Downbeat Nystagmus in a 7-Year-Old Girl With Epstein-Barr Virus-Associated Meningitis and Cerebellitis

Downbeat nystagmus is a type of jerk nystagmus that may be seen in patients with lesions affecting the vestibulocerebellum. This is a case of a 7-year-old girl presenting with a history of fever, headache, and episodic vertigo with downbeat nystagmus. The diagnosis of Epstein-Barr virus meningitis with acute cerebellitis was made by contrast magnetic resonance imaging, cerebrospinal fluid analysis, and serum Epstein-Barr virus titers. Contrast magnetic resonance imaging demonstrated enhancement of the meninges and inferior cerebellar folia, correlating with the neuroophthalmological symptom of downbeat nystagmus.

A perspective review: Technical study of combining phase contrast magnetic resonance imaging and computational fluid dynamics for blood flow on carotid bifurcation artery

Nowadays, the knowledge of precise blood flow patterns in human blood vessels, especially focusing on Carotid Bifurcations Artery (CBA) area by using computational and modern techniques are very important to develop our understanding regarding to human diseases for both essential research and clinical treatment. This paper tends to discuss the progress regarding to the integration between Phase Contrast Magnetic Resonance Imaging (PC-MRI) and Computational Fluid Dynamics (CFD), specifically to the human diseases. We technically define the model geometry reconstruction, review both PC-MRI and CFD methods to create mesh models, obtain boundary conditions, define the governing equations in CFD, define the material properties, and assumptions used in running the CFD simulations. Detailed information on PC-MRI and CFD is provided in tables, such as the MRI setup, software used, CFD model setup, measurement parameter, and summary of the result contribution from each reviewed article. Numerous fusions between PC-MRI and CFD are specified by summarizing the investigation carried out by significant group’s research, reviewing the important outcomes, and discussing the techniques, drawbacks and possibilities for further study. We hope that this perspective analysis will encourage a fusion of PC-MRI and CFD research contributing to continuous advancement of human health with close cooperation and collaboration among clinicians and engineers.