3,906 results match your criteria Brain Abscess Imaging


[Multifocal tuberculosis associated with cerebral toxoplasmosis in an African immigrant immunocompromised patient due to HIV-infection at the Hospital Centre in Soissons, France].

Pan Afr Med J 2018 20;31:47. Epub 2018 Sep 20.

Service de Dermatologie de l'Hôpital National Donka, Université Gamal Abdel Nasser de Conakry, Conakry, République de Guinée.

In the industrialized countries and, in particular, in France, given the means of prevention, early screening and treatment of HIV infection, there is almost no evidence of opportunistic infections among immigrants and in some disadvantaged socio-professional groups. We here report the case of a 42-year old African immigrant HIV1 positive man with impaired general condition hospitalized for infectious syndrome. He had received antiretroviral therapy for 2 years and stopped it four months before admission. Read More

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http://dx.doi.org/10.11604/pamj.2018.31.47.15916DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6430834PMC
April 2019
2 Reads

Diffusion-weighted magnetic resonance imaging for detection of postoperative intracranial pyogenic abscesses in neurosurgery.

Acta Neurochir (Wien) 2019 Mar 26. Epub 2019 Mar 26.

Department of Neurosurgery, University Hospital, LMU Munich, Marchioninistrasse 15, 81377, Munich, Germany.

Background: Diffusion-weighted magnetic resonance imaging (MRI-DWI) is the modality of choice for detecting intracranial abscesses; however, it is unclear whether prior brain surgery has an influence on its diagnostic value. Thus, we assessed the robustness of MRI-DWI and determination of an ADC cutoff value for detecting intracranial abscesses in patients who underwent brain surgery.

Methods: We retrospectively evaluated 19 patients prior to surgery for postoperative supratentorial parenchymal abscesses by means of MRI-DWI. Read More

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http://dx.doi.org/10.1007/s00701-019-03875-8DOI Listing

Epicrania Fugax as the presenting symptom of a cerebellar abscess.

Cephalalgia 2019 Mar 20:333102419839793. Epub 2019 Mar 20.

1 Headache Unit, University Hospital of Valladolid, Valladolid, Spain.

Background: Epicrania fugax is included in the appendix of the International Classification of Headache Disorders and is characterized as recurrent brief attacks of linear or zigzag pain moving across the cranial surface, commencing and terminating in the distribution of different nerves. We present a new case of epicrania fugax in which the headache was the presenting symptom of a cerebellar abscess.

Case Report: We present a 58-year-old woman with prior history of Chiari I malformation who underwent suboccipital craniectomy. Read More

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http://dx.doi.org/10.1177/0333102419839793DOI Listing
March 2019
4 Reads

Cotton bud in external ear canal causing necrotising otitis externa and subdural abscess.

BMJ Case Rep 2019 Mar 6;12(3). Epub 2019 Mar 6.

Department of Otolaryngology, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.

Necrotising otitis externa (NOE) is an infection originating in the soft tissues of the external auditory canal (EAC) spreading to the surrounding bone and rarely causing intracranial complications. It is usually caused by and has historically occurred in elderly patients with diabetes or immunodeficiency. EAC foreign body is a risk factor for otitis externa but has not been described in NOE. Read More

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http://dx.doi.org/10.1136/bcr-2018-227971DOI Listing
March 2019
3 Reads

[Cerebral imaging in a delirious patient].

Ned Tijdschr Geneeskd 2019 Feb 26;163. Epub 2019 Feb 26.

Franciscus Gasthuis, afd. Neurologie, Rotterdam.

An 80-year-old woman attended the emergency department with sub-acute confusion and fever. On examination no focal signs were found. Cerebral CT showed an area of hypodensity suspected to be an infarction, but an MRI scan carried out 10 days later showed cerebral abscesses caused by a dental infection that had occurred four weeks previously. Read More

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February 2019
1 Read

Magnetic resonance imaging spectrum of intracranial tubercular lesions: one disease, many faces.

Pol J Radiol 2018 29;83:e524-e535. Epub 2018 Dec 29.

Jackson Memorial Hospital, Miami, USA.

Tuberculosis is a devastating disease and has shown resurgence in recent years with the advent of acquired immunodeficiency syndrome. Central nervous system involvement is the most devastating form of the disease, comprising 10% of all tuberculosis cases. The causative organism, , incites a granulomatous inflammatory response in the brain, the effects of which can be appreciated on magnetic resonance imaging (MRI), which can thus be used for diagnosis of the same. Read More

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http://dx.doi.org/10.5114/pjr.2018.81408DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6384409PMC
December 2018

Melioidosis with a subdural collection - a case report.

BMC Infect Dis 2019 Feb 12;19(1):143. Epub 2019 Feb 12.

Department of Medicine, Faculty of Medicine, University of Kelaniya, Kelaniya, Sri Lanka.

Background: Melioidosis is an infection caused by Burkholderia pseudomallei, which is more prevalent in the tropics and leads to significant morbidity and mortality. It characteristically produces widespread caseous lesions and abscesses, and can present with varied clinical manifestations. Melioidosis involving the central nervous system is uncommon. Read More

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http://dx.doi.org/10.1186/s12879-019-3782-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6373098PMC
February 2019
1 Read

Acupuncture-Induced Cranial Epidural Abscess: Case Report and Review of the Literature.

World Neurosurg 2019 Feb 8. Epub 2019 Feb 8.

Sunnybrook Health Sciences Centre, Division of Neurosurgery, University of Toronto, Toronto, Ontario, Canada.

Background: Acupuncture is a common form of alternative medicine that is used for pain control among other modalities of treatment. It is a relatively safe procedure, but complications, including those of infectious etiology, may still occur.

Case Description: A 47-year-old immunosuppressed woman presented with fever, altered level of consciousness, dysphasia, and a left occipital subgaleal fluctuant mass after acupuncture for headaches in the same area. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.01.189DOI Listing
February 2019
17 Reads

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
3 Reads

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
4 Reads

Demyelinating lesions behaving like aggressive tumours on advanced MRI techniques.

Neuroradiol J 2019 Apr 22;32(2):103-107. 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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6410458PMC
April 2019
5 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
10 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
5 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
5 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
2 Reads

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
Publisher Site
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
Publisher Site
http://dx.doi.org/10.1016/j.idcr.2018.e00476DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6307035PMC
December 2018
14 Reads

Metagenomic next-generation sequencing as a diagnostic tool for toxoplasmic encephalitis.

Ann Clin Microbiol Antimicrob 2018 Dec 26;17(1):45. Epub 2018 Dec 26.

Department of Clinical Research Center, the Second Hospital of Nanjing, Nanjing University of Chinese Medicine, 1-1 Zhongfu Road, Nanjing, 210003, China.

Background: More than 100 different pathogens can cause encephalitis. Testing of all the neurological pathogens by conventional methods can be difficult. Metagenomic next-generation sequencing (NGS) could identify the infectious agents in a target-independent manner. Read More

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http://dx.doi.org/10.1186/s12941-018-0298-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305995PMC
December 2018
3 Reads

Meropenem-induced liver injury and beta-lactam cross-reactivity.

BMJ Case Rep 2018 Nov 28;11(1). Epub 2018 Nov 28.

Infectious Diseases Unit, Queensland Health, Herston, Queensland, Australia.

A 63-year-old man admitted to hospital for the management of a frontal lobe abscess developed elevated liver enzymes within 48 hours of receiving meropenem. Liver enzymes reached a maximum at 5 days postadministration of meropenem, with alanine aminotransferase 1160 U/L, aspartate aminotransferase 787 U/L, alkaline phosphatase 297 U/L and gamma-glutamyltransferase 252 U/L. Meropenem was ceased and liver function normalised. Read More

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http://dx.doi.org/10.1136/bcr-2018-227124DOI Listing
November 2018
1 Read

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
2 Reads

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
6 Reads

[IMPROVEMENT OF ETIOLOGICAL DIAGNOSIS OF THE CEREBRAL TOXOPLASMOSIS IN HIV-INFECTED PERSONS].

Georgian Med News 2018 Oct(283):63-66

National Medical University, Kharkiv; Regional Clinical Infectious Diseases Hospital, Kharkiv, Ukraine.

The objective of the study was to determine the diagnostic value of the parallel detection of the avidity index of the IgG to Toxoplasma gondii in the blood and cerebrospinal fluid by a three-step solid-phase enzyme immunoassay using T. gondii antigen, protein dissociating agent and monoclonal antibodies against human IgG at HIV-infected individuals with a focal damage of the brain. The results of the study showed that conducting of the enzyme-linked immunosorbent assay by a direct and dissociated method makes it possible to detect specific intrathecal and serum immunoglobulins, which is proposed in terms of improving diagnosis of cerebral toxoplasmosis in HIV-infected individuals. Read More

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October 2018
1 Read

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
3 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
15 Reads

Diagnosis and Treatment of Isolated Cerebral Mucormycosis: Patient-Level Data Meta-Analysis and Mayo Clinic Experience.

World Neurosurg 2019 Mar 9;123:425-434.e5. Epub 2018 Nov 9.

Department of Neurology, Mayo Clinic Health System-Franciscan Healthcare, La Crosse, Wisconsin, USA.

Background: Isolated cerebral mucormycosis is a rare and serious infection associated with intravenous drug abuse.

Methods: We performed a comprehensive meta-analysis of cases reported in studies and have included an unreported case from our institution. We searched PubMed/Medline, EMBASE, Scopus, Cochrane Databases, and our institution's electronic medical health records from inception through March 31, 2018. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.10.218DOI Listing
March 2019
3 Reads
2.420 Impact Factor

Intracranial Actinomycosis Manifesting as a Parenchymal Mass Lesion: A Case Report and Review of Literature.

World Neurosurg 2019 Feb 1;122:190-194. Epub 2018 Nov 1.

Department of Neuropathology, National Institute of Mental Health and Neurosciences, Bengaluru, India.

Background: Intracranial actinomycosis is a rare bacterial infection with no characteristic clinical or radiologic diagnostic features. The usual presentation is similar to pyogenic brain abscess or osteomyelitis with or without pachymeningitis. Intracranial actinomycosis rarely manifests as a parenchymal mass lesion. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.10.134DOI Listing
February 2019
5 Reads
2.420 Impact Factor

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
15 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
10 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
19 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
22 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
7 Reads

[Clinical analysis of brain abscess after endoscopic repairment of cerebrospinal fluid rhinorrhea].

Authors:
H Y Li H X Yu G Liu

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Sep;53(9):650-654

Department of Otorhinolaryngology Head and Neck Surgery, Tianjin HuanHu Hospital, Tianjin 300350, China.

To explore the clinical characteristics of the complication of brain abscesses after cerebrospinal fluid rhinorrhea repairment. A retrospective analysis was conducted on 149 patients undergone endoscopic repairment of cerebrospinal fluid rhinorrhea from October 2007 to October 2017 in Department of Otorhinolaryngology Head and Neck Surgery, Tianjin HuanHu Hospital. The clinical characteristics and treating methods of 3 brain abscess cases were analyzed. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1673-0860.2018.09.003DOI Listing
September 2018
5 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
24 Reads

Brain and Spinal Epidural Abscess.

Authors:
Felicia Chow

Continuum (Minneap Minn) 2018 10;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
19 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
29 Reads

A rare case of diffuse intracranial aspergillosis masquerading as skull base meningioma in an immunocompetent patient.

Clin Neuropathol 2019 Jan/Feb;38(1):23-27

Intracranial aspergillosis is rare in immunocompetent patients. Its presentation is subtle, often without any diagnostic characteristics, and is frequently mistaken for tuberculous meningitis, pyogenic abscess, or a space-occupying lesion. The authors report a case of diffuse intracranial aspergillosis, in an immunocompetent 34-year-old male, that mimicked a meningioma on preoperative imaging. Read More

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http://dx.doi.org/10.5414/NP301106DOI Listing
April 2019
15 Reads

Primary central nervous system post-transplant lymphoproliferative disorder mimicking toxoplasmosis.

Arq Neuropsiquiatr 2018 08;76(8):566-567

Universidade Estadual de Campinas, Departamento de Medicina Interna, Campinas SP, Brasil.

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http://dx.doi.org/10.1590/0004-282X20180049DOI Listing

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
13 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
August 2018
1 Read

Congenital cerebral toxoplasmosis, Zika and chikungunya virus infections: a case report

Biomedica 2018 06 15;38(2):144-152. Epub 2018 Jun 15.

Equipo Banco de Proyectos, Dirección de Investigación en Salud Pública, Instituto Nacional de Salud, Bogotá, D.C., Colombia.

We report a case of intrauterine infection by Toxoplasma gondii, Chikungunya and Zika viruses in a Colombian woman from the southern part of the country. The patient attended prenatal care in the second trimester of her pregnancy and she informed that in the first trimester she had presented with clinical symptoms compatible with Zika virus infection. Amniotic fluid PCR assays showed infection by T. Read More

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http://dx.doi.org/10.7705/biomedica.v38i0.3652DOI 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
4 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
13 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
39 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
3 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
16 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
2 Reads