Publications by authors named "Shuei Murahashi"

A 76-year-old woman with a 7-year history of dementia presented to our hospital with generalized convulsive seizure for the first time. Contrast-enhanced brain magnetic resonance imaging revealed leptomeningeal enhancement mainly in the right occipital lobe and multiple lobar microbleeds in the bilateral cerebral and cerebellar subcortex. No white matter lesions were observed.

View Article and Find Full Text PDF

Cerebral rheumatoid vasculitis (CRV) is a rare, fatal, and diagnostically challenging disorder. We herein report an 81-year-old woman with a 4-year history of rheumatoid arthritis who presented with a fever, progressive disturbance of consciousness, high level of rheumatoid factor, and hypocomplementemia. The enhancement of the perforating branches in the left middle cerebral artery led us to suspect CRV.

View Article and Find Full Text PDF

A 48-year-old woman with a right-sided headache beginning a month prior to admission presented with sudden-onset right hemiparesis. On admission, she had weakness of the right lower extremity, which disappeared 3 hours after onset. Contrast enhanced brain MRI revealed no parenchymal lesion, while indicated thrombi in the superior sagittal sinus and the right side of the transverse sinus, sigmoid sinus, and internal jugular vein, leading to the diagnosis of cerebral venous sinus thrombosis.

View Article and Find Full Text PDF

Background: Trousseau syndrome is a poor prognosis. We report a case of Trousseau syndrome treated by radical resection after endovascular treatment.

Case: A 59-year-old woman presented to our department reporting spontaneous dizziness and pain of the upper abdomen.

View Article and Find Full Text PDF
Article Synopsis
  • Trousseau's syndrome, linked to cancer-associated thrombosis, was observed in a 59-year-old woman diagnosed with intrahepatic cholangiocarcinoma, characterized by severe abdominal and neurological symptoms.
  • The patient presented with significantly elevated tumor markers (CA19-9 and CEA) and multiple organ infarctions, ultimately undergoing surgery to remove part of her liver.
  • Post-surgery, her CA19-9 levels initially decreased but later increased, prompting effective chemotherapy which led to a positive response after 6 months.
View Article and Find Full Text PDF