Cerebellar progressive multifocal leukoencephalopathy associated with pulmonary sarcoidosis

2021 ◽  
Vol 14 (9) ◽  
pp. e245271
Author(s):  
Lajjaben Patel ◽  
Arunmozhimaran Elavarasi ◽  
Ajay Garg ◽  
Aruna Nambirajan
Keyword(s):  
Cerebrospinal Fluid ◽  
Progressive Multifocal Leukoencephalopathy ◽  
Crucial Role ◽  
Rare Case ◽  
Pulmonary Sarcoidosis

Progressive multifocal leukoencephalopathy can complicate the course of a patient with sarcoidosis. Here we present a rare case of a 35-year-old patient with pulmonary sarcoidosis whose course was complicated by progressive multifocal leukoencephalopathy involving the cerebellum. Neuroimaging and cerebrospinal fluid PCR played a crucial role in the diagnosis.

scholarly journals Dicephalus parapagus conjoined twin: a rare case with review of literature

2018 ◽  
Vol 7 (8) ◽  
pp. 3410
Author(s):  
Meenakshi Gothwal ◽  
Charu Sharma ◽  
Garima Yadav ◽  
Pratibha Singh ◽  
Sunil Raikar
Keyword(s):  
Crucial Role ◽  
Rare Case ◽  
Rare Complication ◽  
Primitive Streak ◽  
Termination Of Pregnancy ◽  
Early Termination ◽  
Review Of Literature ◽  
Monochorionic Twins ◽  
Sonographic Diagnosis ◽  
Severe Morbidity

Conjoined twin is a rare complication seen in 1% of monochorionic twins and associated with severe morbidity and mortality. It occurs due to a division event at the primitive streak stage of the human embryonic development at about 13-14 days after fertilisation, in monochorionic monoamniotic gestations.  Early prenatal diagnosis of conjoined twin plays a very crucial role in the management and allows appropriate and timely counselling of couple regarding the different modes of management like early termination of pregnancy or continuation of pregnancy with post-natal surgery. Late diagnoses present with difficult options for parents and obstetrician too. Ultrasound plays a very crucial role in diagnosis of conjoined twin. We are reporting a case of 27 years old primigravida referred to our institute at 13 weeks of gestation with ultra-sonographic diagnosis of dicephalus parapagus conjoined twin and further confirmed after termination of pregnancy.

scholarly journals A Rare Case of Intraparenchymal Cerebrospinal Fluid Cyst Associated With Ventriculoperitoneal Shunt in an Adult Patient

Cureus ◽  
2021 ◽  
Author(s):  
Pinak Shah ◽  
Kartika Shetty ◽  
Maycky Tang ◽  
Elnaz Saberi ◽  
Nazanin Sheikhan
Keyword(s):  
Cerebrospinal Fluid ◽  
Adult Patient ◽  
Ventriculoperitoneal Shunt ◽  
Rare Case

Fatal cerebral and cerebellar hemorrhagic infarction after thoracoscopic microdiscectomy

2007 ◽  
Vol 6 (3) ◽  
pp. 276-279 ◽  
Author(s):  
Erwin M. J. Cornips ◽  
Julie Staals ◽  
Angela Stavast ◽  
Kim Rijkers ◽  
Robert J. Van Oostenbrugge
Keyword(s):  
Cerebrospinal Fluid ◽  
Differential Diagnosis ◽  
Venous Thrombosis ◽  
Intracranial Hypotension ◽  
Rare Case ◽  
Pathophysiological Mechanism ◽  
Thoracic Cavity ◽  
Hemorrhagic Infarction ◽  
Severe Manifestation ◽  
Cortical Venous Thrombosis

✓ The authors present a rare case of fatal cerebral and cerebellar hemorrhagic infarction following an uneventful thoracoscopic microdiscectomy. They hypothesize that this complication was associated with cortical venous thrombosis secondary to intracranial hypotension, which was caused by an unnoticed leak of cerebrospinal fluid (CSF) into the thoracic cavity. Cortical venous thrombosis and intrathoracic CSF were confirmed at autopsy. The former disorder is the most severe manifestation of the pathophysiological mechanism occurring to a lesser degree in patients affected by mild intracranial hypotension, and occurs more frequently in these patients. Intracranial hypotension (of an orthostatic nature or not) must be considered in the differential diagnosis of every patient who complains of headaches after thoracoscopic or open transthoracic microdiscectomy.

Cranio-cervical junction cerebrospinal fluid leak after microdebrider-assisted adenoidectomy – A rare case report

2018 ◽  
Vol 69 (1) ◽  
pp. 53-55
Author(s):  
Karthikeyan Ramasamy ◽  
Hemanth Vamanshankar ◽  
Sunil Kumar Saxena ◽  
Vignesh Karunakaran ◽  
Arun Alexander
Keyword(s):  
Cerebrospinal Fluid ◽  
Case Report ◽  
Rare Case ◽  
Cerebrospinal Fluid Leak ◽  
Rare Case Report ◽  
Fluid Leak

scholarly journals T. marneffei infection complications in an HIV-negative patient with pre-existing pulmonary sarcoidosis: a rare case report

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Xiaoming Yu ◽  
Keji Miao ◽  
Changsheng Zhou ◽  
Yuelin Cai ◽  
Xiaoying Huang ◽  
...  
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Pulmonary Sarcoidosis ◽  
Negative Patient ◽  
Rare Case Report ◽  
Hiv Negative

scholarly journals Sinus Thrombosis in a Patient with Intracranial Hypotension: A Suggested Hypothesis of Venous Stasis

2011 ◽  
Vol 17 (2) ◽  
pp. 248-251 ◽  
Author(s):  
K-W. Yoon ◽  
M-K. Cho ◽  
Y.J. Kim ◽  
C.S. Cho ◽  
S-K. Lee
Keyword(s):  
Cerebrospinal Fluid ◽  
Intracranial Hypotension ◽  
Rare Case ◽  
Sinus Thrombosis ◽  
Fluid Collection ◽  
Csf Leak ◽  
Venous Stasis ◽  
Sagittal Sinus ◽  
Blood Patch ◽  
Spine Mri

We describe the case of a 26-year-old man with orthostatic headache. Cerebral angiography revealed thrombosis in the sagittal sinus. Spine MRI showed cerebrospinal fluid collection at the C1–2 level. We performed blood patch and the symptoms disappeared. We report a rare case of intracranial hypotension caused by CSF leak and describe our hypothesis that SIH can change the velocity of cerebral blood flow and cause thrombosis.

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