Acute multifocal CNS demyelination as first presentation of systemic malignancy

Neurology ◽  
2005 ◽  
Vol 65 (1) ◽  
pp. 166-166 ◽  
Author(s):  
N. Gonzales ◽  
E. Jarboe ◽  
B. K. Kleinschmidt-DeMasters ◽  
P. Bosque
2021 ◽  
pp. 135245852096389
Author(s):  
Stefania Kaninia ◽  
Alexandros Grammatikos ◽  
Kathryn Urankar ◽  
Shelley A Renowden ◽  
Nikunj K Patel ◽  
...  

Background: The cytotoxic T-lymphocyte antigen-4 (CTLA-4) pathway acts as a negative immune regulator of T-cell activation and promotes self-tolerance. Case: We report the first case of biopsy-proven central nervous system inflammatory demyelination in the context of primary immunodeficiency and a novel CTLA-4 variant. Conclusion: This case has significant implications for the development of novel treatments for autoimmune conditions including multiple sclerosis and further emphasises the need for caution with clinical use of CTLA-4 immune checkpoint inhibitors in those with a history of inflammatory demyelination.


2021 ◽  
Vol 2 (1) ◽  
pp. 100287
Author(s):  
Satoshi Hirose ◽  
Kati Tormanen ◽  
Mihoko Kato ◽  
Jack Yu ◽  
Homayon Ghiasi
Keyword(s):  

2008 ◽  
Vol 31 (2) ◽  
pp. 209-217 ◽  
Author(s):  
Chao Zhao ◽  
Stephen P.J. Fancy ◽  
Charles ffrench-Constant ◽  
Robin J.M. Franklin

2021 ◽  
Vol 14 (3) ◽  
pp. e238808
Author(s):  
Santosh Sriram Andugulapati ◽  
Akash Chheda ◽  
Karan Desai ◽  
Sangeeta Hasmukh Ravat

A diagnosis of idiopathic intracranial hypertension should be considered only after careful exclusion of all possible aetiologies. We report a case of neoplastic meningitis presenting as intracranial hypertension with inconclusive repeated cerebrospinal fluid (CSF) cytology and MRI of brain, emphasising the importance of meticulous CSF analysis and role of early whole-body PET–CT scan for diagnosis of systemic malignancy.


1985 ◽  
Vol 44 (3) ◽  
pp. 318
Author(s):  
F. D. Lublln ◽  
R. L. Knobler ◽  
S. Duckett ◽  
W. G. Beamer

2012 ◽  
Vol 181 (5) ◽  
pp. 1518-1523 ◽  
Author(s):  
Jeffrey K. Huang ◽  
Carina C. Ferrari ◽  
Glaucia Monteiro de Castro ◽  
David Lafont ◽  
Chao Zhao ◽  
...  

2019 ◽  
Vol 26 (9) ◽  
pp. 1124-1129 ◽  
Author(s):  
Alicja Kalinowska-Lyszczarz ◽  
Mahboobeh Fereidan-Esfahani ◽  
Yong Guo ◽  
Claudia F Lucchinetti ◽  
W Oliver Tobin

Background: Tumor necrosis factor alpha (TNF-alpha) inhibitors, such as infliximab, are commonly used to treat rheumatoid arthritis (RA) and other immune-mediated disorders. Objective: To determine whether infliximab-associated central nervous system (CNS) demyelination can be differentiated from multiple sclerosis (MS). Methods: We present a case of pathologically proven CNS demyelination in a patient treated with infliximab and describe clinical–radiographic–neuropathological findings. Putative mechanisms of TNF-alpha inhibitor-associated CNS demyelination are described. Results and conclusion: Infliximab treatment is associated with CNS inflammatory demyelinating activity, which is histopathologically indistinguishable from MS.


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