Status epilepticus, electroconvulsive therapy and malignant melanoma

2009 ◽  
Vol 26 (2) ◽  
pp. 87-89
Author(s):  
Kenneth R Kaufman ◽  
Aviva Olsavsky

AbstractStatus epilepticus (SE), both convulsive and nonconvulsive, is a rare adverse effect of electroconvulsive therapy (ECT). This case report describes SE post-ECT associated with central nervous system (CNS) metastatic melanoma and reviews pertinent literature. The authors recommend that when CNS pathology is suspected, pre-ECT neurology consultation, neuroimaging, and EEG all may be indicated. This is especially important for patients with histories of primary cancers, such as melanoma, that metastasise to the brain.

2021 ◽  
pp. 089719002110632
Author(s):  
Claire V Klimko ◽  
James M Sanders ◽  
Meagan L Johns

Purpose: The purpose of this case report is to describe spasticity and encephalopathy that developed in a multiple sclerosis patient following carbapenem administration. Summary: A 55-year-old female with multiple sclerosis developed spasticity and encephalopathy within 24 hours of meropenem and ertapenem administration. This was the second time that she had developed encephalopathy following carbapenem administration. The patient gradually recovered over four days following discontinuation of carbapenem therapy. Conclusion: Carbapenem neurotoxicity, a well-documented adverse effect, has been linked to several risk factors, including central nervous system lesions. Despite this, there is little evidence describing the risk of neurotoxicity in patients with multiple sclerosis. It is important to understand the potential adverse effects of carbapenems in specific patient populations to help guide appropriate treatment of infections.


Neurosurgery ◽  
1986 ◽  
Vol 19 (6) ◽  
pp. 1016-1020 ◽  
Author(s):  
Walter A. Hall ◽  
Eduardo J. Yunis ◽  
Leland A. Albright

Abstract A 6-month-old girl had a gradually increasing head circumference. A preoperative computed tomographic (CT) scan of the head revealed an enhancing calcified partially cystic right frontal mass that was removed through a right frontotemporal craniotomy. On microscopic examination, the tumor was composed of sheets of neurons in a glial background alternating with highly cellular anaplastic areas. The diagnosis of anaplastic ganglioglioma was made. The child has done well for the 20 months since the operation without any evidence of tumor recurrence on subsequent CT scans. Because of the immaturity of the child's developing central nervous system, we have elected not to initiate radiotherapy at this time. The pertinent literature regarding gangliogliomas is reviewed.


2017 ◽  
Vol 41 (1) ◽  
pp. 333-339 ◽  
Author(s):  
Kentaro Fujimori ◽  
Keiichi Sakai ◽  
Fumiko Higashiyama ◽  
Fusakazu Oya ◽  
Toshitaka Maejima ◽  
...  

2015 ◽  
Vol 14 (4) ◽  
pp. 238-241
Author(s):  
Ioana Cociasu ◽  
◽  
Irene Davidescu ◽  
Ioan Buraga ◽  
Bogdan O. Popescu ◽  
...  

The most common tumours of the central nervous system, meningiomas are frequently diagnosed by accident when patients undergo imaging studies of the brain for other reasons. Most patients lack symptoms and thus can live their whole lives without knowing they have a brain tumour. Less fortunate patients seek medical advice for troubling symptoms – like seizures or disturbances of the cranial nerves – get surgery for the excision of the tumour and years later fi nd out their tumour has come back. We are presenting the case of such a patient with a recurrent parietal meningioma.


2021 ◽  
Vol 10 (7) ◽  
pp. 205846012110268
Author(s):  
Yutaka Hoshino ◽  
Minako Sugiyama ◽  
Kenji Hirata ◽  
Shohei Honda ◽  
Hitoshi Saito ◽  
...  

Commonly, physiological 18F-fluorodeoxyglucose (FDG) uptake in the brain can be observed in 18F-FDG positron emission tomography. Abnormal uptake of 18F-FDG in the brain suggests disorders of central nervous system. Here, we present a case of extremely low 18F-FDG uptake in the brain of a 4-year-old girl with whole-body metastatic neuroblastoma. Almost missing of physiological 18F-FDG uptake in the brain was ascribed at least partly to the metastatic neuroblastoma. The brain could regain physiological 18F-FDG uptake after chemotherapy.


2005 ◽  
Vol 64 (5) ◽  
pp. 400-405 ◽  
Author(s):  
Peter G. Campbell ◽  
Ajay Jawahar ◽  
Marjorie R. Fowler ◽  
Allyson DeLaune ◽  
Anil Nanda

2019 ◽  
Vol 6 (10) ◽  
Author(s):  
Gregory R Madden ◽  
Molly E Fleece ◽  
Akriti Gupta ◽  
M Beatriz S Lopes ◽  
Scott K Heysell ◽  
...  

Abstract We report a case of HIV-associated vacuolar encephalomyelopathy with progressive central nervous system dysfunction and corresponding vacuolar degeneration of the spinal cord, cranial nerves, and brain, the anatomic extent of which has not previously been described. Vacuolar myelopathy classically presents as a spinal syndrome with progressive, painless gait disturbance in the setting of advanced HIV and AIDS. Vacuolar involvement of the brain and cranial nerves, as illustrated in this case report, is a newly described variant of this condition that we term vacuolar encephalomyelopathy.


2017 ◽  
Vol 31 (2) ◽  
pp. 248-252
Author(s):  
Alfonso Pacheco-Hernandez ◽  
Jorque Aquino-Matus ◽  
Willem Guillermo Calderon-Miranda ◽  
Jean Carlos Pinto-Angarita ◽  
Ronsangela Ramirez-Barranco ◽  
...  

Abstract Actinomycosis infection is a slow progressing disease, in which involvment of the central nervous system by Actinomyces israelii is uncommon (less than 5%). Clinical picture is non-specific and is often misdiagnosed with neoplasia; some clinical clues my arise suspicion. The case of a 59 year-old female is reported who presented headache and focal neurologic signs and in whom a out-of the hospital diagnosis of a neuroepitelial dysembryoplastic tumor was made; nonetheless after careful interview and physical exploration, a spectroscopy magnetic resonance of the brain and hystopathological description of the lesion was made and yielded the definitive diagnosis of intracranial actinomyces infection. Treatment and progression were uneventful.


Neurosurgery ◽  
1991 ◽  
Vol 29 (3) ◽  
pp. 472-474 ◽  
Author(s):  
Kwan-Hon Chan ◽  
Kirpal S. Mann ◽  
W. H. Seto

Abstract Mycobacterium fortuitum is a rare cause of central nervous system infection: however, shunt infection caused by this organism has not been reported. We report a case of shunt infection subsequent to insertion of a ventriculoatrial shunt for obstructive hydrocephalus caused by a cerebellar hematoma. The shunt infection was controlled by removal of the shunt and a combination of systemic and intraventricular administration of amikacin, and oral administration of ofloxacin. The case is discussed and the pertinent literature reviewed.


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