scholarly journals Case Report: Thalamomesencephalic stroke in a patient with HIV

F1000Research ◽  
2021 ◽  
Vol 9 ◽  
pp. 1250
Author(s):  
Jerry George ◽  
Sibi Joseph ◽  
Mongezi Tau ◽  
Lourdes de Fatima Ibanez Valdes ◽  
Thozama Dubula ◽  
...  
Keyword(s):  
Medical Literature ◽  
Posterior Cerebral Artery ◽  
Clinical Manifestations ◽  
Lower Limbs ◽  
Hiv Positive ◽  
Thalamic Lesion ◽  
Resonance Imaging ◽  
Babinski Sign ◽  
Ischemic Infarct ◽  
The Right

We present a 41-year-old HIV-positive female patient complaining of complete right palpebral ptosis, diplopia, and inability to balance herself. On examination, the right eye was able to move laterally and downwards. The motor exam showed left hemiparesis (4/5) on upper and lower limbs, bilateral Babinski sign with left hemiataxia without the sensory disorder. CT scan and magnetic resonance imaging angiography demonstrated an ischemic infarct on the right paramedian branch of the posterior cerebral artery territory.  This patient did not present clinical manifestations of the thalamic lesion. To our knowledge, this is the first reported case of a young patient presenting a unilateral thalamomesencephalic ischemic stroke secondary to HIV vasculitis with bilateral Babinski signs and without thalamic signs in the medical literature.

scholarly journals Case Report: Thalamomesencephalic stroke in a patient with HIV

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 1250
Author(s):  
Jerry George ◽  
Sibi Joseph ◽  
Mongezi Tau ◽  
Lourdes de Fatima Ibanez Valdes ◽  
Thozama Dubula ◽  
...  
Keyword(s):  
Medical Literature ◽  
Posterior Cerebral Artery ◽  
Clinical Manifestations ◽  
Lower Limbs ◽  
Hiv Positive ◽  
Thalamic Lesion ◽  
Resonance Imaging ◽  
Babinski Sign ◽  
Ischemic Infarct ◽  
The Right

We present a 41-year-old HIV-positive female patient complaining of complete right palpebral ptosis, diplopia, and inability to balance herself. On examination, the right eye was able to move laterally and downwards. The motor exam showed left hemiparesis (4/5) on upper and lower limbs, bilateral Babinski sign with left hemiataxia without the sensory disorder. CT scan and magnetic resonance imaging angiography demonstrated an ischemic infarct on the right paramedian branch of the posterior cerebral artery territory.  This patient did not present clinical manifestations of the thalamic lesion. To our knowledge, this is the first reported case of a young patient presenting a unilateral thalamomesencephalic ischemic stroke secondary to HIV vasculitis with bilateral Babinski signs and without thalamic signs in the medical literature.

scholarly journals Case Report: Thalamomesencephalic stroke due to vasculitis in a patient with HIV

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 1250
Author(s):  
Jerry George ◽  
Sibi Joseph ◽  
Mongezi Tau ◽  
Lourdes de Fatima Ibanez Valdes ◽  
Thozama Dubula ◽  
...  
Keyword(s):  
Medical Literature ◽  
Posterior Cerebral Artery ◽  
Clinical Manifestations ◽  
Lower Limbs ◽  
Hiv Positive ◽  
Thalamic Lesion ◽  
Babinski Sign ◽  
Ct Angiogram ◽  
Ischemic Infarct ◽  
The Right

We present a 41-year-old HIV-positive female patient complaining of complete right palpebral ptosis, diplopia, and inability to balance herself. On examination, the right eye was able to move laterally and downwards. The motor exam showed left hemiparesis (4/5) on upper and lower limbs, bilateral Babinski sign with left hemiataxia without the sensory disorder. A computed tomography (CT) angiogram confirmed a diffuse vasculitis with parenchymal changes in the right thalamus and midbrain. CT scan and magnetic resonance imaging angiography demonstrated an ischemic infarct on the right paramedian branch of the posterior cerebral artery territory.  This patient did not present clinical manifestations of the thalamic lesion. To our knowledge, this is the first reported case of a young patient presenting a unilateral thalamomesencephalic ischemic stroke secondary to HIV vasculitis with bilateral Babinski signs and without thalamic signs in the medical literature.

Uhl’s anomaly: rare but does exist

2016 ◽  
Vol 26 (7) ◽  
pp. 563-565
Author(s):  
Parveen Kumar ◽  
Hemant Chaturvedi ◽  
Payal Khatri ◽  
Sanjay Khatri
Keyword(s):  
Right Ventricle ◽  
Right Ventricular ◽  
Systolic Dysfunction ◽  
Lower Limbs ◽  
Ventricular Wall ◽  
Ventricular Systolic Dysfunction ◽  
Resonance Imaging ◽  
Right Ventricular Wall ◽  
Thin Walled ◽  
The Right

A 17-year-old boy presented with facial puffiness and swelling in the lower limbs for 6 months and one episode of syncope 15 days earlier. Transthoracic echocardiography showed a dilated right atrium and right ventricle with right ventricular systolic dysfunction. The free wall of the right ventricle was thinned out and devoid of myocardium and trabeculations. Cardiac magnetic resonance imaging showed an extremely dilated thin-walled right ventricle and absence of trabeculations, with no fat signal in the right ventricular wall, in contrast to that seen in arrhythmogenic ventricular dysplasia, which confirmed the diagnosis of Uhl’s anomaly.

Extradural developmental dural root sleeve cyst presenting as a lumbar paraspinal mass with renal compression in an infant

2010 ◽  
Vol 5 (6) ◽  
pp. 586-590 ◽  
Author(s):  
Balaji Srinivas ◽  
Vivek Joseph ◽  
Geeta Chacko ◽  
Vedantam Rajshekhar
Keyword(s):  
Marked Reduction ◽  
Left Kidney ◽  
Lower Limbs ◽  
Resonance Imaging ◽  
Abdominal Organs ◽  
Left Lower Limb ◽  
Extradural Cyst ◽  
The Right ◽  
Slow Growing

Spinal extradural cysts do not normally present as a visible paraspinal mass or cause compression of the abdominal organs. The authors describe the case of a 9-month-old boy with multiple spinal extradural cysts. The largest of these cysts was along the right L-2 nerve root with significant extraspinal extension resulting in a visible slow-growing swelling in the right paraspinal region and radiological evidence of compression of the right kidney with hydronephrosis. Another large cyst along the left T-12 root caused radiologically evident compression of the left kidney but to a lesser degree. The patient also had monoparesis of the left lower limb and phenotypic features of Noonan syndrome. The authors performed marsupialization of the cysts, as well as repair of the fistula between the subarachnoid space and the cyst on the right side along the L-2 root and on the left side along the T-12 root. At 1-year follow-up, there was no paraspinal mass and the lower limbs exhibited normal power. Magnetic resonance imaging confirmed marked reduction in the size of the cysts and relief of the renal compression. To the authors' knowledge, their patient is the youngest reported in literature to have a spinal extradural cyst and also the first with the cyst presenting as a paraspinal mass.

Novel Missense ALDH3A2 Mutation in a Patient with Sjögren–Larsson Syndrome

2019 ◽  
Vol 18 (03) ◽  
pp. 166-168
Author(s):  
Anar Tagiyev ◽  
Busranur Cavdarli ◽  
Bahadir Konuskan ◽  
Haluk Topaloglu
Keyword(s):  
Muscle Tone ◽  
Mild Mental Retardation ◽  
Resonance Imaging ◽  
Cranial Magnetic Resonance Imaging ◽  
Babinski Sign ◽  
Dysarthric Speech ◽  
The Right ◽  
Larsson Syndrome ◽  
Toe Walking ◽  
Tendon Reflexes

AbstractAn 11-year-old boy presented with toe-walking, hyperkeratosis of the skin, dysarthric speech, and mild mental retardation. On neurological examination, mild fasciculation in the eyelids and bilateral end-point nystagmus were noted. Speech quality was dysarthric, muscle tone, strength, and deep tendon reflexes increased tone, reflexes, and mild weakness (4/5), and bilateral Babinski sign was noted in the lower extremities. Cranial magnetic resonance imaging revealed a T2-signal increase in the right temporal lobe. Sjögren–Larsson syndrome based on clinical and neurological findings was confirmed with the identification of a homozygous c.983T˃C(p.Met328Thr) mutation in the ALDH3A2 gene; both parents were heterozygous for the same mutation.

scholarly journals Neurobrucellosis with ischemic stroke and spinal cord involvement: a case report

BMC Neurology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hongfeng Wen ◽  
Di Jin ◽  
Lina Cai ◽  
Tao Wu ◽  
Haichao Liu
Keyword(s):  
Spinal Cord ◽  
Ischemic Stroke ◽  
Clinical Manifestations ◽  
Transverse Myelitis ◽  
Lower Limbs ◽  
Spinal Cord Atrophy ◽  
Magnetic Resonance Imaging Mri ◽  
The Right ◽  
Next Generation Sequencing Ngs

Abstract Background Brucellosis is a common zoonotic disease that may have a variety of clinical manifestations when it affects the nervous system. Ischemic stroke is a rare clinical symptom, but if it is not diagnosed and treated early, it may cause more severe consequences. Case presentation We report a 38-year-old man presenting with hearing impairment for four years and sudden weakness of the right limb for two years, recurrent aphasia, and gradual weakness of bilateral lower limbs for nine months. He had bilateral positive Babinski’s sign. Cerebrospinal fluid (CSF) showed raised protein and pleocytosis. Magnetic resonance imaging (MRI) showed ischemic infarcts in the pons and extensive enhancement of spinal meninges combined with spinal cord atrophy and ischemia. The tests revealed Brucella Rose Bengal positive in serum and CSF. Brucella culture in CSF was also positive. Next-generation sequencing (NGS) of CSF revealed positive for Brucella with 105 species were detected. He showed significant improvement with antibiotics at five months follow-up. Conclusions Neurobrucellosis may mimic stroke and transverse myelitis like syndromes. NB is a treatable infectious condition and should always be considered in the differentials, especially if there are risk factors, as in our case.

scholarly journals Fovilles Syndrome a Case to Remember Case Report

2021 ◽  
Vol 2 (10) ◽  
pp. 1015-1017
Author(s):  
Sudikshya Acharya ◽  
Basant Pant ◽  
Avinash Chandra ◽  
Ayush Chandra
Keyword(s):  
Rare Case ◽  
Clinical Manifestations ◽  
Sudden Onset ◽  
The Body ◽  
Clinical Feature ◽  
Resonance Imaging ◽  
Magnetic Resonance Imaging Mri ◽  
The Right ◽  
Acute Headache ◽  
Mr Angiogram

The Foville’s Syndrome is a rare clinical feature of stroke or brain hemorrhage. This is very rare brain stem syndrome and only few cases have been reported worldwide. A case of Foville's syndrome secondary to infarction at the left paramedian pontine region, which was diagnosed and treated at Annapurna Neurological institute and allied Science, Kathmandu, Nepal. A 62 years old gentleman presented with acute headache with sudden onset of vertigo, tinnitus, slurred speech, difficulty while swallowing and numbness and hemiparesis on the right side of the body. The aim of this study was to report a rare case of Foville's syndrome with the infarction at the left paramedian pontine region. The clinical manifestations were well correlated with anatomical involvement. The CT-scan of head, Magnetic Resonance Imaging (MRI), MR-Angiogram (MRA) sequence of cerebral and carotid, etc. helped in the diagnosis of the case along with the other lab investigations.

Core hypothermia in multiple sclerosis: case report with magnetic resonance imaging localization of a thalamic lesion

2006 ◽  
Vol 12 (1) ◽  
pp. 112-115 ◽  
Author(s):  
R A Linker ◽  
A Mohr ◽  
L Cepek ◽  
R Gold ◽  
H Prange
Keyword(s):  
Magnetic Resonance Imaging ◽  
Multiple Sclerosis ◽  
Magnetic Resonance ◽  
Corpus Callosum ◽  
Rare Condition ◽  
Thalamic Lesion ◽  
Resonance Imaging ◽  
Multiple Sclerosis Case ◽  
Magnetic Resonance Imaging Mri ◽  
The Right

Hypothermia is a rare condition in multiple sclerosis (MS). We report on a patient with a longstanding secondary progressive MS and six episodes of recurring hypothermia down to 29.98C with associated hypotension, bradycardia, coagulopathy and electrolyte dysequilibrium. Magnetic resonance imaging (MRI) demonstrated severe involvement of the corpus callosum with an associated lesion in the right posterior thalamus. These findings may link hypothermia in MS with callosal and associated thalamic pathology to Shapiro’s syndrome, where agenesis of the corpus callosum and associated abnormalities are related to episodic spontaneous hypothermia. In MS, hypothermic episodes may be triggered by preceding infections, as shown in the present case.

scholarly journals Cervical Intramedullary Schwannoma with Syrinx: Case Report and Review of the Literature

2017 ◽  
Vol 07 (03) ◽  
pp. 239-248
Author(s):  
Abdulaziz AlQarni ◽  
A. AlArifi ◽  
Ali Alassiri ◽  
Amjed Kouli ◽  
M. Abbas
Keyword(s):  
Spinal Cord ◽  
Cervical Spinal Cord ◽  
Lower Limbs ◽  
Nerve Sheath Tumor ◽  
Resonance Imaging ◽  
Spinal Cord Tumors ◽  
Nerve Sheath ◽  
Spindle Cells ◽  
The Right ◽  
Intramedullary Schwannoma

AbstractSchwannoma is a nerve sheath tumor originating from the Schwann cell. It is benign in nature and it arises from anywhere where Schwann cells can be found. It is rarely found in the parenchyma of the spinal cord. Intramedullary schwannomas (or neurilemmomas) without evidence of neurofibromatosis are rare spinal cord tumors. Intramedullary schwannoma was first reported in 1932 by Penfield. Our patient presented with neck pain, gradually worsening, weakness in the right upper and lower limbs, numbness in both shoulders, and a decrease in the grasping strength of both hands over a 4-year period. A magnetic resonance imaging of the spine showed a heterogeneously enhancing mass in the cervical spinal cord extending from the C2 to T1 levels with associated hemorrhagic changes. Histologically, the tumor was found to be composed of bland spindle cells with blunt-ended and sometimes wavy nuclei admixed with hyalinized vasculature. Surrounding reactive spinal cord parenchyma with frequent Rosenthal fibers was also observed. Focal Verocay bodies were evident, and with immunohistochemistry, there was diffuse and strong positivity for S100, which is confirmatory for the diagnosis of schwannoma. We report a case of cervical intramedullary schwannoma presented with syringobulbia in a young adult.

Sign in / Sign up

Export Citation Format

Share Document