Mycoplasma pneumoniae Infection Presented with Multiple Neurological Complications

Mycoplasma pneumoniae (M. pneumoniae) is common pathogen of the respiratory tract. M. pneumoniae infection cause a wide variety of clinical manifestation involving the central (CNS) and peripheral nervous systems. There is no satisfactory explanation for the pathophysiology of CNS complication, but possibilities include direct infection and an immune-mediated reaction. We report a case of encephalitis by M. pneumoniae infection which showed uncommon course of multiple neurologic manifestations and reviewed the literature about the CNS complication of M. pneumoniae.

Postmenopausal Burning Mouth Syndrome Relieved by Clonazepam

Burning mouth syndrome (BMS) is an intraoral chronic pain disorder characterized by continuous burning sensations. BMS occurs particularly in postmenopausal women, and its etiology is not definite and considered idiopathic. Various treatments such as analgesics, anticonvulsants, and antidepressants are found to be effective, but the definitive treatment has not been established. We report two cases of postmenopausal BMS that were relieved by clonazepam, and review the literature about the various possible etiologies and treatment modalities of BMS.

Toxoplasma Encephalitis in a Patient with Human Immunodeficiency Virus Infection

Toxoplasma encephalitis is an opportunistic infection that may occur in immunocompromised or advanced HIV (Human Immunodeficiency Virus) patients and lead to serious complications in the CNS. We report a 44-year-old man with toxoplasma encephalitis combined with HIV infection. He was admitted with headache and neck stiffness. Brain computed tomography showed normal findings. Tuberculous meningitis was suspected from CSF and serum tests. However, his symptoms continued to progress, and toxoplasma encephalitis was diagnosed based on brain magnetic resonance imaging and serum tests.

Porencephaly with Skull Remodeling

No abstract available.

Cerebral Embolic Infarction Caused by Aortic Arch Thrombus with Iron Deficiency Anemia

Atherosclerotic lesions at the aortic arch are recognized as critical sources of embolic strokes. However, there have been few case reports of aortic arch thrombus occurring without atherosclerotic changes, especially those related to iron deficiency anemia (IDA). A 44-year-old woman was admitted due to rapid-onset right hemiparesis and aphasia. Etiological investigations for cerebral infarction revealed no abnormality other than IDA. This is a rare case of cerebral embolic infarction caused by an aortic arch thrombus with IDA in a middle-aged woman.

Acute Intestinal Pseudo-Obstruction in a Patient with MELAS Syndrome

No abstract available.

Successful Treatment of Acinetobacter Baumannii Meningitis with Colistin

Acinetobacter baumannii is a source of opportunistic infection in hospital and can cause central nervous system infection mainly by neurosurgical operation. Community acquired infection by Acinetobacter baumannii is very rare. A 58-year-old man was presented with fever, decreased consciousness and seizure. Acinetobacter baumannii was identified in the CSF culture, and colistin was administered intravenously. Patient's clinical symptoms improved after treatment. We report a case of successful treatment of Acinetobacter baumannii meningitis with colistin.

Reversible splenial lesion syndrome caused by rubella infection

Reversible splenial lesion syndrome can be caused by viral infection. Rubella generally occurs in childhood, and it is rarely accompanied by neurological complications in adulthood. A 35-year-old man visited our hospital due to conjunctival injection, mild fever, and headache 3 days after experiencing skin rash. Brain magnetic resonance imaging (MRI) revealed distinct lesions involving white matter in the splenium of the corpus callosum approximately 3 days following the onset of symptoms. Enzyme immunoassay performed on serum and CSF samples was positive for rubella virus IgM. A follow-up brain MRI was performed 24 days after the onset of symptoms, and reduced lesion size with decreased signals were observed on diffusion weighted image. This case showed that rubella infection can result in reversible splenial lesion accompanied by only mild neurological symptoms.

Ramsay-Hunt Syndrome Without Vesicle Presenting With Ulilateral Abducens and Vestibular Paralysis Followed by V, VII, IX, and X Nerve Palsies

No abstract available.

Ramsay-Hunt Syndrome Without Vesicle Presenting With Ulilateral Abducens and Vestibular Paralysis Followed by V, VII, IX, and X Nerve Palsies

No abstract available.