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Vessel Wall Magnetic Resonance Imaging Showing Intravascular Large B-cell Lymphoma Infiltration: Association with Pathological Findings.
Intern Med
November 2024
Department of Neurology, Saitama Medical Center, Saitama Medical University, Japan.
A 75-year-old man presented with cognitive decline, headaches, and ataxic gait. Magnetic resonance imaging (MRI) revealed acute infarcts in multiple brain regions, and vessel wall MRI (VW-MRI) demonstrated concentric arterial wall thickening and enhancement in some intracranial arteries, initially suggesting primary central nervous system vasculitis (PCNSV). Despite immunosuppressive therapy, the patient developed further infarction.
View Article and Find Full Text PDFEssential Thrombocythemia Possible Cause of Ischemic Cerebrovascular Disease: A Case Report.
Cureus
October 2024
Department of Emergency Medicine, Mardin Training and Research Hospital, Mardin, TUR.
Article Synopsis
- Essential thrombocythemia (ET) is a rare blood disorder that leads to an excessive production of platelets, increasing the risk of clotting and bleeding issues.
- A case study of a 41-year-old male with ET revealed he suffered from vertigo and ataxic gait due to an acute brain infarction, despite regular use of aspirin for prevention.
- After treatment with aspirin, clopidogrel, and hydroxyurea, he showed significant improvement and was discharged with advice on monitoring for ischemic cerebrovascular complications related to ET.
Early Detection of Hyperdense Basilar Artery Signs Through Comparison With Previous Images.
Cureus
August 2024
Department of Neurosurgery, International University of Health and Welfare, Narita Hospital, Narita, JPN.
The presence of the hyperdense basilar artery (HDBA) sign, which indicates basilar artery occlusion (BAO), plays an important role in the early diagnosis and intervention in patients with acute ischemic stroke. However, qualitative and quantitative assessment of the HDBA sign is challenging. This case report describes a 60-year-old woman with a history of diabetes mellitus, hypertension, and cerebral infarction.
View Article and Find Full Text PDFEyes wide shut: Horizontal direction changing nystagmus in a left cerebellar-medullary stroke. Favourable outcome after thrombolysis.
J Stroke Cerebrovasc Dis
November 2024
Institute of Neurology, Department of Neurosciences, Presidio Ospedaliero "Pugliese", AOU "Renato Dulbecco", Catanzaro 88100, Italy. Electronic address:
Article Synopsis
- A 78-year-old man experienced an acute stroke due to a posterior inferior cerebellar artery blockage, resulting in severe vertigo, gait imbalance, and dysphagia.
- Clinical examination revealed complex nystagmus patterns: a right-beating nystagmus in primary gaze and a left-beating nystagmus when looking left, indicating central nervous system involvement.
- Brain imaging confirmed an acute stroke affecting the left medulla and cerebellum, suggesting that damage to specific brain structures can lead to diverse nystagmus presentations associated with central lesions.
Idiopathic pulmonary vein thrombosis: an under-recognised source of embolic stroke.
Pract Neurol
August 2024
Neurology, Renova Institute of Neurological Sciences (RINS), Renova Century Hospital, Hyderabad, Telangana, India.
Embolic stroke due to pulmonary vein thrombosis is rare but may be associated with lung and left atrial tumours, pulmonary surgery, atrial fibrillation and radiofrequency ablation. It is very rarely idiopathic. A 23-year-old man developed acute onset of a left partial third nerve palsy and left ataxic hemiparesis.
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