Hereditary hemorrhagic telangiectasia (Rendu-Osler-Weber disease) presenting with polymicrobial brain abscess

1994 ◽  
Vol 81 (2) ◽  
pp. 294-296 ◽  
Author(s):  
Walter A. Hall
Keyword(s):  
Family History ◽  
Hereditary Hemorrhagic Telangiectasia ◽  
Coil Embolization ◽  
Neurological Complications ◽  
Arteriovenous Fistulae ◽  
Content Type ◽  
Embolization Treatment ◽  
History Of ◽  
The Right ◽  
Fine Print

✓ A 26-year-old man presented with expressive aphasia, weakness of the right arm, and anemia but there was no family history of hereditary hemorrhagic telangiectasia. Computerized tomography (CT) of the head demonstrated an enhancing left frontal mass, which was aspirated and on culture yielded multiple organisms. Pulmonary arteriovenous fistulae identified in both lungs by chest radiography, CT, and angiography were treated with coil embolization. Treatment of pulmonary arteriovenous fistulae and prolonged surveillance are necessary to prevent future neurological complications.

Spinal arterial malformation in a child with hereditary hemorrhagic telangiectasia

1976 ◽  
Vol 44 (5) ◽  
pp. 613-616 ◽  
Author(s):  
Glen S. Merry ◽  
D. Barry Appleton
Keyword(s):  
Spinal Cord ◽  
Family History ◽  
Hereditary Hemorrhagic Telangiectasia ◽  
Cauda Equina ◽  
Content Type ◽  
Cauda Equina Compression ◽  
History Of ◽  
Spinal Aneurysm ◽  
Arterial Malformation ◽  
Fine Print

✓ A case is reported of spinal aneurysm in a child with a family history of hereditary hemorrhagic telangiectasia causing spinal cord and cauda equina compression. The operative approach is discussed.

Cerebral mycotic aneurysm of fungal origin

1978 ◽  
Vol 49 (1) ◽  
pp. 0107-0110 ◽  
Author(s):  
Gulshan K. Ahuja ◽  
Neeraj Jain ◽  
Malini Vijayaraghavan ◽  
Subimal Roy
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Mycotic Aneurysm ◽  
Carotid Arteries ◽  
Internal Carotid ◽  
Content Type ◽  
History Of ◽  
The Right ◽  
Internal Carotid Arteries ◽  
Fine Print

✓ A young man who had a long history of sinusitis developed subarachnoid hemorrhage and died. Autopsy showed a mycotic aneurysm of fungal origin at the junction of the right posterior cerebral and internal carotid arteries. Four of five reported cases of fungal aneurysm were due to Aspergillus infection.

Remote congenital cerebral arteriovenous fistulae associated with aortic coarctation

1992 ◽  
Vol 76 (1) ◽  
pp. 137-142 ◽  
Author(s):  
Francis H. Tomlinson ◽  
David G. Piepgras ◽  
Douglas A. Nichols ◽  
Daniel A. Rüfenacht ◽  
Sue C. Kaste
Keyword(s):  
Caesarean Section ◽  
Aortic Coarctation ◽  
Coarctation Of The Aorta ◽  
Vascular Lesions ◽  
Prenatal Ultrasonography ◽  
Arteriovenous Fistulae ◽  
Content Type ◽  
The Right ◽  
Fine Print

✓ A neonate presented with anatomically discrete cerebral arteriovenous fistulae located in the right sylvian fissure and the cerebellar vermis that were initially detected by prenatal ultrasonography. Following delivery of the baby by Caesarean section, both malformations were treated by surgical obliteration. These intracranial vascular lesions were associated with cardiac anomalies and a periductal coarctation of the aorta, which was treated with a left subclavian rotational arterial pedicle repair. Follow-up examination of the infant at age 13 months demonstrated an excellent clinical result with normalization of the circulation. The pathophysiology of this syndrome is discussed and the literature reviewed.

Ruptured “blisterlike” aneurysm with a pseudoaneurysm formation requiring delayed intervention with endovascular coil embolization

2004 ◽  
Vol 101 (1) ◽  
pp. 159-162 ◽  
Author(s):  
Shuichi Tanoue ◽  
Hiro Kiyosue ◽  
Shunro Matsumoto ◽  
Masanori Yamashita ◽  
Hirofumi Nagatomi ◽  
...  
Keyword(s):  
Coil Embolization ◽  
Treatment Options ◽  
Cerebral Aneurysms ◽  
Saccular Aneurysm ◽  
Content Type ◽  
Pseudoaneurysm Formation ◽  
Complete Obliteration ◽  
Detachable Coils ◽  
The Right ◽  
Fine Print

✓ A ruptured blisterlike aneurysm of the supraclinoid ICA rarely occurs. Nevertheless, it is recognized as a dangerous lesion because of the high risk of intraoperative bleeding associated with this lesion's wide fragile neck. There has been only one report of a blisterlike aneurysm treated by endosaccular packing after surgical wrapping. The authors describe the case of a ruptured blisterlike aneurysm with a pseudoaneurysm cavity, which was treated by coil embolization. This 63-year-old woman suffered a subarachnoid hemorrhage (SAH). Three cerebral aneurysms were identified on cerebral angiograms. A large saccular aneurysm at the ophthalmic portion of the right ICA was embolized with Guglielmi Detachable Coils (GDCs). Two small hemipherically shaped aneurysms on the C-2 and C-3 portions of the left ICA were observed conservatively. Thirteen days later, recurrent SAH was identified on computerized tomography scans. Angiography demonstrated the formation of a pseudoaneurysm from the aneurysm on the C-2 portion of the left ICA. Endosaccular embolization with GDCs was performed 40 days after admission. Disappearance of the pseudoaneurysm cavity and residual dome filling was seen immediately after the procedure. Follow-up angiography performed 9 months after embolization demonstrated complete obliteration of the aneurysm. This case illustrates that when treatment options for a blisterlike aneurysm with a pseudoaneurysm are unsuitable during the acute phase, coil embolization can be applied following progression of the lesion into a saccular aneurysm during the chronic stage.

Cerebrospinal acanthamebic granulomas

2003 ◽  
Vol 99 (3) ◽  
pp. 572-574 ◽  
Author(s):  
Vernon Velho ◽  
Gopal Krishan Sharma ◽  
Deepak Amrut Palande
Keyword(s):  
Surgical Excision ◽  
Imaging Studies ◽  
Content Type ◽  
Mode Of Entry ◽  
Antituberculosis Treatment ◽  
History Of ◽  
Severe Infections ◽  
The Central Nervous System ◽  
The Right ◽  
Fine Print

✓ The authors present the case of a previously healthy 26-year-old man who presented with cerebrospinal acanthamebic granulomas, and they review the literature on acanthamebic granulomas of the central nervous system (CNS). The appearance of the lesion on imaging studies suggested the presence of tuberculous granulomas, which are common in India, and antituberculosis treatment was started. Despite surgical excision of a granuloma located in the right temporoparietal region and an intramedullary granuloma at T7–8, the disease progressed and resulted in death. Unlike other cases, this patient was not immunocompromised, had no history of engaging in water activities, and had no ulcers on his body, leaving in question the mode of entry used by the ameba. Acanthamebic granulomas can cause severe infections in healthy patients as well as in sick ones. This disease should be considered in the differential diagnosis when treating infective granulomas of the CNS.

Symptomatic cerebral histoplasmoma

1980 ◽  
Vol 52 (2) ◽  
pp. 273-275 ◽  
Author(s):  
Sydney S. Schochet ◽  
Mohammad Sarwar ◽  
Patrick J. Kelly ◽  
Brent E. Masel
Keyword(s):  
Differential Diagnosis ◽  
Parietal Lobe ◽  
Past History ◽  
Content Type ◽  
Pathological Evaluation ◽  
Peripheral Ring ◽  
History Of ◽  
The Right ◽  
Tomography Scan ◽  
Fine Print

✓ A 53-year-old man, with a past history of a thoracotomy 7 years previously, developed seizures. A computerized tomography scan with contrast medium revealed a peripheral ring-like lesion in the anterolateral part of the right parietal lobe. Pathological evaluation of the resected lesion demonstrated it to be a histoplasmoma. Although rare, a histoplasmoma should be included in the differential diagnosis of a ring-shaped lesion in a patient with previous pulmonary disease.

Risk factors for the formation of multiple intracranial aneurysms

2001 ◽  
Vol 94 (5) ◽  
pp. 728-732 ◽  
Author(s):  
Habib E. Ellamushi ◽  
Joan P. Grieve ◽  
H. Rolf Jäger ◽  
Neil D. Kitchen
Keyword(s):  
Risk Factors ◽  
Family History ◽  
Cigarette Smoking ◽  
Cerebrovascular Disease ◽  
Intracranial Aneurysms ◽  
Content Type ◽  
Multiple Aneurysms ◽  
Female Patients ◽  
History Of ◽  
Fine Print

Object. Several factors are known to increase the risk of subarachnoid hemorrhage (SAH) and spontaneous intracerebral hematoma. However, information on the roles of these same factors in the formation of multiple aneurysms is less well defined. The purpose of this study was to examine factors associated with an increased risk of multiple aneurysm formation. Methods. A retrospective review of the medical records of all patients with a diagnosis of SAH and intracranial aneurysms who were admitted to a single institution between 1985 and 1997 was undertaken. The authors examined associations between risk factors (patient age and sex, menopausal state of female patients, hypertension, cigarette smoking, alcohol consumption, history of cardiovascular disease or diabetes mellitus, and family history of cerebrovascular disease) and the presence of multiple aneurysms by using the Fisher exact test and logistic regression analysis. Of 400 patients admitted with a diagnosis of cerebral aneurysms, 392 were included in the study (287 women and 105 men). Two hundred eighty-four patients harbored a single aneurysm and 108 harbored multiple aneurysms (2 aneurysms in 68 patients, three aneurysms in 22 patients, four aneurysms in 13 patients, and five aneurysms in five patients). Conclusions. Statistical analysis revealed that, as opposed to the occurrence of a single aneurysm, there was a significant association between the presence of multiple aneurysms and hypertension (p < 0.001), cigarette smoking (p < 0.001), family history of cerebrovascular disease (p < 0.001), female sex (p < 0.001), and postmenopausal state in female patients (p < 0.001).

Tapia's syndrome caused by a neurofibroma of the hypoglossal and vagus nerves

1980 ◽  
Vol 52 (5) ◽  
pp. 730-732 ◽  
Author(s):  
Giancarlo Andrioli ◽  
Luca Rigobello ◽  
Salvatore Mingrino ◽  
Vito Toso
Keyword(s):  
Vocal Cord ◽  
Cranial Nerves ◽  
Complete Removal ◽  
Nodose Ganglion ◽  
Vagus Nerves ◽  
Content Type ◽  
Tapia’S Syndrome ◽  
History Of ◽  
The Right ◽  
Fine Print

✓ Tapia's syndrome is characterized by unilateral paralysis of the tongue and vocal cord, and is caused by a lesion of the 10th and 12th cranial nerves below the nodose ganglion, without involvement of the pharyngeal branches of the 10th nerve. The authors report the case of a 25-year-old man who presented with a 4-year history of progressive glossolaryngeal paralysis. Operation through the right laterocervical region allowed complete removal of a neurofibroma involving the 10th and 12th nerves at their crossing below the nodose ganglion.

Family history of subarachnoid hemorrhage and the incidence of asymptomatic, unruptured cerebral aneurysms

1999 ◽  
Vol 91 (3) ◽  
pp. 391-395 ◽  
Author(s):  
Toshio Nakagawa ◽  
Kazuo Hashi ◽  
Yasutaka Kurokawa ◽  
Akinori Yamamura
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Family History ◽  
Healthy Volunteers ◽  
Systemic Risk ◽  
Cerebral Aneurysms ◽  
Control Group ◽  
Content Type ◽  
History Of ◽  
Unruptured Cerebral Aneurysms ◽  
Fine Print

Object. Previously the authors reported a significant correlation between a family history of subarachnoid hemorrhage (SAH) and the discovery of an unruptured aneurysm in a group of healthy volunteers. This study corroborates and extends previous findings regarding the relationship between genetic and acquired factors in the formation of cerebral aneurysms.Methods. The incidence of asymptomatic, unruptured cerebral aneurysms was studied among patients with a family history of SAH within the second degree of consanguinity. Forty-one unruptured cerebral aneurysms were found in 34 (13.9%) of 244 patients. This incidence was significantly higher than that found in a control group of healthy volunteers (6%). Furthermore, patients who had a family history of SAH combined with multiple systemic risk factors were found to have the highest incidence of unruptured aneurysms (32%; odds ratio 3.49, 95% confidence interval 1.37–8.9).Conclusions. These findings suggest that patients with a family history of SAH with or without the presence of more than one systemic risk factor are at significantly higher risk of harboring cerebral aneurysms. This highrisk group should be periodically screened and treated with appropriate surgical or other forms of therapy when necessary.

Manson's schistosomiasis presenting as a brain tumor

1998 ◽  
Vol 89 (6) ◽  
pp. 1052-1054 ◽  
Author(s):  
Ian R. A. Mackenzie ◽  
Abhijit Guha
Keyword(s):  
Mr Imaging ◽  
Brain Biopsy ◽  
Occipital Lobe ◽  
Mass Effect ◽  
Neurological Complications ◽  
Stereotactic Brain Biopsy ◽  
Content Type ◽  
History Of ◽  
General Physical ◽  
The Right

✓ Neurological complications arising from schistosomiasis are uncommon, and reports of Manson's schistosomiasis presenting as an intracerebral mass lesion are particularly rare. The authors describe the case of a 26-year-old man with a 3-month history of headaches and visual abnormalities. He had immigrated to Canada from Brazil 4 years previously. The patient's general physical and neurological examinations were unremarkable. Magnetic resonance (MR) imaging revealed an enhancing lesion with surrounding edema and mild mass effect in the right occipital lobe. A stereotactic brain biopsy demonstrated intraparenchymal granulomas surrounding Schistosoma masoni eggs. The patient's symptoms resolved following treatment with praziquantel and steroid medications; follow-up MR imaging yielded normal findings. This case demonstrates that neuroschistosomiasis should be considered when an individual presenting with an intracerebral mass has lived in a region in which this disease is endemic.

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