RESUMEN
Invasive aspergillosis is one of rare causes of mortality for the immune-compromised patients. We present a case of invasive aspergillosis complicated by the occlusion of the internal carotid artery and cerebral infarction in a patient with diabetes mellitus. Although initial biopsy did not find the pathogen, the repeated attempts of sampling showed aspergillosis. Combination of surgical removal of necrotic tissue and voriconazole medication improved symptoms and reduced the burden of infection.
Asunto(s)
Humanos , Aspergilosis , Biopsia , Arterias Carótidas , Arteria Carótida Interna , Infarto Cerebral , Diabetes Mellitus , Mortalidad , VoriconazolRESUMEN
Hemichorea after cortical infarction has rarely been reported. We report a female patient in which hemichorea of the right extremities developed following a left temporo-parietal infarction. An acute infarction in the territory of the inferior division of the left middle cerebral artery was evident in diffusion-weighted imaging, but the basal ganglia, thalamus, and brainstem appeared normal. Her choreic movement gradually improved after administering haloperidol, and the hemichorea disappeared after 4 days.
Asunto(s)
Femenino , Humanos , Ganglios Basales , Tronco Encefálico , Corea , Extremidades , Haloperidol , Infarto , Arteria Cerebral Media , TálamoRESUMEN
Flexor spasm caused by stroke has been rarely reported. We describe a 79-year-old man who suddenly presented with flexor spasm of left limb and neck muscles. His symptoms consisted of recurrent episodes of brief paroxysmal flexor contractions of left limb and neck muscles without alteration of consciousness. Brain Magnetic Resonance Imaging revealed acute infarction in right basal ganglia. The abnormal movement was not associated with any epileptiform discharges in the video-electroencephalography monitoring. It was controlled with carbamazepine and phenytoin.
Asunto(s)
Anciano , Humanos , Ganglios Basales , Encéfalo , Carbamazepina , Estado de Conciencia , Discinesias , Extremidades , Infarto , Imagen por Resonancia Magnética , Músculos del Cuello , Fenitoína , Espasmo , Accidente CerebrovascularRESUMEN
The rete ovarii is a rare site for tumor development. We present a case of cystadenoma originating from the rete ovarii of a 58-year-old woman. It was a unilocular cyst of 7.0 cm in size, lined by flat, cuboidal, or columnar epithelial cells supported by fibromuscular tissue. Papillary growth and crevice formation of the inner surface were characteristic. The presence of a normal rete ovarii was helpful in correct diagnosis.