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Posterior Reversible Encephalopathy Syndrome Associated With a Pontine Lacunar Infarct in a Severely Hypertensive Patient: A Case Report.
Cureus
November 2024
Internal Medicine, Wellington Regional Medical Center, Wellington, USA.
Posterior reversible encephalopathy syndrome (PRES) is a neurologic condition defined by symptoms and imaging findings secondary to vasogenic edema in the brain. Even though not all hypertensive individuals will progress to PRES, high blood pressure is the most frequent risk factor associated with the condition. The pathophysiology of PRES is not clearly understood, but the most accepted proposed mechanism focuses on the brain's inability to regulate cerebral blood flow through constriction or dilation of vessels during extreme blood pressure.
View Article and Find Full Text PDFRocky Mountain Spotted Fever Encephalitis and "Starry Sky" Pattern on MRI: A Case Report.
Neurologist
January 2025
Departments of Neurology.
Article Synopsis
- Rocky Mountain Spotted Fever (RMSF) is a serious illness caused by a tick-borne bacterium, Rickettsia rickettsii, that can cause neurological symptoms like altered consciousness, fever, and rashes.
- A 61-year-old woman initially diagnosed with a urinary tract infection rapidly deteriorated to a comatose state with distinctive MRI findings and a rash, leading to a diagnosis of RMSF encephalitis.
- This case emphasizes the importance of recognizing RMSF encephalitis in patients with fever, confusion, and specific MRI patterns, as timely diagnosis is crucial for treatment decisions.
Myxomatous cause of multiple intracranial aneurysms and cognitive decline: a case report.
Egypt Heart J
September 2024
Department of Pathology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, India.
Background: The occurrence of cerebral aneurysm in a case of cardiac myxoma is rare with less than 60 cases reported worldwide. The course of management is still debatable given its rarity. We present a case of multiple intracranial aneurysms secondary to atrial myxoma in a young lady with a brief review of the literature.
View Article and Find Full Text PDFTransesophageal echocardiography guidance for percutaneous closure of PFO and a new method to improve the diagnosis and safety during the procedures.
Front Cardiovasc Med
July 2024
Department of Echocardiography, Zhongshan Hospital (Xiamen), Fudan University, Xiamen, Fujian, China.
Article Synopsis
- The study examines the role of transesophageal echocardiography (TEE) in enhancing the safety and effectiveness of percutaneous patent foramen ovale (PFO) closure procedures for those experiencing right-to-left shunt (RLS) issues.
- A total of 73 patients aged 16 to 70, including various backgrounds such as migraines and cerebral infarctions, were monitored pre- and post-operation using TEE and other echocardiographic methods.
- Results indicate that TEE significantly aids in understanding PFO anatomy and shunt characteristics, improving diagnosis rates and the overall success of the closure procedure.
A Rare Case of Streptococcus agalactiae Ventriculitis and Endocarditis.
Cureus
March 2024
Internal Medicine, Texas Tech University Health Sciences Center Paul L. Foster School of Medicine, El Paso, USA.
infection is typically seen in specific populations, including neonates, pregnant women, and the elderly. These patients have immature, lower, and waning immune systems, which makes them more susceptible to infections. Typical infections manifest as cellulitis, bacteremia, endocarditis, meningitis, ventriculitis (a rare complication of meningitis), and osteomyelitis.
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