3,887 results match your criteria Brain Abscess Imaging


5-ALA Fluorescence In A Case Of Brain Abscess By Aggregatibacter Mimicking A Glioblastoma.

World Neurosurg 2019 Feb 8. Epub 2019 Feb 8.

Department of Neurosurgery, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milano, Italy; Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy; Department of Neurological Surgery, Johns Hopkins Medical School, Baltimore, USA.

Background: At present, differential diagnosis of MRI enhancing lesions can still be challenging. Preoperative imaging is a valuable tool characterized by high informative value, even if false-positive and false-negative results are possible. In this context, 5-aminolevulenic acid (5-ALA) represents a significant adjunct in glioblastoma (GBM) surgery displaying an assumed specific accumulation only in tumor cells. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.01.190DOI Listing
February 2019
1 Read

Abscess Formation in Metastatic Brain Tumor with History of Immune Checkpoint Inhibitor: A Case Report.

NMC Case Rep J 2019 Jan 18;6(1):11-15. Epub 2018 Dec 18.

Department of Neurosurgery, Institute of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Hiroshima, Japan.

We present the case of a 68-year-old man with brain metastasis from lung cancer and a history of immune checkpoint inhibitor administration, with overlapping abscess within the metastatic lesion. He initially received antibiotic treatment under a diagnosis of brain abscess because of a hyper-intense area on diffusion-weighted imaging inside the gadolinium-enhanced wall. The size of the enhanced lesion did not change much, but the extent of perifocal edema decreased after antibiotic treatment. Read More

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http://dx.doi.org/10.2176/nmccrj.cr.2018-0126DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350031PMC
January 2019
1 Read

Demyelinating lesions behaving like aggressive tumours on advanced MRI techniques.

Neuroradiol J 2019 Jan 22:1971400919826394. Epub 2019 Jan 22.

4 Department of Radiology, University of North Carolina School of Medicine, Chapel Hill, USA.

Tumefactive demyelinating lesions are a rare disorder in which inflammatory demyelination manifests as solitary or multiple focal brain lesions (greater than 2 cm in size), which can be mistaken for glioma, lymphoma, metastasis and in some cases even brain abscess. The symptomatology of tumefactive demyelinating lesions depends on the white matter area involved and includes quickly progressing neurological deterioration of motor, sensory and visual function, praxis, language and mood impairment, as well as seizures. Recognising the key imaging features in a patient with a prior history of demyelination may expedite appropriate management. Read More

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http://dx.doi.org/10.1177/1971400919826394DOI Listing
January 2019
3 Reads

The Tunnel Sign Revisited: A Novel Observation of Cerebral Melioidosis Mimicking Sparganosis.

J Radiol Case Rep 2018 Aug 31;12(8):1-11. Epub 2018 Aug 31.

Department of Diagnostic Imaging, National University Hospital, Singapore.

The tunnel sign has been described as a specific feature of cerebral sparganosis. We present a case of a 55-year-old gentleman found to have cerebral melioidosis and with initial imaging mimicking the appearance of sparganosis. This suggests that the tunnel sign in brain abscesses may be specific for infection by Burkholderia Pseudomallei, Spirometra Mansoni or Listeria Monocytogenes. Read More

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http://www.radiologycases.com/index.php/radiologycases/artic
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http://dx.doi.org/10.3941/jrcr.v12i8.3441DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6312124PMC
August 2018
3 Reads

Suprasellar chordoid glioma: a report of two cases.

Arch Endocrinol Metab 2018 ;62(6):648-654

Instituto de Investigaciones Neurológicas "Dr. Raúl Carrea", FLENI, Pathology, Buenos Aires, Argentina.

Chordoid glioma (CG) is considered a slow growing glial neoplasm. We report two new cases with endocrinological presentation, management and outcome. Case reports: 1) An 18 year-old female patient was admitted due to headaches, nausea and vomiting and visual abnormalities. Read More

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http://dx.doi.org/10.20945/2359-3997000000092DOI Listing
February 2019
2 Reads

Silent Tumefactive Demyelinating Lesions and Radiologically Isolated Syndrome.

Case Rep Neurol Med 2018 28;2018:8409247. Epub 2018 Nov 28.

Ege University, Faculty of Medicine, Department of Radiology, Izmir, Turkey.

Demyelinating lesions larger than 2 cm in diameter, with or without edema, are known as tumefactive demyelinating lesions (TDLs). They constitute a rare inflammatory demyelinating disorder of the central nervous system. TDLs are typically characterized by headaches, cortical symptoms such as aphasia, hemiparesis, hemisensory deficits, seizures, and changes in consciousness. Read More

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https://www.hindawi.com/journals/crinm/2018/8409247/
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http://dx.doi.org/10.1155/2018/8409247DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304209PMC
November 2018
3 Reads

Spontaneous cerebral abscess due to in an immunocompetent male patient: A case report and review of literature.

World J Clin Cases 2018 Dec;6(16):1169-1174

Department of Internal Medicine, Division of Infectious Diseases, University of Patras Medical School, Patras 26504, Greece.

Background: () is considered a non-pathogenic microorganism of the genus and a common laboratory contaminant. Only scarce reports of central nervous system infection have been reported, mainly in the form of pyogenic meningitis, usually in cases of direct inoculation by trauma or iatrogenically.

Case Summary: A 51-year-old man, with a free previous medical history, presented to the Emergency Department of our hospital complaining of recurrent episodes of left upper limb weakness, during the last month, which had been worsened the last 48 h. Read More

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http://dx.doi.org/10.12998/wjcc.v6.i16.1169DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306642PMC
December 2018
1 Read

Pyogenic brain abscess in children: a Tunisian multi-center experience.

Afr Health Sci 2018 Sep;18(3):560-568

Pediatric Department, Sahloul Hospital, Sousse Tunisia, Sousse 4051 Tunisia.

Background: Brain abscess (BA) is an uncommon intracranial suppurative infectious disease, especially in children. Treatment involves surgery and prolonged courses of antibiotics.

Objectives: Our study aimed to describe clinical characteristics of children with BA treated in middle Tunisian health centers. Read More

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https://www.ajol.info/index.php/ahs/article/view/176125
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http://dx.doi.org/10.4314/ahs.v18i3.13DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6307026PMC
September 2018
2 Reads

Typhimurium para-aortic root abscess managed non-surgically.

IDCases 2019 21;15:e00476. Epub 2018 Dec 21.

Hurley Medical Center, Department of Internal Medicine, Flint, MI, USA.

Introduction: Para-aortic root abscess is a destructive vascular condition that can result in significant morbidity and mortality. We describe a rare case of para-aortic root abscess due to Typhimurium that was successfully managed medically.

Presentation Of Case: A 72-year-old diabetic man with a prosthetic aortic graft presented with fever and expressive aphasia with left sided weakness. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22142509173022
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http://dx.doi.org/10.1016/j.idcr.2018.e00476DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6307035PMC
December 2018
8 Reads

Extensive perivascular dissemination of cerebral miliary tuberculomas: a case report and review of the literature.

Acta Radiol Open 2018 Dec 11;7(12):2058460118817918. Epub 2018 Dec 11.

Department of Radiology, Teikyo University School of Medicine, Tokyo, Japan.

Cerebral tuberculosis (TB) presents most frequently as meningitis in the basilar cistern; however, it can also manifest in various other ways, such as localized encephalitis, abscess, and tuberculoma. Here, focusing on imaging findings, we report an immunocompetent case who demonstrated multiple parenchymal lesions and was diagnosed with cerebral TB after testing positive on QuantiFERON (QTF); her clinical signs/symptoms and laboratory findings responded well to anti-TB medication therapy. The patient was a 60-year-old woman with the chief complaints of headache and consciousness disturbance. Read More

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http://dx.doi.org/10.1177/2058460118817918DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6291888PMC
December 2018
1 Read

Multi-systemic melioidosis: a clinical, neurological, and radiological case study from Hainan Province, China.

BMC Infect Dis 2018 Dec 12;18(1):649. Epub 2018 Dec 12.

Department of Radiology, Hainan General Hospital, No. 19 Xiuhua Road, Xiuying District, Haikou, 570311, Hainan, People's Republic of China.

Background: Melioidosis is a tropical disease caused by Burkholderia pseudomallei (B. pseudomallei). It can infect any organ system and lead to multiple abscesses. Read More

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http://dx.doi.org/10.1186/s12879-018-3569-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6291948PMC
December 2018

Safety and Efficacy of Rituximab in Multiple Sclerosis: A Retrospective Observational Study.

J Immunol Res 2018 12;2018:9084759. Epub 2018 Nov 12.

Nehme and Therese Tohme Multiple Sclerosis Center, American University of Beirut Medical Center, Beirut, Lebanon.

Objective: To evaluate the efficacy and safety of rituximab in multiple sclerosis in a clinical practice setting.

Methods: Clinical data for all adult patients with multiple sclerosis (MS) treated with off-label rituximab at a single MS center in Lebanon between March 2008 and April 2017 were retrospectively collected from medical charts. The main efficacy outcomes assessed were annualized relapse rate (ARR) and proportion of patients free from relapses, disability progression, or magnetic resonance imaging (MRI) activity. Read More

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https://www.hindawi.com/journals/jir/2018/9084759/
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http://dx.doi.org/10.1155/2018/9084759DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6260423PMC
January 2019
5 Reads

Secondary pituitary abscess following transsphenoidal surgery with recurrent meningitis: A case report.

Medicine (Baltimore) 2018 Nov;97(48):e13458

Department of Neurosurgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China.

Rationale: The transsphenoidal surgical (TS) approach to sellar masses is the preferred surgical route in most cases. Secondary pituitary abscess (PA) following TS is an extremely rare but serious postoperative complication with potentially high disability and mortality.

Patient Concerns: We describe an uncommon case of secondary PA in a 42-year-old woman, who underwent uncomplicated transsphenoidal procedures without cerebrospinal fluid leak, to treat primary Rathke cleft cyst. Read More

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http://dx.doi.org/10.1097/MD.0000000000013458DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6283055PMC
November 2018
2 Reads

Disseminated toxoplasmosis with atypical symptoms which developed with exacerbation of systemic lupus erythematosus.

Lupus 2019 Jan 28;28(1):133-136. Epub 2018 Nov 28.

1 Department of Allergy and Clinical Immunology, Chiba University Hospital, Chiba, Japan.

Toxoplasma is a common parasite worldwide that mainly affects the brain, lungs and eyes. Although toxoplasmic encephalitis is a lethal disease without treatment, past case reports show most patients with systemic lupus erythematosus who developed toxoplasmic encephalitis were misdiagnosed and treated as neuropsychiatric systemic lupus erythematosus, which led to unfavorable outcomes. We herein describe a case of disseminated toxoplasmosis affecting all the above organs with atypical symptoms, which developed with exacerbation of systemic lupus erythematosus. Read More

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http://dx.doi.org/10.1177/0961203318815583DOI Listing
January 2019
2 Reads

Unusual presentation of epilepsy of germinoma located in the frontal-lobe: case report and literature review.

Br J Neurosurg 2018 Nov 19:1-3. Epub 2018 Nov 19.

a Department of Neurosurgery , The First Affiliated Hospital of Zhengzhou University , ZhengZhou , HeNan Province , PR China.

Germinoma is rare in peripheral lobar locations in the brain, with only 10 cases of primary frontal lobe germinoma having been reported in the previous literature. Epilepsy is a rare manifestation of germinomas. We describe an unusual case of a primary frontal germinoma in a 21-year-old man who presented with epilepsy. Read More

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http://dx.doi.org/10.1080/02688697.2018.1523367DOI Listing
November 2018
9 Reads

Brain Abscess Showing a Lack of Restricted Diffusion and Successfully Treated with Linezolid.

Brain Tumor Res Treat 2018 Oct;6(2):92-96

Department of Neurosurgery, Eulji University, Nowon Eulji Medical Center, Seoul, Korea.

A 59-year-old patient with a history of hepatocellular carcinoma presented with decreased consciousness and left hemiparesis. A rim-enhanced mass lesion without diffusion restriction was observed in contrast-enhanced MRI including diffusion-weighted imaging. Based on these findings, metastatic brain tumor was suspected. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.14791/btrt.2018.
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http://dx.doi.org/10.14791/btrt.2018.6.e16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6212685PMC
October 2018
2 Reads

Clinical Presentation and Cranial MRI Findings of Listeria monocytogenes Encephalitis: A Literature Review of Case Series.

Neurologist 2018 Nov;23(6):198-203

Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Istanbul Medeniyet University, Kadikoy.

Background: Listeria monocytogenes-associated encephalitis is a severe clinical condition that can also be seen in immunocompetent patients. Clinical manifestation and radiologic features of this entity need to be elaborated.

Review Summary: We searched the medical literature during the period spanning from 1991 to 2017 using the keyword "listeria AND [abscess odds ratio (OR) brainstem OR encephalit* OR magnetic* OR imaging*]. Read More

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http://dx.doi.org/10.1097/NRL.0000000000000212DOI Listing
November 2018
8 Reads

Occult Cerebral Abscess Revealed by FDG PET/CT in a Case of Unresponsive Wakefulness Syndrome.

Clin Nucl Med 2019 Jan;44(1):57-58

Service de Réanimation Chirurgicale, Hôpitaux Universitaires de Strasbourg, Strasbourg, France.

A 51-year-old woman developed profound coma complicating subarachnoid hemorrhage after aneurysmal rupture. An external ventricular drain was inserted. FDG PET/CT was performed for prognostication purposes and showed global cortical hypometabolism. Read More

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http://Insights.ovid.com/crossref?an=00003072-900000000-9738
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http://dx.doi.org/10.1097/RLU.0000000000002335DOI Listing
January 2019
12 Reads

Successful surgical excision of cerebral abscess caused by Fonsecaea monophora in an immunocompetent patient and review of literature.

Folia Microbiol (Praha) 2018 Oct 27. Epub 2018 Oct 27.

Department of Botany, Faculty of Science, Charles University, Prague, Czech Republic.

Cerebral abscesses caused by dark-pigmented Fonsecaea fungi are rare, especially in otherwise healthy individuals. In this case report, we present a 61-year-old man from Moldova, living in the Czech Republic, who had worked as a locksmith on oil platforms in Turkmenistan, Kazakhstan, Sudan, and Iraq since 1999, and was admitted to a neurology ward for a sudden motion disorder of the right leg, dysarthria, and hypomimia. Imaging revealed presence of expansive focus around the left lateral ventricle of the brain and a pronounced peripheral edema. Read More

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http://link.springer.com/10.1007/s12223-018-0661-9
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http://dx.doi.org/10.1007/s12223-018-0661-9DOI Listing
October 2018
14 Reads

Emergency Department Approach to the Patient with Suspected Central Nervous System Infection.

Emerg Med Clin North Am 2018 Nov;36(4):711-722

Department of Emergency Medicine, University of Maryland School of Medicine, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA. Electronic address:

Central nervous system (CNS) infections require early recognition and aggressive management to improve patient survival and prevent long-term neurologic sequelae. Although early detection and treatment are important in many infectious syndromes, CNS infections pose unique diagnostic and therapeutic challenges. The nonspecific signs and symptoms at presentation, lack of characteristic infectious changes in laboratory and imaging diagnostics, and closed anatomic and immunologically sequestered space each present challenges to the emergency physician. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07338627183005
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http://dx.doi.org/10.1016/j.emc.2018.06.004DOI Listing
November 2018
6 Reads

Pyothorax-associated Angiosarcoma Metastasized to the Brain with Multiple and Progressively Expanding Hematomas: Case Report and Literature Review.

Asian J Neurosurg 2018 Jul-Sep;13(3):803-809

Department of Neurosurgery, Faculty of Medicine, Shimane University, Izumo, Shimane 693-8501, Japan.

The brain metastasis of angiosarcoma is very rare, and little is known about its clinical features or therapeutic strategy. A 74-year-old male was hospitalized for disturbance of consciousness. Radiological examination revealed multiple cerebral hematomas. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_250_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159051PMC
October 2018
3 Reads

: An Emerging Fatal Cause of Fungal Abscess and Ventriculitis after Near-drowning.

Asian J Neurosurg 2018 Jul-Sep;13(3):792-796

Department of Neurosurgery, College of Medicine, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, Republic of Korea.

Herein, we describe a fatal case of central nervous system (CNS) pseudallescheriasis following near-drowning. A 13-year-old boy, who had been successfully resuscitated after near-drowning, presented with a transient episode of mental confusion during a hospital stay after recovering from severe aspiration pneumonia and respiratory failure. A magnetic resonance imaging (MRI) scan of the brain showed a small brain abscess in the left basal ganglia and ventriculitis in the left lateral ventricle. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_236_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159027PMC
October 2018
17 Reads

Brain and Spinal Epidural Abscess.

Authors:
Felicia Chow

Continuum (Minneap Minn) 2018 Oct;24(5, Neuroinfectious Disease):1327-1348

Purpose Of Review: Brain abscesses and spinal epidural abscesses are serious, potentially life-threatening infections of the central nervous system. This article outlines the clinical presentation, evaluation, and management of brain abscesses and spinal epidural abscesses, with a specific focus on bacterial infections.

Recent Findings: The overall incidence of brain abscesses has declined, in part because of fewer brain abscesses associated with otogenic infections. Read More

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http://dx.doi.org/10.1212/CON.0000000000000649DOI Listing
October 2018
13 Reads

Post-operative complications of craniotomy and craniectomy.

Emerg Radiol 2019 Feb 25;26(1):99-107. Epub 2018 Sep 25.

Department of Imaging Sciences, University of Rochester Medical Center, 601 Elmwood Avenue, PO Box 648, Rochester, NY, 14642, USA.

Craniotomy and craniectomy are widely performed emergent neurosurgical procedures and are the prescribed treatment for a variety of conditions from trauma to cancer. It is vital for the emergency radiologist to be aware of expected neuroimaging findings in post-craniotomy and craniectomy patients in order to avoid false positives. It is just as necessary to be familiar with postsurgical complications in these patients to avoid delay in lifesaving treatment. Read More

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http://link.springer.com/10.1007/s10140-018-1647-2
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http://dx.doi.org/10.1007/s10140-018-1647-2DOI Listing
February 2019
26 Reads

Pyogenic brain abscess, ventriculitis and diffuse meningitis with fatal outcome in an adult: Radiologic-pathologic correlation.

Radiol Case Rep 2018 Oct 18;13(5):1063-1068. Epub 2018 May 18.

University of Toledo, Department of Pathology and Neuroradiology, Toledo, OH, USA.

Rupture of brain abscesses with evolution into ventriculitis with meningitis may result in sudden and dramatic worsening of the clinical situation. We present a 57-year-old man with such an event and fatal outcome. Multiple imaging modalities including computed tomography and advanced magnetic resonance imaging were correlated with gross specimen and histologic images. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19300433183010
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http://dx.doi.org/10.1016/j.radcr.2018.04.019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6137902PMC
October 2018
8 Reads

Antibiotics for acute rhinosinusitis in adults.

Cochrane Database Syst Rev 2018 09 10;9:CD006089. Epub 2018 Sep 10.

Department of Family Medicine and Primary Health Care, Ghent University, Campus UZ 6K3, Corneel Heymanslaan 10, Ghent, Belgium, 9000.

Background: Acute rhinosinusitis is an acute infection of the nasal passages and paranasal sinuses that lasts less than four weeks. Diagnosis of acute rhinosinusitis is generally based on clinical signs and symptoms in ambulatory care settings. Technical investigations are not routinely performed, nor are they recommended in most countries. Read More

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http://dx.doi.org/10.1002/14651858.CD006089.pub5DOI Listing
September 2018
5 Reads

Severe disseminated acute toxoplasmosis in an adult immunocompetent patient from the Colombian Pacific

Biomedica 2018 08 1;38(0):19-23. Epub 2018 Aug 1.

Facultad de Salud, Departamento de Patología, Universidad del Valle, Cali, Colombia.

We present the case of a 72-year-old immunocompetent patient from Chocó, Colombia, with a 12-day course of fever, headache, progressive neurological deterioration, and rapid evolution to multiorgan failure and death. In the histopathological study of tissues obtained at necropsy, tissue cysts morphologically suggestive of being bradyzoites of Toxoplasma gondii were identified and confirmed by immunohistochemistry in heart, brain, and striated muscle. Read More

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http://dx.doi.org/10.7705/biomedica.v38i0.4087DOI Listing

Disseminated Nocardiosis with subretinal abscess in a patient with nephrotic syndrome-a case report.

BMC Ophthalmol 2018 Sep 3;18(1):234. Epub 2018 Sep 3.

Departments of Gastroenterology, The First Affiliated Hospital of China Medical University, Shenyang, Liaoning, People's Republic of China.

Background: Nocardia infection is uncommon in clinical practice, with most cases occuring as the result of opportunistic infection in immunocompromsed patients. Here, we report a case of disseminated nocardiosis with subretinal abscess in a patient with nephrotic syndrome, and whom is receiving immunosuppressive therapy.

Case Presentation: A 58-year-old male presented with decreased vision in his left eye, without redness or floaters, which had persisted for three days. Read More

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http://dx.doi.org/10.1186/s12886-018-0883-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6122714PMC
September 2018
2 Reads

Otogenic cerebral venous thrombosis in children: A review of 16 consecutive cases.

Int J Pediatr Otorhinolaryngol 2018 Oct 30;113:177-181. Epub 2018 Jul 30.

Department of Otorhinolaryngology, Centro Hospitalar São João, Porto, Portugal; Unit of Otorhinolaryngology, Department of Surgery & Physiology, University of Porto Medical School, Porto, Portugal; Center for Health Technology and Services Research (CINTESIS), Porto, Portugal.

Objectives: Management of otogenic cerebral venous thrombosis (OCVT) is controversial. Despite the modern antibiotic era OCVT still represents a potential life-threatening condition. This study aims to report the clinical presentation and management in a series of children with OCTV. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01655876183037
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http://dx.doi.org/10.1016/j.ijporl.2018.07.050DOI Listing
October 2018
9 Reads

Cerebral Abscess caused by Novel Species: Streptococcus Pluranimalium.

J Coll Physicians Surg Pak 2018 Sep;28(9):S181-S183

Department of Radiology, Military Hospital, Rawalpindi.

Streptococcus pluranimalium, a gram-positive aerobic coccus, has been isolated primarily from several farm animals. The pathogenicity of this species is not well characterised either in animals or humans. As per the literature, cases of S. Read More

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https://www.jcpsp.pk/data/view.php?id=359&type=pdf&j
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http://dx.doi.org/10.29271/jcpsp.2018.09.S181DOI Listing
September 2018
31 Reads

Novel Temporary Treatment for a Severe Case of Syndrome of Trephined.

World Neurosurg 2018 Dec 28;120:200-204. Epub 2018 Aug 28.

Department of Neurological Surgery, University of Kentucky, Lexington, Kentucky, USA.

Background: Syndrome of the trephined is a unique neurosurgical condition that is seen in patients that have undergone craniectomy. While the symptoms of the condition range from mild to severe, the only definitive treatment for the condition is replacement of the bone flap. This article presents a novel, temporary treatment for syndrome of the trephined in a patient with severe symptoms who was unable to undergo immediate cranioplasty due to infection. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.08.153DOI Listing
December 2018
2 Reads

Clinical Characteristics and Course of Postoperative Brain Abscess.

World Neurosurg 2018 Dec 27;120:e675-e683. Epub 2018 Aug 27.

Department of Neurosurgery, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.

Background: Cerebral abscesses after brain surgery are rare but severe and life-threatening complications. We sought to analyze the clinical aspects of those patients and thereby reveal risk factors and the relevant aspects for their future therapy.

Methods: We identified 44 patients (23 male, 21 female) undergoing surgery or frameless stereotactic drainage at our center from March 2009 to January 2018. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183192
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http://dx.doi.org/10.1016/j.wneu.2018.08.143DOI Listing
December 2018
15 Reads

Diffusion-weighted MRI in paediatric neuroimaging.

Clin Radiol 2018 Dec 16;73(12):999-1013. Epub 2018 Aug 16.

Department of Neuroradiology, Atkinson Morley Regional Neuroscience Centre, St George's University Hospitals NHS Foundation Trust, London, UK.

Diffusion-weighted imaging (DWI) is a well-established technique in neuroimaging, but the diagnostic value of DWI outside the setting of acute infarct and abscess is sometimes under-recognised particularly in paediatric neuroimaging. DWI also plays an important role in the evaluation of intracranial infection, brain tumours, demyelinating diseases, and metabolic disorders. DWI can assist in the early detection and characterisation of intraocular and skull-base pathology. Read More

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http://dx.doi.org/10.1016/j.crad.2018.07.101DOI Listing
December 2018
1 Read

Frontal Tumefactive Demyelinating Lesion Mimicking Glioblastoma Differentiated by Methionine Positron Emission Tomography.

World Neurosurg 2018 Nov 13;119:244-248. Epub 2018 Aug 13.

Department of Neurosurgery, Gifu University Graduate School of Medicine, Gifu City, Japan.

Background: Tumefactive demyelinating lesion (TDL) is often reported as a rare variation of multiple sclerosis (MS). TDL is difficult to diagnose solely by magnetic resonance imaging (MRI) in patients with no history of MS. This is because the lesion often shows ring enhancement with perifocal brain edema on gadolinium MRI, thus mimicking glioblastoma multiforme (GBM). Read More

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http://dx.doi.org/10.1016/j.wneu.2018.08.027DOI Listing
November 2018
13 Reads

Demonstration of Infectious Transgression Through the Skull Base Occurring 9 Years After Pituitary Adenoma Resection.

World Neurosurg 2018 Nov 13;119:215-219. Epub 2018 Aug 13.

Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA. Electronic address:

Background: Sellar infections represent less than 1% of all sellar lesions and can be life-threatening. These infections occur de novo in up to 70% of patients or can less commonly develop after surgical treatment of another primary lesion, such as a pituitary adenoma.

Case Description: We report a unique case of a 27-year-old woman with a recurrent pituitary adenoma treated with 2 previous transsphenoidal resections. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.08.028DOI Listing
November 2018
11 Reads

Otogenic brain abscesses: A systematic review.

Laryngoscope Investig Otolaryngol 2018 Jun 25;3(3):198-208. Epub 2018 Apr 25.

Department of Otolaryngology, Harvard Medical School Boston Massachusetts U.S.A.

Objective: Otogenic brain abscesses are one of the most significant life-threatening complications of otologic infections. Given their low prevalence, otogenic brain abscesses require a high index of suspicion for diagnosis. In this systematic review, we aim to provide an analysis of otogenic brain abscesses and describe common clinical signs and symptoms, bacteriology, location, treatment options, morbidity, and mortality. Read More

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http://dx.doi.org/10.1002/lio2.150DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6057212PMC
June 2018
3 Reads

Pulmonary arteriovenous malformations: diagnosis.

Cardiovasc Diagn Ther 2018 Jun;8(3):325-337

Department of Radiology, UT Southwestern Medical Center, Dallas, Texas, USA.

Pulmonary arteriovenous malformations (PAVMs) are rare, abnormal low resistance vascular structures that connect a pulmonary artery to a pulmonary vein, thereby bypassing the normal pulmonary capillary bed and resulting in an intrapulmonary right-to-left shunt. The spectrum of PAVMs extends from microscopic lesions causing profound hypoxemia and ground glass appearance on computed tomography (CT) but with normal catheter angiographic findings to classic pulmonary aneurysmal connections that abnormally connect pulmonary veins and arteries. These malformations most commonly are seen in hereditary hemorrhagic telangiectasia (HHT). Read More

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http://dx.doi.org/10.21037/cdt.2018.06.01DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6039795PMC
June 2018
5 Reads

Intracranial complications of pediatric sinusitis: Identifying risk factors associated with prolonged clinical course.

Int J Pediatr Otorhinolaryngol 2018 Sep 12;112:10-15. Epub 2018 Jun 12.

Rady Children's Hospital San Diego, Otolaryngology, San Diego, CA, USA; Department of Surgery, University of California San Diego, San Diego, CA, USA.

Objective: Intracranial extension is one of the most serious and morbid complications of pediatric sinusitis. Managing this complication continues to be challenging even after widespread pneumococcal vaccination adoption. We aim to identify risk factors associated with complicated clinical courses, and to assess for altering microbial communities and increased antibiotic resistance. Read More

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http://dx.doi.org/10.1016/j.ijporl.2018.06.019DOI Listing
September 2018
3 Reads

Complicated Infective Endocarditis Limited to a Chiari Network.

Case Rep Cardiol 2018 26;2018:3837825. Epub 2018 Jun 26.

Meharry Medical College, Nashville, TN, USA.

Introduction: The Chiari network is an uncommon vestigial structure of the heart that is often clinically insignificant. We present an unusual case of infective endocarditis affecting only the Chiari network in a patient who presented with septic emboli to the lungs and brain.

Case Summary: A 61-year-old man was admitted with a 2-month history of hemoptysis, pleuritic chest pain, and right upper extremity numbness and weakness. Read More

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http://dx.doi.org/10.1155/2018/3837825DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6038650PMC
June 2018
3 Reads

Diagnosis of brain abscess: a challenge that Magnetic Resonance can help us win!

Epidemiol Infect 2018 Sep 4;146(12):1608-1610. Epub 2018 Jul 4.

Fatebenefratelli S. Pietro Hospital,Rome,Italy.

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http://dx.doi.org/10.1017/S0950268818001139DOI Listing
September 2018
7 Reads

Management of brain abscesses: where are we now?

Childs Nerv Syst 2018 Oct 3;34(10):1871-1880. Epub 2018 Jul 3.

Department of Neurosurgery, National Neuroscience Institute, Singapore, Singapore.

Introduction: Brain abscesses affect all age groups and are not peculiar to a particular country, race, or geographical location. It is a disease that, in the past, carried a high morbidity and mortality. With improvements in medical technology and expertise, outcomes have improved tremendously. Read More

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http://link.springer.com/10.1007/s00381-018-3886-7
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http://dx.doi.org/10.1007/s00381-018-3886-7DOI Listing
October 2018
7 Reads

Value of Diffusion-Weighted Imaging in the Diagnosis of Postoperative Intracranial Infections.

World Neurosurg 2018 Oct 30;118:e245-e253. Epub 2018 Jun 30.

Department of Neuroradiology, Technical University of Munich, Munich, Germany.

Background: Magnetic resonance imaging (MRI), including diffusion-weighted imaging (DWI), is an excellent tool for diagnosing intracranial infection, with limitations in previous neurosurgical intervention. This study aimed to evaluate the accuracy of DWI in the diagnosis of postoperative intracranial infection.

Methods: We retrospectively evaluated all consecutive patients with intracranial infection undergoing a neurosurgical intervention who had preoperative MRI, including DWI. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183138
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http://dx.doi.org/10.1016/j.wneu.2018.06.167DOI Listing
October 2018
5 Reads

Invasive Aspergillosis Mimicking Metastatic Lung Cancer.

Front Oncol 2018 5;8:188. Epub 2018 Jun 5.

Department of Respiratory Medicine, Maastricht University Medical Centre (MUMC+), Maastricht, Netherlands.

In a patient with a medical history of cancer, the most probable diagnosis of an FDG-avid pulmonary mass combined with intracranial abnormalities on brain imaging is metastasized cancer. However, sometimes a differential diagnosis with an infectious cause such as aspergillosis can be very challenging as both cancer and infection are sometimes difficult to distinguish. Pulmonary aspergillosis can present as an infectious pseudotumour with clinical and imaging characteristics mimicking lung cancer. Read More

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http://dx.doi.org/10.3389/fonc.2018.00188DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5996088PMC
June 2018
2 Reads

Extensive Thrombus and Brain Microabscesses After Sleeve Gastrectomy.

J Radiol Case Rep 2018 Mar 31;12(3):10-17. Epub 2018 Mar 31.

Department of Surgery, Brigham and Women's Hospital, Boston, USA.

Sleeve gastrectomy is a relatively newer bariatric surgical procedure and has become the most common of all bariatric surgeries performed. Complication rates reported with sleeve gastrectomies are relatively low and are generally due to staple line leaks, hemorrhage, or sleeve stricture. Portal vein thrombosis is an uncommon but potentially dangerous complication. Read More

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http://dx.doi.org/10.3941/jrcr.v12i3.3227DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965401PMC
March 2018
4 Reads

A case with reversible neurotoxicity induced by metronidazole.

Ideggyogy Sz 2017 Nov;70(11-12):429-432

Bakirkoy Prof. Dr. Mazhar Osman Training and Research Hospital for Psychiatry, Neurology and Neurosurgery, Neurology Department, Istanbul, Turkey.

Background - Metronidazole is a synthetic antibiotic, which has been commonly used for protozoal and anaerobic infections. It rarely causes dose - and duration - unrelated reversible neurotoxicity. It can induce hyperintense T2/FLAIR MRI lesions in several areas of the brain. Read More

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http://dx.doi.org/10.18071/isz.70.0429DOI Listing
November 2017
17 Reads
0.343 Impact Factor

[Intrasellar xanthogranuloma with abscess formation in a patient with Rathke's cleft cyst].

Rinsho Shinkeigaku 2018 Jun 1;58(6):411-413. Epub 2018 Jun 1.

Department of Neurology, Tosei General Hospital.

An 80-year-old woman diagnosed with granulomatosis with polyangiitis (GPA) complained of a sustained, non-pulsatile headache. Her brain MRI diffusion-weighted images revealed a high-signal-intensity, space-occupying lesion in the sellar region that was rim-enhanced on gadolinium-enhanced T-weighted images. Pituitary involvement of GPA was initially suspected based on her condition; however, an abscess formation within an existing Rathke's cleft cyst was also considered according to a previous MRI finding that had been conducted for an unrelated purpose. Read More

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http://dx.doi.org/10.5692/clinicalneurol.cn-001163DOI Listing
June 2018
4 Reads

Septic Embolic Stroke Followed by Hemorrhage and Brain Abscess in a Patient with Systemic Infections: A Case Report and Literature Review.

Case Rep Radiol 2018 3;2018:4602352. Epub 2018 May 3.

Department of Neurology, Subei People's Hospital of Jiangsu Province, Dalian Medical University, Dalian, Liaoning Province, China.

We report a case of 50-year-old man with a severe acute ischemic stroke followed by intracerebral hemorrhage and brain abscess due to systemic infection. His initial intracranial radiographic findings were normal but three days later MRI scan of the brain revealed well-defined rounded cystic lesion on the T2-weighted and T1-weighted images in the right basal ganglia; the lesion presented an area of diffusion restriction on DWI; lately the lesion was confirmed to be an early stage of cerebral abscess. A week later the patient was noted to have worsening neurological status and left extremity weakness, and emergency brain CT scan revealed massive intracerebral hemorrhage in the right occipital lobe; he underwent intracranial hematoma evacuation surgery. Read More

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http://dx.doi.org/10.1155/2018/4602352DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5960533PMC

Brain Midline Shift Measurement and Its Automation: A Review of Techniques and Algorithms.

Int J Biomed Imaging 2018 12;2018:4303161. Epub 2018 Apr 12.

Institute of Biomedical Engineering, National Taiwan University, No. 1, Sec. 1, Renai Rd., Taipei City 10051, Taiwan.

Midline shift (MLS) of the brain is an important feature that can be measured using various imaging modalities including X-ray, ultrasound, computed tomography, and magnetic resonance imaging. Shift of midline intracranial structures helps diagnosing intracranial lesions, especially traumatic brain injury, stroke, brain tumor, and abscess. Being a sign of increased intracranial pressure, MLS is also an indicator of reduced brain perfusion caused by an intracranial mass or mass effect. Read More

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http://dx.doi.org/10.1155/2018/4303161DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5925103PMC
April 2018
1 Read

Cerebral Abscess in Young Adult with Hypoplastic Left Heart Syndrome.

World Neurosurg 2018 Aug 23;116:201-204. Epub 2018 May 23.

Department of Neurological Surgery, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.

Background: Cerebral abscesses are rare, potentially life-threatening entities that result from local spread or hematogenous dissemination to the brain. Prompt diagnosis and initiation of treatment is key in lowering morbidity and preventing mortality associated with cerebral abscesses. Congenital heart diseases with right-to-left intracardiac shunts can be complicated by brain abscesses via paradoxical embolism of infected microthrombi. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.05.097DOI Listing
August 2018
2 Reads

Giant Temporal Lobe Abscess in a Patient With Ectodermal Dysplasia.

Otol Neurotol 2018 Jul;39(6):e443-e447

Section of Otorhinolaryngology, Department of Surgery and Biomedical Science, Universita degli Studi di Perugia.

Objective: To present the first reported case of a temporal lobe abscess in a patient with ectodermal dysplasia (ED). To increase awareness among neurotologists of the otological manifestations and complications of ED, we describe a conservative approach in comparison with the surgical strategies to repair bony defects of the tegmen tympani.

Study Design: Clinical capsule report. Read More

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http://dx.doi.org/10.1097/MAO.0000000000001842DOI Listing
July 2018
3 Reads