmet Beyazal ◽  
Necip Pirinççi ◽  
Alpaslan Yavuz ◽  
Sercan Özkaçmaz ◽  
Gülay Bulut
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Case Report ◽  
Magnetic Resonance ◽  
Imaging Findings ◽  
Resonance Imaging ◽  
Primary Bladder

scholarly journals Lymphangiography and focal pleurodesis treatment of chylothorax with an aberrant thoracic duct following oesophagectomy: a case report

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Tomoyuki Ishida ◽  
Jun Kanamori ◽  
Hiroyuki Daiko
Keyword(s):  
Magnetic Resonance Imaging ◽  
Interventional Radiology ◽  
Case Report ◽  
Magnetic Resonance ◽  
Thoracic Duct ◽  
Rare Case ◽  
Resonance Imaging ◽  
Case Presentation ◽  
Thoracostomy Tube ◽  
Magnetic Resonance Imaging Mri

Abstract Background Management of postoperative chylothorax usually consists of nutritional regimens, pharmacological therapies such as octreotide, and surgical therapies such as ligation of thoracic duct, but a clear consensus is yet to be reached. Further, the variation of the thoracic duct makes chylothorax difficult to treat. This report describes a rare case of chylothorax with an aberrant thoracic duct that was successfully treated using focal pleurodesis through interventional radiology (IVR). Case presentation The patient was a 52-year-old man with chylothorax after a thoracoscopic oesophagectomy for oesophageal cancer. With conventional therapy, such as thoracostomy tube, octreotide or fibrogammin, a decrease in the amount of chyle was not achieved. Therefore, we performed lymphangiography and pleurodesis through IVR. The patient appeared to have an aberrant thoracic duct, as revealed by magnetic resonance imaging (MRI); however, after focal pleurodesis, the leak of chyle was diminished, and the patient was discharged 66 days after admission. Conclusions Chylothorax remains a difficult complication. Focal pleurodesis through IVR can be one of the options to treat chylothorax.

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