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https://www.readbyqxmd.com/read/29756721/-pseudotumor-cerebri-associated-with-hypovitaminosis-a-b6-and-d-about-two-cases
#1
Ana M Silva, José Méndez, Marisol Toma, Alejandra González, Federico Bois
Idiopathic endocranial hypertension is infrequently associated with hypovitaminosis A and D. The case of an 8-year-old female with 24-hour blurred vision and bilateral papilledema is presented. Nuclear magnetic resonance was normal. Opening pressure of cerebrospinal fluid: 260 mmH2O. She presented vitamin A and D deficiency and started replacement therapy. The second case corresponds to a 12-year-old male with fever and odynophagia of 3 days. History of glomerulonephritis and overweight. He had bipalpebral edema and papilledema...
June 1, 2018: Archivos Argentinos de Pediatría
https://www.readbyqxmd.com/read/29753572/clinical-and-prognostic-significance-of-cerebrospinal-fluid-opening-and-closing-pressures-in-pediatric-pseudotumor-cerebri-syndrome
#2
Shannon J Beres, Claire A Sheldon, Chantal J Boisvert, Christina L Szperka, Grace L Paley, Evanette K Burrows, Marianne R Chilutti, Geraldine W Liu, Shana E McCormack, Grant T Liu
BACKGROUND: The purpose of this study was to determine the prognostic utility of closing pressure and volume of cerebrospinal fluid removed with respect to papilledema resolution and headache improvement in pediatric pseudotumor cerebri syndrome. METHODS: This is a retrospective observational study of 93 children with definite pseudotumor cerebri syndrome. The primary outcome measure was time to resolution of papilledema, and the secondary outcome measure was time to resolution of headache...
March 30, 2018: Pediatric Neurology
https://www.readbyqxmd.com/read/29744124/neurological-disorders-caused-by-two-cerebral-alveolar-hydatid-cysts-in-an-old-woman-a-rare-case-report
#3
Hossein Mokhtari, Mohammadamin Sadeghdoust, Farnaz Aligolighasemabadi, Amirhossein Hashemiattar, Vahid Ariabod, Saied Rahighi
Alveolar hydatid disease, caused by Echinococcus multilocularis , is a life-threatening infectious disease which primarily occurs in the liver. Intracranial hydatid disease is a rare presentation with reported incidence of ~1% of all cases. Here we reported a 60-year-old woman, with the past history of hydatid cysts in her liver, who was presented to us with progressive symptoms consist of headaches, diminished vision, cognitive disorders and delusion. She was disoriented in time, space and person. Bilateral mild papilledema and exaggerated reflexes were observed...
August 2017: Oxford Medical Case Reports
https://www.readbyqxmd.com/read/29740393/comparison-of-ocular-ultrasonography-and-magnetic-resonance-imaging-for-detection-of-increased-intracranial-pressure
#4
David F Patterson, Mai-Lan Ho, Jacqueline A Leavitt, Nathan J Smischney, Sara E Hocker, Eelco F Wijdicks, David O Hodge, John Jing-Wei Chen
Background/aims: To evaluate and compare the performance of ocular ultrasonography (US) and magnetic resonance imaging (MRI) for detecting increased intracranial pressure (ICP) in patients with idiopathic intracranial hypertension (IIH). Methods: Twenty-two patients with papilledema from IIH and 22 with pseudopapilledema were prospectively recruited based on funduscopic and clinical findings. Measurements of optic nerve sheath diameters (ONSDs) 3 mm behind the inner sclera were performed on B-scan US and axial T2-weighted MRI examinations...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29733809/optical-coherence-tomography-angiography-in-optic-disc-swelling
#5
Masoud Aghsaei Fard, Jalil Jalili, Alireza Sahraiyan, Hassan Khojasteh, Marjane Hejazi, Robert Ritch, Prem S Subramanian
PURPOSE: To compare optical coherence tomography angiography (OCT-A) of peripapillary total vasculature and capillaries in patients with optic disc swelling. DESIGN: Cross-sectional study. METHODS: Twenty nine eyes with acute nonarteritic anterior ischemic optic neuropathy (NAION), 44 eyes with papilledema, 8 eyes with acute optic neuritis, and 48 eyes of normal subjects were imaged using OCT-A. Peripapillary total vasculature information was recorded using a commercial vessel density map...
May 4, 2018: American Journal of Ophthalmology
https://www.readbyqxmd.com/read/29721351/resolution-of-symptomatic-secondary-empty-sella-syndrome-following-lumbar-peritoneal-shunt
#6
Waseem Mehmood Nizamani, Mubbashira Siddiqui, Sehrish Nizar Ali Momin, Muhammad Waqas, Rashid Jooma
Background: Post-surgical empty sella is related to the removal of pituitary tumors either from the transcranial or transphenoidal route, rendering diaphragma sellae incompetent at the end of the procedure. This subsequently leads to herniation of the third ventricle and optic apparatus into the empty sella. Studies have shown that in 50% of the cases, individuals with primary and secondary empty sella syndrome have developed defects in the visual fields. Benign increased intracranial pressure, cerebrospinal rhinorrhea, papilledema, and abnormalities affecting visual acuity may also occur as a result of empty sella...
2018: Surgical Neurology International
https://www.readbyqxmd.com/read/29713803/-bartonella-neuroretinitis-an-atypical-manifestation-of-cat-scratch-disease
#7
N Lapp, M Ulbig, C P Lohmann, A Laubichler
Cat scratch disease (CSD) typically manifests as a febrile lymphadenopathy and is caused by a Bartonella henselae infection after contact with cats. This article describes the case of an atypical presentation of CSD in a 52-year-old patient with acute unilateral loss of vision and headache without fever or lymphadenopathy. Funduscopic examination showed an optic disc swelling and macular star exsudates, pathognomonic for infectious neuroretinitis. A Bartonella henselae infection was confirmed serologically...
April 30, 2018: Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
https://www.readbyqxmd.com/read/29682018/modern-microsurgical-resection-of-olfactory-groove-meningiomas-by-classical-bicoronal-subfrontal-approach-without-orbital-osteotomies
#8
Ghulam Farooq, Lal Rehman, Irum Bokhari, Syed Raza Hussain Rizvi
Background: The olfactory groove meningioma has always been surgically challenging. The common microscopic surgical procedures exercised involve modification of pterional or sub-frontal approaches with or without orbital osteotomies. However, we believe that orbital osteotomies are not mandatory to achieve gross total resection. Hence, this study was performed to evaluate the surgical outcomes of olfactory groove meningioma with bicoronal sub frontal approach but without orbital osteotomies...
April 2018: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/29678697/intra-cranial-cryptococcoma-clinicopathological-correlation-and-surgical-outcome-a-single-institute-experience
#9
Alok Uppar, A R Prabhu Raj, Subhas Konar, Sandeep K, Dhaval Shukla, Sampath Somanna, B Indira Devi, Yasha C, Nagarathna Chandrashekar
OBJECTIVE: The present case series describes the clinical characteristics of patients diagnosed with intra cranialcryptococcoma(ICC), the clinic-pathological correlation and the outcomes following surgery. MATERIALS AND METHODS: The clinical data were collected from hospital case records and pathological confirmation was done by a neuropathologist. Clinical details, imaging features, and treatment modalities were studied and were correlated with outcomes based on regular follow up...
April 17, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29676328/papilledema-revisiting-after-sinus-angioplasty-of-chronic-cerebral-venous-sinus-thrombosis
#10
Vaibhav Kumar Jain, Vivek Singh, Vikas Kannaujia, Priyadarshini Mishra, Rajendra Vishnu Phadke, Kumudini Sharma
This case series aimed to review the significance of revisiting papilledema after successful cerebral venous sinus thrombosis (CVST) management with sinus angioplasty. Four patients presented with blurring and transient obscuration of vision with papilledema, headache, tinnitus, and vomiting. On magnetic resonance venography and digital subtraction angiography, chronic transverse sinus thrombosis was diagnosed for which patients underwent endovascular intervention (stenting). After the resolution of CVST, patients developed the recurrence of symptoms which on digital subtraction angiography revealed dural arteriovenous malformation (DAVM)...
May 2018: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29676327/fluvoxamine-induced-intracranial-hypertension-in-a-10-year-old-boy
#11
Hemalini Samant, Preetam Samant
Drug-induced intracranial hypertension is a well-established entity. We report a rare case of intracranial hypertension with papilledema in a 10-year-old boy following use of fluvoxamine, a selective serotonin reuptake inhibitor. On discontinuing the drug, the papilledema resolved over 4 months without any residual visual anomalies. To the best of our knowledge, this is the first report of fluvoxamine-induced intracranial hypertension with papilledema.
May 2018: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29670780/syphilis-related-eye-disease-presenting-as-bilateral-papilledema-retinal-nerve-fiber-layer-hemorrhage-and-anterior-uveitis-in-a-penicillin-allergic-patient
#12
Jamie Dietze, Shane Havens
Purpose . Treponema pallidum is known as the "great masquerader" for its many presentations and ocular findings in patients who are infected and develop secondary and tertiary stage of syphilis. Syphilitic ocular manifestations include uveitis, chorioretinitis, retinitis, vasculitis, vitritis, and panuveitis all with or without decreased visual acuity. Human immunodeficiency virus (HIV) is known to expedite the progression of syphilis when patients are coinfected, thus compounding the potential ophthalmic presentations...
2018: Case Reports in Infectious Diseases
https://www.readbyqxmd.com/read/29663282/the-frozen-brain-state-of-cryptococcus-gattii-a-globe-trotting-tropical-neurotropic-fungus
#13
Paul T Akins, Brian Jian
Initially reported in tropical regions, Cryptococcus gattii infection is now diagnosed globally. METHODS: case report; Literature review. Although initial reports described outbreaks of pulmonary and central nervous system (CNS) disease in tropical regions such as Australia and New Guinea, it is now clear that Cryptococcus gattii is a global, neurotropic pathogen. In contrast with C. neoformans, C. gattii patients are more likely to present with cryptococcomas in the brain and lungs and are often HIV negative...
April 16, 2018: Neurocritical Care
https://www.readbyqxmd.com/read/29629229/ambiguity-in-the-dural-tail-sign-on-mri
#14
Ramesh S Doddamani, Rajesh K Meena, Dattaraj Sawarkar
Background: Meningiomas give rise to the dural tail sign (DTS) on contrast-enhanced magnetic resonance imaging (CEMRI). The presence of DTS does not always qualify for a meningioma, as it is seen in only 60-72% of cases. This sign has been described in various other lesions like lymphomas, metastasis, hemangiopericytomas, schwannomas and very rarely glioblastoma multiforme (GBM). The characteristics of dural-based GBMs are discussed here, as only eleven such cases are reported in the literature till date...
2018: Surgical Neurology International
https://www.readbyqxmd.com/read/29602888/pseudotumor-cerebri-as-the-presentation-of-lyme-disease-in-a-non-endemic-area
#15
Marta Ezequiel, Ana Teresa Teixeira, Maria João Brito, Catarina Luís
Intracranial hypertension is a rare entity in prepubertal children, and its differential diagnosis includes a number of systemic diseases, drugs, vitamin deficiencies and excesses, and hereditary conditions. Infectious aetiology is rare. The case of a 9-year-old boy with intracranial hypertension secondary to acute neuroborreliosis is described. He presented with daily pulsatile frontotemporal headache, pallor, photophobia and phonophobia. His neurological examination revealed papilledema with no nuchal rigidity...
March 30, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29576930/retinal-vessel-diameters-change-within-1-hour-of-intracranial-pressure-lowering
#16
Heather E Moss, Gautam Vangipuram, Zainab Shirazi, Mahnaz Shahidi
Purpose: We tested the hypotheses that retinal venule diameter (Dv) is associated with baseline intracranial pressure (ICP) level and that Dv is reduced shortly after ICP lowering. Methods: Dv and arteriole diameter (Da) were extracted from scanning laser ophthalmoscopic images in 40 eyes of 20 adult human subjects (10 with and 10 without papilledema) immediately before and after measurement of ICP (range, 10-55 cm H2 O) and ICP lowering by cerebrospinal fluid (CSF) drainage via lumbar puncture (LP)...
March 2018: Translational Vision Science & Technology
https://www.readbyqxmd.com/read/29538589/weight-reduction-for-a-better-visual-outcome-in-idiopathic-intracranial-hypertension
#17
Feray Koc, Mehmet Resit Isik, Nazife Sefi-Yurdakul
PURPOSE: To evaluate the correlation between weight reduction and visual outcome in overweight patients with idiopathic intracranial hypertension. METHODS: Thirty-nine newly diagnosed, overweight (body mass index >25 kg/m2) patients with idiopathic intracranial hypertension were studied retrospectively. All patients underwent medical treatment with acetazolamide, and a weight reduction program was also offered. Patients were grouped according to their compliance with this weight reduction program into the diet-success (Group 1) and diet-failure groups (Group 2)...
January 2018: Arquivos Brasileiros de Oftalmologia
https://www.readbyqxmd.com/read/29534458/disease-and-treatment-related-sequelae-in-patients-with-complex-jugulotympanic-paraganglioma
#18
Ali Harati, Rolf Schultheiß, Stefan Rohde, Thomas Deitmer
BACKGROUND: Jugulotympanic paraganglioma (JTP) are benign, high-vascularized lesions that frequently invade the jugular foramen, temporal bone, the upper neck, and the posterior fossa cavity, resulting in a wide variety of clinical symptoms. METHODS: In this retrospective study, we assess the clinical symptoms and discuss the individual multidisciplinary treatment and outcome of 22 patients with JTP. RESULTS: In 12 patients, a hearing deficit was the presenting symptom, whereas pulsatile tinnitus and otalgia were present in six and four patients respectively...
March 10, 2018: Journal of Clinical Medicine
https://www.readbyqxmd.com/read/29506598/headache-in-guillain-barr%C3%A3-syndrome-diagnostic-and-management-implications
#19
Anas Alrohimi, Rajive Jassal
Headache is an uncommon symptom in Guillain-Barré syndrome (GBS). We review four clinical settings related to GBS in which headache may be present. We focus on pathophysiological explanations, alerting the clinician to further potential investigations and treatment. Most reports of headache in GBS occur in the context of the posterior reversible encephalopathy syndrome, an increasingly recognized dysautonomia-related GBS complication. Less frequent is headache in the setting of increased intracranial pressure and papilledema (secondary intracranial hypertension), Miller Fisher syndrome, and cerebral venous sinus thrombosis...
March 2018: Canadian Journal of Neurological Sciences. le Journal Canadien des Sciences Neurologiques
https://www.readbyqxmd.com/read/29488075/surgical-management-of-colloid-cysts-in-children-experience-at-a-tertiary-care-center
#20
Vikas Vazhayil, Nishanth Sadashiva, Nithish Nayak, A R Prabhuraj, Dhaval Shukla, Sampath Somanna
INTRODUCTION: Colloid cysts are uncommon lesions in the pediatric age group, which most commonly occur in the fourth through fifth decades. The authors hereby report a series of 36 patients with colloid cysts in the pediatric age group. MATERIAL AND METHOD: A retrospective chart review was conducted on all patients with colloid cyst who underwent surgery in our institute between November 2003 and December 2016 (13 years). Patients above the age of 18 were excluded from the study...
February 27, 2018: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
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