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Tubercular arachnoiditis: A rare culprit of paraparesis in a young adult - A case report and review of literature.
Surg Neurol Int
November 2024
Department of Neurosurgery, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India.
Background: The prevalence of central nervous system tuberculosis (TB) is about 1-2% of all TB cases. Atypical cases like the present case, being interpreted as leptomeningeal metastasis in magnetic resonance imaging (MRI), can pose a dilemma, delaying or even leading to mistreatment.
Case Description: A 19-year-old male presented with acute onset paraparesis and bowel bladder involvement presented with an MRI lumbar spine suggesting leptomeningeal metastasis from D11-L5 levels who underwent decompression biopsy which on histopathological examination revealed to be tubercular granulomatous infection.
Hopkins Syndrome: An Uncommon Cause of Weakness in Intensive Care Unit.
Pediatr Neurol
November 2024
Department of Neurosciences and Behavioral Sciences, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil. Electronic address:
Background: Hopkins syndrome is a rare polio-like syndrome, with an incompletely understood pathophysiology, that affects children after asthma crisis.
Methods: A 10-year-old girl was admitted to the intensive care unit following a severe asthma attack, requiring mechanical ventilation for a period of five days. After regaining consciousness, the patient exhibited development of asymmetric flaccid paraparesis.
Article Synopsis
- * This study aimed to investigate the neurological symptoms associated with acute AD and how frequently they appear in different types categorized under the Stanford classification, analyzing a total of 79 relevant articles from an initial pool of 2,734 records.
- * Findings showed that in patients with Stanford type A AD, 43.8% experienced consciousness impairment, with a notable prevalence of motor syndromes (54.5%) and language issues (7.6%), while those with type
COVID-19-Related Spinal Subdural Hematoma Presented with Acute Compressive Myelopathy with a Review of the Literature.
Case Rep Neurol
November 2024
Middle Euphrates Unit for Cancer Research, Kufa University-Faculty of Medicine, Kufa, Iraq.
Article Synopsis
- A rare case of compressive myelopathy due to spinal subdural hematoma (SSDH) is linked to COVID-19, highlighting neurological complications related to the virus.
- A 55-year-old man experienced sudden paraparesis, urinary retention, and severe back pain, prompting an urgent MRI and surgery after confirming a COVID-19 infection.
- This case emphasizes the need to consider SSDH in patients with sudden severe back pain and myelopathy, particularly in the context of COVID-19, which can lead to coagulopathy requiring immediate surgical intervention.
Acute Respiratory Failure Due to Mucous Plug in a Patient With Tropical Spastic Paraparesis.
Cureus
November 2024
Internal Medicine, State University of New York Downstate Health Sciences University, Brooklyn, USA.
Article Synopsis
- Tropical spastic paraparesis (TSP), caused by HTLV-1, leads to chronic spinal cord inflammation primarily affecting lower limbs, but serious complications can arise in rare cases.
- A 73-year-old female with TSP presented with severe health issues, including acute respiratory failure, after suffering from sepsis due to recurrent urinary tract infections.
- The case highlights the need for more research on respiratory management in TSP patients, as complications like poor secretion clearance can significantly impact their health outcomes.
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