scholarly journals A Report of a Case Involving Body Lateropulsion with Numbness of the Ipsilesional Fingers Caused by a Small Infarction in the Dorsal Part of the Middle Medulla

2018 ◽  
Vol 10 (1) ◽  
pp. 54-59
Author(s):  
Yumiko Yamaoka ◽  
Sadahiro Kishishita ◽  
Yohei Takayama ◽  
Seiji Okubo
Keyword(s):  
Clinical Symptoms ◽  
Functional Anatomy ◽  
Sudden Onset ◽  
Dorsal Part ◽  
Section Thickness ◽  
Resonance Imaging ◽  
First Case ◽  
Weighted Magnetic Resonance Imaging ◽  
Vestibular Symptoms ◽  
Left Middle

Based on the complexity of functional anatomy, a small infarction in the medulla can produce various types of clinical symptoms or signs depending on the location of this infarction. We describe the case of a 46-year-old man who presented with sudden onset of body lateropulsion to the left side and numbness of the ipsilateral fingers. 3-tesla diffusion-weighted magnetic resonance imaging with a section thickness of 2 mm revealed a small infarction in the dorsal part of the left middle medulla. To our knowledge, this is the first case report describing vestibular dysfunction apparent upon otoelectrophysiological examination but without vestibular symptoms or signs except for body lateropulsion.

A rare case of cerebral proliferative angiopathy with acute cerebral infarction and facial capillary malformation

2021 ◽  
pp. 197140092110428
Author(s):  
Trilochan Srivastava ◽  
Ashok Gandhi
Keyword(s):  
Magnetic Resonance Imaging ◽  
Cerebral Infarction ◽  
Rare Case ◽  
Acute Cerebral Infarction ◽  
Resonance Imaging ◽  
Capillary Malformation ◽  
First Case ◽  
Cerebral Vascular Malformation ◽  
Detailed Evaluation ◽  
Weighted Magnetic Resonance Imaging

We are describing a case of a 14-year-old girl who developed acute cerebral infarction which was documented on diffusion-weighted magnetic resonance imaging (DWI). On detailed evaluation, diagnosis of cerebral proliferative angiopathy (CPA) was made. Incidentally, she had capillary malformation on the forehead contralateral to cerebral vascular malformation. To our knowledge, this is the first case of CPA in the literature where DWI abnormality was due to acute cerebral infarction.

scholarly journals Diffusion-weighted Magnetic Resonance Imaging in the Early Diagnosis of Neonatal Adrenoleukodystrophy

2011 ◽  
Vol 1 ◽  
pp. 20 ◽  
Author(s):  
R Nuri Sener ◽  
Mehmet H Atalar
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Diffusion Mri ◽  
Resonance Imaging ◽  
Baby Girl ◽  
Laboratory Findings ◽  
Neonatal Adrenoleukodystrophy ◽  
First Case ◽  
Weighted Magnetic Resonance Imaging ◽  
Magnetic Resonance Imaging Mri

A newborn baby girl developed seizures right after birth. On the fourth day, the baby was examined using diffusion sequence magnetic resonance imaging (MRI) and diagnosed to have neonatal adrenoleukodystrophy. Laboratory findings confirmed the diagnosis. This is the first case of neonatal adrenoleukodystrophy (NALD) where diffusion MRI sequence helped in the diagnosis. We find association of NALD with seizures at birth is an extremely rare occurrence, and so far, only one case has been mentioned in the literature.

scholarly journals ADULT PNEUMOCOCCAL MENINGITIS PRESENTING WITH STROKE LIKE SYMPTOMS

2021 ◽  
Vol 71 (4) ◽  
pp. 1496-97
Author(s):  
Muhammad Mohsin Sajjad ◽  
Sidra Yousaf
Keyword(s):  
Clinical Symptoms ◽  
Leukocyte Count ◽  
Sudden Onset ◽  
Acute Ischemia ◽  
Resonance Imaging ◽  
Neck Stiffness ◽  
Gram Staining ◽  
Accident And Emergency ◽  
Low Glucose ◽  
Stroke Mimic

Meningitis can present as a stroke mimic. We report a case of a 69 years old lady who presented to accident and emergency 2-hours after an episode of vomiting followed by sudden onset left sided weakness and drowsiness. Examination revealed left sided weakness with dysphasia. Initial plan was to decide if the patient was for thrombolysis. An urgent CT scan ruled out hemorrhage. On re-examination the patient was febrile and there was some degree of neck stiffness. Magnetic resonance imaging of brain was performed (DW1 no stroke) which ruled out acute ischemia. A lumber puncture was done eventually that showed low glucose, high leukocyte count, and gram staining revealed diplococci in chains. Clinicians should bear in mind the differential diagnosis of meningitis when there are risk factors and overlapping clinical symptoms.

scholarly journals Coexistence of Two Different Types of Intracerebral Hematomas Caused by Arteriovenous Malformation

2005 ◽  
Vol 2 (1) ◽  
pp. 81-84
Author(s):  
Kiyoyuki Yanaka ◽  
Muneyoshi Yasuda ◽  
Kentoaro Furusho ◽  
Hiroyuki Asakawa ◽  
Yuji Matsumaru ◽  
...  
Keyword(s):  
Arteriovenous Malformation ◽  
Clinical Symptoms ◽  
Histological Study ◽  
Rare Condition ◽  
Sudden Onset ◽  
Adjacent Area ◽  
Speech Disturbance ◽  
First Case ◽  
Different Types ◽  
History Of

Spontaneous intracerebral hematomas usually produce the sudden onset of devastating neurological symptoms. We describe a case showing slowly progressive clinical symptoms followed by a sudden deterioration caused by two different types of intracerebral hematomas coexisting in the adjacent area. A 72-year-old female with a 2-year history of Alzheimer’s disease and a 3-month history of occasional headache and vomiting was admitted after she experienced the sudden onset of right hemiparesis and a speech disturbance. Neuroradiological examinations demonstrated two different types of intracerebral hematomas coexisting in the left temporal lobe. The patient underwent a left frontotemporal craniotomy. A solid hematoma was found immediately below the cortex and a large hematoma cavity, which contained degraded bloody fluid, was found below the solid hematoma. Histological study demonstrated an arteriovenous malformation (AVM). The AVM may have been responsible for the pathogenesis of these two different types of intracerebral hematomas. Initially, a silent intracerebral hemorrhage from the AVM and liquefaction of the hematoma probably formed the cavity and repeated small subclinical hemorrhages into the cavity during a prolonged period of time may have caused the growth of the inner hematoma. The sudden rupture of the AVM most likely caused the outer solid hematoma, resulting in the abrupt onset of hemiparesis and speech disturbance. This is the first case to demonstrate two different types of intracerebral hematomas coexisting in the adjacent area. A possible mechanism for this rare condition is discussed. Nepal Journal of Neuroscience, Volume 2, Number 1, 2005

scholarly journals Anti-LGI1 Antibody Limbic Encephalitis Associated with Hepatocellular Carcinoma

2020 ◽  
Vol 38 (4) ◽  
pp. 272-275
Author(s):  
Seokhong Choi ◽  
Du Hwan Kim ◽  
Hyun Joon Lee ◽  
Dong Jin Shin
Keyword(s):  
Magnetic Resonance Imaging ◽  
Hepatocellular Carcinoma ◽  
Memory Impairment ◽  
Limbic Encephalitis ◽  
Clinical Symptoms ◽  
Antibody Test ◽  
Resonance Imaging ◽  
First Case ◽  
Autoimmune Limbic Encephalitis ◽  
The Relationship

Anti-leucine-rich glioma inactivated-1 (LGI1) antibody has been known as the most common antibody in autoimmune limbic encephalitis. We report a case of a 63-year-old woman who presented with repetitive memory impairment. She was diagnosed with anti-LGI1 limbic encephalitis by clinical symptoms, magnetic resonance imaging, electroencephalography, and antibody test. Hepatocellular carcinoma (HCC) was discovered incidentally. Clinical seizures were completely controlled after hepatic segmentectomy without immunotherapy. This is the first case report showing the relationship between HCC and anti-LGI1 limbic encephalitis.

Glioblastoma multiforme metastasis to the axis

2005 ◽  
Vol 102 (3) ◽  
pp. 540-542 ◽  
Author(s):  
Satoshi Utsuki ◽  
Satoshi Tanaka ◽  
Hidehiro Oka ◽  
Kazuhisa Iwamoto ◽  
Takao Sagiuchi ◽  
...  
Keyword(s):  
Glioblastoma Multiforme ◽  
Magnetic Resonance ◽  
Tumor Resection ◽  
Sudden Onset ◽  
Resonance Imaging ◽  
Content Type ◽  
Magnetic Resonance Studies ◽  
First Case ◽  
History Of ◽  
Multiple Bone Metastases

✓ Extracranial bone metastasis from glioblastoma multiforme (GBM) has rarely been reported in the literature, and most metastatic GBMs are multiple bone metastases. The authors describe the first case of a GBM with metastasis only to the axis. This 42-year-old man presented with a 2-month history of headache, nausea, vomiting, and disorientation. Magnetic resonance imaging demonstrated a right temporal tumor, which was diagnosed as a GBM based on tumor resection. The patient was treated using radiation (6000 cGy) and the intravenous administration of nimustine hydrochloride. Eighteen months thereafter, he experienced the sudden onset of neck pain. Magnetic resonance studies revealed a tumor in the axis that was diagnosed as GBM based on biopsy procedure.

Extension of Nasopharyngeal Lymphoma to the Middle and External Ear

2003 ◽  
Vol 112 (7) ◽  
pp. 644-646 ◽  
Author(s):  
Arie Gordin ◽  
Yehudith Ben-Arieh ◽  
Aviram Netzer ◽  
David Goldenberg ◽  
Avishay Golz
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
External Ear ◽  
Histopathologic Examination ◽  
Resonance Imaging ◽  
Ear Canal ◽  
Direct Extension ◽  
First Case ◽  
Otoscopic Examination ◽  
Left Middle

We describe a patient with nasopharyngeal lymphoma who was admitted for chemotherapy. At admission, otoscopic examination revealed a large polyp occluding the left external ear canal. The polyp was removed, and histopathologic examination showed the same tumor that was found previously in the nasopharynx. Magnetic resonance imaging showed an infiltrative process that involved the left side of the nasopharynx and extended toward the left middle and external ear. To our knowledge, this is the first case report of a direct extension of nasopharyngeal lymphoma into the middle and external ear.

A systemic lupus erythematosus patient presenting as type B insulin resistance complicated with cryoglobulinemia

Lupus ◽  
2016 ◽  
Vol 26 (1) ◽  
pp. 95-97 ◽  
Author(s):  
Q Huang ◽  
Y Yan ◽  
H Zhao ◽  
L Zuo
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Insulin Resistance ◽  
Lupus Erythematosus ◽  
Clinical Symptoms ◽  
Mixed Cryoglobulinemia ◽  
Sudden Onset ◽  
Clinical Feature ◽  
Type B ◽  
Systemic Lupus ◽  
First Case

Systemic lupus erythematosus (SLE) patients may present with various symptoms and multisystem damage. We reported a 63-year-old male patient with SLE presenting as type B insulin resistance (TBIR) complicated with cryoglobulinemia. TBIR is an extremely rare disease, which is a manifestation of anti-insulin receptor antibodies (AIRA). Clinical feature is a sudden onset of hyperglycemia with major weight loss; however, the ensuing refractory hypoglycemia is more fatal. The average dosage of exogenous insulin is 5100 U/d. SLE patients with AIRA had poor prognosis, most of whom died of SLE activity. Cryoglobulins are immunoglobulins that reversibly precipitate in the cold, which will induce clinical symptoms. Non-infectious mixed cryoglobulinemia is frequently secondary to autoimmune diseases, such as SLE. Our patient was prescribed methylprednisolone (MP) and cyclophosphamide (CTX). Finally he had remission during the short-term follow-up. To our knowledge, this is the first case report of an SLE patient presenting as TBIR complicated with cryoglobulinemia.

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