ABSTRACT
The first case of meningoencephalitis due to Mycobacterium lentiflavum in an immunocompromised patient is reported. Clinical and radiological characteristics are described, as well as the treatment and prognosis of the patient.
Subject(s)
Meningoencephalitis , Mycobacterium , Humans , Nontuberculous MycobacteriaABSTRACT
Hemichorea-hemiballism is an unusual hyperkinetic movement disorder characterized by continuous involuntary movements of an entire limb or both limbs on one side of the body. The acute onset of this disorder occurs with an insult in contralateral basal ganglia. Ischemic events represent the most common cause. Nonketotic hyperglycemia comes in second place. Nonketotic hyperglycemic hemichorea-hemiballism (NHH) is a rare cause of unilateral brain abnormalities on imaging studies confined to basal ganglia (mainly putaminal region as well as caudate nucleus). Subtle hyperdensity in striatal region can be found on CT studies whereas brain MR imaging typically shows T1 hyperintensity and T2 hypointensity in the basal ganglia contralateral to the movements. Diagnosis is based on both glucose levels and neuroimaging findings. Elevated blood glucose and hemoglobin A1c levels occur with poorly controlled diabetes. In this case report, our aim is to present neuroimaging CT and MR unilateral findings in an elderly woman secondary to nonketotic hyperglycemia presenting as hemichorea-hemiballism.
ABSTRACT
No disponible
Subject(s)
Adult , Female , Humans , Migraine Disorders/diagnosis , Migraine Disorders/epidemiology , Migraine Disorders/etiology , Migraine Disorders/drug therapy , Migraine Disorders/prevention & control , Cluster HeadacheSubject(s)
Headache Disorders, Primary/complications , Headache Disorders/physiopathology , Migraine without Aura/complications , Causality , Disease Progression , Female , Fructose/analogs & derivatives , Fructose/therapeutic use , Headache Disorders/drug therapy , Headache Disorders, Primary/physiopathology , Humans , Hyperacusis/etiology , Middle Aged , Migraine without Aura/drug therapy , Migraine without Aura/physiopathology , Models, Neurological , Nausea/etiology , Nociceptors/physiology , Photophobia/etiology , Topiramate , Trigger Points/physiopathologyABSTRACT
No disponible
No disponible
Subject(s)
Humans , Male , Adult , Meningitis/complications , Histiocytic Necrotizing Lymphadenitis/complications , Headache/etiology , Diagnosis, DifferentialABSTRACT
Wall-eyed bilateral internuclear ophthalmoplegia (WEBINO) is an uncommon neuro-ophthalmologic syndrome consisting of both eyes primary position exotropia and bilateral internuclear ophthalmoplegia. It is thought to be caused by medial midbrain lesions involving both bilateral medial longitudinal fasciculi and medial rectus subnuclei. We report the clinical and neuroimaging findings of a WEBINO syndrome associated to bilateral ptosis, non-reactive mydriasis and complete vertical gaze palsy in a 55-year-old man who suffered a top of the basilar artery stroke causing tegmental midbrain infarction.
