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dissection and cns vasculitis

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https://www.readbyqxmd.com/read/27113401/fulminant-vasculitis-associated-with-extracranial-dissections-and-occlusion-ischemic-strokes-and-aneurysm-rupture-case-report-and-review-of-the-literature
#1
Osama Jamil, Philipp Taussky, Richard H Schmidt, Min S Park
BACKGROUND: Central nervous system vasculitis has multiple presentations, including stroke, seizures, cranial nerve palsies, and encephalopathy. CASE DESCRIPTION: We present the case of an unresponsive 45-year-old woman with vasculitis associated with fulminant intracranial vessel dissection and occlusion with ischemic strokes and subarachnoid hemorrhage secondary to aneurysm rupture. Imaging studies demonstrated both ischemic and hemorrhagic strokes. She had a ruptured right internal carotid artery dorsal variant aneurysm, right vertebral artery dissection with occlusion and posterior inferior cerebellar artery infarct, left vertebral artery dissection, and severe vasculitis involving intracranial and extracranial vessels...
July 2016: World Neurosurgery
https://www.readbyqxmd.com/read/25552813/vertebral-artery-dissection-after-a-chiropractor-neck-manipulation
#2
Jeremy Jones, Catherine Jones, Kenneth Nugent
The differential diagnosis for ischemic central nervous system infarcts in young patients includes paradoxic emboli through cardiac shunts, vasculitis, and vascular trauma. We report a young woman who developed headache, vomiting, diplopia, dizziness, and ataxia following neck manipulation by her chiropractor. A computed tomography scan of the head revealed an infarct in the inferior half of the left cerebellar hemisphere and compression of the fourth ventricle causing moderate acute obstructive hydrocephalus...
January 2015: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/21556680/treatment-of-acute-ischemic-stroke-beyond-thrombolysis-and-supportive-care
#3
REVIEW
Neelofer Shafi, Scott E Kasner
The initial therapeutic approach to acute ischemic stroke consists of thrombolytic therapy and early initiation of supportive care, usually commenced prior to the determination of the underlying stroke etiology. Varying stroke mechanisms may call for specific, etiology-based treatment. The majority of strokes result from cardioembolism, large-vessel atherothromboembolism, and small-vessel occlusive disease. There are scant data to support the use of acute anticoagulation therapy over anti-platelet therapy in cardioembolic stroke and large-vessel atherosclerosis, although it may be reasonable in a certain subset of patients...
July 2011: Neurotherapeutics: the Journal of the American Society for Experimental NeuroTherapeutics
https://www.readbyqxmd.com/read/20198499/tolosa-hunt-syndrome-with-reversible-dissection-aneurysm
#4
Zhiming Zhou, Guangyi Zhou, Tingting Lu, Gelin Xu, Xinfeng Liu
A 49-year-old female presented with recurrent intolerable right retro-orbital pain, ptosis and diplopia for 4 months. Neurological evaluation revealed right oculomotor nerve and abducent nerve injuries. Neuroimaging found enlarged right cavernous sinus, right intracavernous carotid dissection aneurysm and a stenosis proximal to it. Tolosa-Hunt syndrome (THS) was suggested and treated with steroid. The clinical symptoms were alleviated after the treatment. After 3 months of follow-up cerebral angiography showed the lesions of the right intracavernous carotid stenosis and the dissection almost disappeared...
December 2010: Neurological Sciences
https://www.readbyqxmd.com/read/18224578/-compression-neuropathy-of-cranial-nerves-in-the-course-of-takayasu-arteritis
#5
Adam Stepień, Marta Durka-Kesy, Agnieszka Warczyńska
Takayasu arteritis is a rare vasculitis of the aorta and its branches. Neurological manifestation usually results from central nervous system ischaemia. We report a case presenting with unilateral paresis of the cranial nerves (V, IX and XII nerve) caused by a vascular conflict due to Takayasu arteritis. A 38-year-old male was admitted to the hospital complaining of dysarthria, dysphagia, numbness of the right side of the tongue and a headache localized behind the right eye. The symptoms had sudden onset. Neurological examination revealed isolated trigeminal, glossopharyngeal and hypoglossal nerve dysfunction on the right side without other neurological symptoms...
November 2007: Neurologia i Neurochirurgia Polska
https://www.readbyqxmd.com/read/17185683/sir-2006-annual-meeting-film-panel-case-granulomatous-aortitis-with-type-a-aortic-dissection-and-abdominal-malperfusion-combined-treatment-approach-with-aortic-fenestration-and-surgery
#6
Sadashiv H Kamath, G Michael Deeb, Gerald D Abrams, David M Williams et al.
No abstract text is available yet for this article.
December 2006: Journal of Vascular and Interventional Radiology: JVIR
https://www.readbyqxmd.com/read/17092443/central-nervous-system-vasculitis-in-children
#7
REVIEW
Susanne M Benseler
Central nervous system (CNS) vasculitis is an increasingly recognized, often devastating inflammatory brain disease of children and adults. In primary or isolated CNS vasculitis/angiitis of childhood (cPACNS), the vascular inflammation is limited to the brain and spinal cord. Secondary CNS vasculitis occurs in a variety of conditions including infections, collagen vascular diseases, systemic vasculidities, and malignancies. Mimics of CNS vasculitis in children include dissections and noninflammatory vasculopathies...
December 2006: Current Rheumatology Reports
https://www.readbyqxmd.com/read/15832608/childhood-ischemic-stroke-in-a-nonurban-population
#8
Michael D Bowen, Christopher R Burak, Todd F Barron
A 10-year, retrospective review of the etiology, outcome, and complications of ischemic stroke in children from a nonurban population was conducted. Twenty-seven children were identified (14 boys, 13 girls), ages 1.25 to 17 years (mean 7.7 years). Etiologies included undetermined (22%), arterial dissection (19%), coagulopathy (15%), embolism (15%), moyamoya disease (11%), sickle cell disease (11%), isolated angiitis of the central nervous system or vasculitis (11%), or other known source (11%; two fibromuscular dysplasia, one L-asparaginase)...
March 2005: Journal of Child Neurology
https://www.readbyqxmd.com/read/14770279/-diagnosis-and-differential-cerebral-vasculitis-diagnosis
#9
P Berlit
Over a 5-year period, we investigated 77 consecutive patients (36 males, 41 females, mean age 40.9 years) referred to our hospital with the diagnosis of CNS vasculitis. Extensive workup including MRI, echocardiography, laboratory tests, angiography ( n=53), and biopsies at appropriate sites ( n=26) was performed based on individual history and symptoms. Prominent symptoms were stroke ( n=61), encephalopathy ( n=14), and headaches ( n=2). Vasculitis was finally diagnosed in 13 patients (17%) including isolated angiitis of the CNS ( n=3), giant cell arteritis ( n=4), and septic arteritis ( n=3)...
February 2004: Der Nervenarzt
https://www.readbyqxmd.com/read/11831401/usefulness-of-indium-111-oxine-labeled-leukocyte-scintigraphy-in-diagnosis-of-inflammation-associated-with-chronic-aortic-dissection
#10
K Takahashi, M Ohyanagi, H Naruse, M Masai, T Iwasaki, M Fukuchi, T Miyamoto
BACKGROUND: Patients with chronic aortic dissection require monitoring for indications of disease progression. In present study, inflammation adjacent to associated aortic wall was evaluated by indium-111-oxine-labeled leukocyte scintigraphy, scince inflammation of the blood vessel wall often associates with progression of chronic aortic dissection. METHODS AND RESULTS: Fifteen patients with aortic dissection underwent indium-111-oxine-labeled leukocyte scintigraphy...
December 2001: Annals of Nuclear Medicine
https://www.readbyqxmd.com/read/10598839/circulating-antineutrophil-autoantibodies-in-a-child-with-isolated-central-nervous-system-vasculitis
#11
S Vella, G P Ramelli, G Schroth, M G Bianchetti
An 8-year old girl with history of twisted neck and painful swelling on the left side of the neck was found to have malfunction of glossopharyngeal and hypoglossal nerves on the left side. Magnetic resonance angiography revealed a giant aneurysm of the internal carotid artery surrounded by a widespread inflammatory tumor. Cerebral angiography disclosed a large, false aneurysm with almost complete compression of the internal carotid artery. Circulating antineutrophil cytoplasmic autoantibodies (titer 1:2560) and high levels of antibodies against antiproteinase 3 were detectable...
October 1999: Neuropediatrics
https://www.readbyqxmd.com/read/7709083/neuroradiology-of-central-nervous-system-vasculitis
#12
REVIEW
R W Hurst, R I Grossman
Evaluation of the patient with suspected vasculitis affecting the nervous system requires consideration of a broad range of differential diagnostic possibilities. Appreciating pertinent neuroradiologic findings as well as understanding the capabilities and limitations of the imaging methods employed is a prerequisite for proper evaluation. Most importantly, integration of the imaging features with clinical and laboratory findings is necessary to maximize the chance of a correct diagnosis.
December 1994: Seminars in Neurology
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