Letter to the Editor. Brain biopsy in children and adults with neurological diseases of unknown etiology: two sides of the same coin?

2021 ◽  
Vol 27 (1) ◽  
pp. 120-122
Author(s):  
Bertrand Mathon ◽  
Marc Pineton de Chambrun ◽  
Alexandre Le Joncour ◽  
Aymeric Amelot
2022 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Bertrand Mathon ◽  
Malory Favreau ◽  
Vincent Degos ◽  
Aymeric Amelot ◽  
Alexandre Le Joncour ◽  
...  

2020 ◽  
Vol 80 ◽  
pp. 78-85 ◽  
Author(s):  
Bertrand Mathon ◽  
Alexandre Le Joncour ◽  
Franck Bielle ◽  
Karima Mokhtari ◽  
Anne-Laure Boch ◽  
...  

Biomedicines ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1899
Author(s):  
Moritz Förster ◽  
Christopher Nelke ◽  
Saskia Räuber ◽  
Hans Lassmann ◽  
Tobias Ruck ◽  
...  

Multiple sclerosis (MS) is an immune-mediated disease of the central nervous system of unknown etiology. As it is still a diagnosis of exclusion, there is an urgent need for biomarkers supporting its diagnosis. Increasing evidence suggests that nitrosative stress may play a pivotal role in the pathogenesis of MS. However, previous reports supporting the role of nitrosative stress molecules as disease biomarkers are inconsistent overall. We therefore systematically analyzed the existing literature to compare the serum and cerebrospinal fluid (CSF) levels of nitrite/nitrate in MS patients with those in patients with noninflammatory other neurological diseases (NIOND) and healthy controls (HC), respectively. We searched the PubMed database and included original articles investigating nitrite/nitrate levels in MS patients and NIOND patients or HC based on predefined selection criteria. Effect sizes were estimated by the standardized mean difference using a random effects model. Our results suggest that MS is associated with higher nitrite/nitrate levels within the CSF compared with patients with NIOND (SMD of 1.51; 95% CI: 0.72, 2.30; p = 0.0008). Likewise, nitrite/nitrate in the CSF of MS patients trends towards increased levels compared with those of HC but does not reach statistical significance (SMD of 3.35; 95% CI: −0.48, 7.19; p = 0.07). Measurement of nitrite/nitrate in the CSF might be a valuable tool facilitating the differentiation of MS and NIOND. Further studies with more homogeneous study criteria are needed to corroborate this hypothesis.


Author(s):  
Bertrand Mathon ◽  
Marc Pineton de Chambrun ◽  
Franck Bielle ◽  
Aymeric Amelot ◽  
Alexandre Le Joncour

2015 ◽  
Vol 46 (4) ◽  
pp. 499-506 ◽  
Author(s):  
Shino Magaki ◽  
Tracie Gardner ◽  
Negar Khanlou ◽  
William H. Yong ◽  
Noriko Salamon ◽  
...  

2019 ◽  
Vol 39 (4) ◽  
pp. 244-250
Author(s):  
Raissa M. Morais ◽  
Nathalia S. Wicpolt ◽  
Francieli A. Molossi ◽  
Daiane Ogliari ◽  
Ademar M. Mori ◽  
...  

ABSTRACT: This study described the epidemiological and clinical-pathological aspects of 25 outbreaks of neurological diseases in cattle caused by plants and mycotoxins in Santa Catarina state. Six of them were due to Sida carpinifolia poisoning, five to Solanum fastigiatum, five to Phalaris angusta, three to Claviceps paspali, three to Claviceps purpurea, and three outbreaks were of unknown etiology. The clinical signs observed in the affected cattle were mild to severe and characterized by generalized muscle tremors, incoordination, hypermetria, wide-based stance, intentional head tremors, dull staring eyes, and frequent ear twitching, with convulsions in some cases. At necropsy, lesions were observed only for P. angusta poisoning, characterized by gray-greenish discoloration in thalamus and midbrain. Microscopically, rarefaction and/or disappearance of Purkinje neurons with substitution by Bergmann cells were observed for S. carpinifolia and S. fastigiatum poisoning. For P. angusta poisoning, thin granular brown-yellowish pigment was observed in the cytoplasm of some neurons. Gross and microscopic findings were not observed in three outbreaks of tremorgenic disease of unknown etiology. Experiments conducted with leaves, flowers and seeds of Ipomoea indivisa and Ipomoea triloba, as well as with maize and soybean residues contaminated with Ipomoea spp. did not reproduced clinical signs.


2021 ◽  
pp. 194187442098598
Author(s):  
Elizabeth Chernyak ◽  
Hang Shi ◽  
Deborah A. Theodore ◽  
Kiran T. Thakur

Epidemiological trends have demonstrated re-emergence of neurosyphilis in the twenty-first century. As prevalence rises in clinical practice, neurosyphilis must be considered in the differential diagnosis even if initial diagnostic workup is unrevealing, especially in patients with human immunodeficiency virus (HIV). Co-infection of neurosyphilis and HIV can result in atypical presentations. In this report, we discuss a challenging diagnosis of neurosyphilis in a man with HIV who presented with atypical imaging findings and initially negative cerebrospinal fluid (CSF) nontreponemal testing. Our patient underwent repeated CSF evaluation and a comprehensive diagnostic workup, including brain biopsy, to arrive at the appropriate diagnosis. He received antibiotic treatment with excellent outcome. We review typical imaging features of neurosyphilis and highlight other neurological diseases that may mimic these radiographic findings. We discuss CSF testing and interpretation in this high-risk patient population.


Author(s):  
P. Shannon ◽  
J.R. Wherrett ◽  
S. Nag

ABSTRACT:Background:Orthochromatic leukodystrophy with pigmented glia and scavenger cells is a rare leukodystrophy of unknown etiology. This report describes a 42-year-old man with a history of depression, dementia and parkinsonism having the pathological features of orthochromatic leukodystrophy with pigmented glia.Methods:We reviewed the clinical history and pathology of autopsy and brain biopsy material.Results:Imaging revealed bilateral cerebral white matter hypodensities. At autopsy, the brain demonstrated a leukodystrophy affecting predominantly the cerebral hemispheres and characterized by demyelination, and cytoplasmic pigment deposits in oligodendroglia and astrocytes. The pigment had the staining properties of ceroid-lipofuschin and on ultrastructural examination was composed of membrane-bound lipid and electron-dense inclusions which had a fingerprint-like pattern. Similar pigment inclusions were not observed on ultrastructural examination of renal, splenic or hepatic tissue obtained at autopsy. The brain biopsy contained cerebral cortex with sparse subcortical white matter in which a few oligodendroglia and fewer astrocytes at the grey/white junctions showed cytoplasmic pigmentary inclusions identical to those described above. However, due to the paucity of white matter in the specimen a definite diagnosis of orthochromatic leukodystrophy with pigmented glia was not made.Conclusions:The diagnosis of orthochromatic leukodystrophy with pigmented glia and scavenger cells can only be made antemortem if the brain biopsy contains adequate white matter and although a rare condition, it should be considered in the differential diagnosis of an adult onset leukodystrophy.


2009 ◽  
Vol 111 (3) ◽  
pp. 235-239 ◽  
Author(s):  
Joseph D. Burns ◽  
Rebecca O. Cadigan ◽  
James A. Russell

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