keyword
https://read.qxmd.com/read/38533414/adrenal-insufficiency-following-cerebellar-intracranial-hemorrhage-a-case-report
#1
Yu-Yang Lu, Chien-Ming Lin, Shang-Lin Chiang
This report presents a case of a previously healthy 58 years-old man who had suffered from persistent weakness and dizziness after a cerebellar intracranial hemorrhage (ICH). Endocrine function tests revealed low levels of plasma cortisol (3.05 μg/dL; normal range: 5-25 μg/dL) and adrenocorticotropic hormone (ACTH) (6.0 pg/mL; normal range: 10-60 pg/mL). The subsequent ACTH stimulation test suggested partial or recent hypopituitarism, resulting in adrenal gland atrophy and a subnormal cortisol response...
2024: Frontiers in Neurology
https://read.qxmd.com/read/38522912/-a-case-of-holmes-tremor-in-which-123-i-imp-spect-and-mri-findings-suggest-damage-to-the-cerebellothalamic-tract-and-the-dentato-rubro-olivary-pathway
#2
JOURNAL ARTICLE
Tomoki Ishimaru, Sumire Nunomura, Masahiro Wakita, Shigehisa Ura
A 75-year-old woman was referred to our department in October 2022 with ataxia and involuntary movements of the right upper and lower limbs. She had experienced a left pontine hemorrhage in March 2021, which was managed conservatively. However, she had residual right-sided hemiplegia. In addition, she had cerebellar ataxia and a 2 ‍Hz resting tremor of the right upper and lower limbs, which was enhanced while maintaining posture and contemplation. Based on her history, and the findings of MRI and nuclear medicine imaging, we diagnosed the patient with Holmes tremor due to pontine hemorrhage...
March 23, 2024: Rinshō Shinkeigaku, Clinical Neurology
https://read.qxmd.com/read/38515670/exploring-the-differential-effects-of-transcranial-direct-current-stimulation-a-comparative-analysis-of-motor-cortex-and-cerebellar-stimulation
#3
JOURNAL ARTICLE
Qurat Ul-Ain, Saad Ilyas, Hamid Ali, Ijaz Ali, Riaz Ullah, Hafsah Arshad, Sana Khalid, Muhammad Ehab Azim, Tian Liu, Jue Wang
BACKGROUND: Transcranial Direct Current Stimulation (tDCS) is a non-invasive brain stimulation technique. Constant electric current is passed through the patient's scalp with the aim of modulating cortical excitability. Stroke is a cerebrovascular disease characterized by hemorrhage or cerebral ischemia. This systematic review and meta-analysis are aimed at comparing the efficacy of motor cortex stimulation with that of cerebellar stimulation by using transcranial direct current stimulation...
March 30, 2024: Heliyon
https://read.qxmd.com/read/38511319/minimally-invasive-endoscopic-evacuation-of-cerebellar-intracerebral-hemorrhage-an-illustrative-case-report
#4
JOURNAL ARTICLE
Mahmoud M Elguindy, Alexander F Haddad, Alex Lu, Luis E Savastano
No abstract text is available yet for this article.
March 21, 2024: Stroke; a Journal of Cerebral Circulation
https://read.qxmd.com/read/38497612/fatal-vertebral-artery-dissection-following-self-manipulation-of-the-cervical-spine
#5
JOURNAL ARTICLE
Jane E Persons, Stephanie Stauffer
Cervical spine manipulation is a known risk factor for vertebral artery dissection. In this report, we present a case of fatal vertebral artery dissection that occurred as the result of self-manipulation of the cervical spine. The decedent was a 40-year-old man with no significant past medical history. He was observed to "crack his neck" while at work. Soon after, he began experiencing neck pain, then developed strokelike symptoms and became unresponsive. He was transported to a local medical center, where imaging showed bilateral vertebral artery dissection...
March 18, 2024: American Journal of Forensic Medicine and Pathology
https://read.qxmd.com/read/38491480/aneurysm-of-the-artery-of-wollschlaeger-and-wollschlaeger
#6
JOURNAL ARTICLE
Abdul-Rahman Alkiswani, Cody Heskett, Lane Fry, Adeesya Gausper, Kevin Le, Aaron Brake, Catherine Lei, Frank A De Stefano, Ernest J Madarang, Jeremy Peterson, Koji Ebersole
The Artery of Wollschlaeger and Wollschlaeger (AWW) is a non-eloquent, tentorial branch of the superior cerebellar artery (SCA). Coursing posteriorly from an intradural origin, the AWW passes through the ambient cistern and supplies the medial tentorium. Due to its small diameter, the AWW is often only identified in the context of secondary dilation from pathologies such as dural arteriovenous fistulas (DAVF). Herein, we report the first case, to our knowledge, of an aneurysm of the AWW associated with a posterior fossa DAVF Swift identification and diagnosis followed by cautious treatment of both the aneurysm and fistula were critical to avert rupture and optimize outcomes, avoiding potential hemorrhagic complications...
March 15, 2024: Neuroradiology Journal
https://read.qxmd.com/read/38487876/long-term-outcomes-in-patients-with-spontaneous-cerebellar-hemorrhage-an-international-cohort-study
#7
JOURNAL ARTICLE
Jasper R Senff, Sanjula D Singh, Marco Pasi, Wilmar M T Jolink, Mark A Rodrigues, Floris H B M Schreuder, Julie Staals, Tobien Schreuder, Jules P J Douwes, Jelmer Talsma, Brenna N McKaig, Christina Kourkoulis, Nirupama Yechoor, Christopher D Anderson, Laurent Puy, Charlotte Cordonnier, Marieke J H Wermer, Peter M Rothwell, Jonathan Rosand, Catharina J M Klijn, Rustam Al-Shahi Salman, Gabriël J E Rinkel, Anand Viswanathan, Joshua N Goldstein, H Bart Brouwers
BACKGROUND: Spontaneous intracerebral hemorrhage (ICH) in the cerebellum has a poor short-term prognosis, whereas data on the long-term case fatality and recurrent vascular events are sparse. Herewith, we aimed to assess the long-term case fatality and recurrence rate of vascular events after a first cerebellar ICH. METHODS: In this international cohort study, we included patients from 10 hospitals (the United States and Europe from 1997 to 2017) aged ≥18 years with a first spontaneous cerebellar ICH who were discharged alive...
March 15, 2024: Stroke; a Journal of Cerebral Circulation
https://read.qxmd.com/read/38448386/clinical-features-and-imaging-manifestations-for-intravascular-large-b-cell-lymphoma
#8
JOURNAL ARTICLE
Hong Jin, Weihua Liao, Shuai Yang, Lushan Peng, Wu Xing
OBJECTIVES: Intravascular large B-cell lymphomas are a rare group of extranodal non-Hodgkin's lymphomas with no apparent specificity of symptoms and often a poor prognosis. This study aims to investigate the clinical features and imaging manifestations of intravascular large B-cell lymphoma, to improve the awareness of clinicians and imaging physicians and to reduce the underdiagnosis and misdiagnosis of this disease. METHODS: Five patients with pathologically confirmed intravascular large B-cell lymphoma diagnosed between December 2011 and February 2022 at Xiangya Hospital of Central South University were retrospectively analyzed for clinical features and imaging manifestations...
December 28, 2023: Zhong Nan da Xue Xue Bao. Yi Xue Ban, Journal of Central South University. Medical Sciences
https://read.qxmd.com/read/38442494/far-lateral-approach-with-c1-hemilaminotomy-for-excision-of-a-ruptured-fusiform-lateral-spinal-artery-aneurysm-2-dimensional-operative-video
#9
JOURNAL ARTICLE
Kyriakos Papadimitriou, Eric T Quach, Danielle Golub, Athos Patsalides, Amir R Dehdashti
The lateral spinal artery (LSA) represents the most rostral extent of the posterolateral arterial axis of the spinal cord and supplies both the posterior and lateral aspects of the spinal cord.1 The LSA originates from either the intradural segment of vertebral artery or the lateral segment of the posterior inferior cerebellar artery.1,2 It terminates at the level of C5 because it anastomoses with the posterior spinal artery. Although the LSA is in communication with the subarachnoid space, subarachnoid hemorrhage (SAH) due to an LSA aneurysm is rare...
March 5, 2024: Operative Neurosurgery (Hagerstown, Md.)
https://read.qxmd.com/read/38437680/successful-surgical-management-of-a-superior-cerebellar-artery-aneurysm-in-a-patient-with-marfan-syndrome-illustrative-case
#10
JOURNAL ARTICLE
Fangjun Liu, Mengqing Hu, Daling Ruan, Xiaoling Ruan, Ting Lei, Xiang'en Shi
BACKGROUND: Marfan syndrome, a connective tissue disorder, poses unique challenges in neurosurgery, given the fragility of vascular structures. Superior cerebellar artery (SCA) aneurysms in patients with the syndrome are rare and present distinct surgical difficulties, necessitating innovative approaches. OBSERVATIONS: A 29-year-old male with Marfan syndrome presented with a subarachnoid hemorrhage from a ruptured SCA aneurysm. Given the lack of a defined aneurysm neck and the small diameter of the SCA, standard clipping and endovascular therapies were unsuitable...
March 4, 2024: J Neurosurg Case Lessons
https://read.qxmd.com/read/38435940/dramatic-effect-of-botox-injection-in-disabling-chronic-migraine-secondary-to-inoperable-cerebral-arteriovenous-malformation
#11
Mohammed Mezaal, Malak Mohammed Abdulelah, Rawan Ahmed Mehanna
Arteriovenous malformation is a developmental anomaly of the vascular system characterized by arteriovenous shunt through a collection of tortuous vessels without intervening capillary bed. Brain arteriovenous malformations (AVMs) may cause hemorrhagic stroke, epilepsy, and chronic headache. Migraine with aura was reported in up to 58% of females with AVM. A 23-year-old female presented with episodes of severe left-side headache for five months, throbbing in character with photophobia, phonophobia, and nausea...
January 2024: Curēus
https://read.qxmd.com/read/38435058/infratentorial-superficial-siderosis-report-of-six-cases-and-review-of-the-literature
#12
JOURNAL ARTICLE
Lixia Deng, Yi Lin, Yu Lin, Weibin Huang
OBJECTIVES: To investigate the etiology, clinical manifestations, imaging features, and treatment of patients with infratentorial superficial siderosis (iSS), enhance clinicians' comprehension of this rare disease, and conduct oral deferiprone intervention and subsequent monitoring. METHODS: Six patients diagnosed with iSS based on magnetic resonance imaging (MRI) and susceptibility weighted imaging (SWI) were enrolled from 2021 to 2023 at the First Affiliated Hospital of Fujian Medical University...
2024: Frontiers in Neuroscience
https://read.qxmd.com/read/38430650/surgical-evacuation-of-spontaneous-cerebellar-hemorrhage-comparison-of-safety-and-efficacy-of-suboccipital-craniotomy-and-robotic-assisted-stereotactic-hematoma-drainage
#13
JOURNAL ARTICLE
ChengYi Jin, Yang Yang
OBJECTIVE: This study compared the efficacies of robotic-assisted stereotactic hematoma drainage and suboccipital craniotomy (SC) in patients with spontaneous cerebellar hemorrhage (SCH). METHODS: This retrospective study included 138 non-comatose patients with SCH (Glasgow Coma Scale score [GCS] >8), divided into the SC and Robotic Stereotactic Assistance (ROSA) groups. The study recorded and analyzed complications and prognoses 90 days after ictus. RESULTS: The inclusion criteria were met by 138 patients: 61 in the SC and 77 in the ROSA group, with no significant differences in sex, age, GCS score, hematoma volume, and the time from ictus to operation...
February 24, 2024: Clinical Neurology and Neurosurgery
https://read.qxmd.com/read/38413676/the-role-of-susceptibility-weighted-imaging-contrast-enhanced-mri-in-the-diagnosis-of-primary-cns-vasculitis-a-large-case-series
#14
JOURNAL ARTICLE
Sushant Agarwal, Leve Joseph Devarajan Sebastian, Shailesh Gaikwad, M V Padma Srivastava, M C Sharma, Manmohan Singh, Rohit Bhatia, Ayush Agarwal, Jyoti Sharma, Deepa Dash, Vinay Goyal, Achal K Srivastava, Manjari Tripathi, Vaishali Suri, Mamta B Singh, Chitra Sarkar, Ashish Suri, Rajesh K Singh, Deepti Vibha, Awadh K Pandit, Roopa Rajan, Anu Gupta, A Elavarasi, Divya M Radhakrishnan, Animesh Das, Vivek Tandon, Ramesh Doddamani, Ashish Upadhyay, Venugopalan Y Vishnu, Ajay Garg
Primary CNS Vasculitis (PCNSV) is a rare, diverse, and polymorphic CNS blood vessel inflammatory condition. Due to its rarity, clinical variability, heterogeneous imaging results, and lack of definitive laboratory markers, PCNSV diagnosis is challenging. This retrospective cohort analysis identified patients with histological diagnosis of PCNSV. Demographic data, clinical presentation, neuroimaging studies, and histopathologic findings were recorded. We enrolled 56 patients with a positive biopsy of CNS vasculitis...
February 27, 2024: Scientific Reports
https://read.qxmd.com/read/38412931/trends-in-stroke-related-journals-examination-of-publication-patterns-using-topic-modeling
#15
JOURNAL ARTICLE
Burak Berksu Ozkara, Mert Karabacak, Konstantinos Margetis, Wade Smith, Max Wintermark, Vivek Srikar Yedavalli
OBJECTIVES: This study aims to demonstrate the capacity of natural language processing and topic modeling to manage and interpret the vast quantities of scholarly publications in the landscape of stroke research. These tools can expedite the literature review process, reveal hidden themes, and track rising research areas. MATERIALS AND METHODS: Our study involved reviewing and analyzing articles published in five prestigious stroke journals, namely Stroke, International Journal of Stroke, European Stroke Journal, Translational Stroke Research, and Journal of Stroke and Cerebrovascular Diseases...
February 25, 2024: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://read.qxmd.com/read/38394841/ruptured-basilar-artery-perforator-aneurysm-mimicking-superior-cerebellar-artery-aneurysm
#16
JOURNAL ARTICLE
Jeong Eun Shin, Jong Young Lee
BACKGROUND AND IMPORTANCE: The diagnosis of basilar artery perforator aneurysm is difficult due to their small size, with high rates of negative angiography. Furthermore, due to the considerable variation of basilar artery perforator (BAP), even if an aneurysm originates from a BAP, it is often difficult to clearly identify its origin on angiography. CLINICAL PRESENTATION: A 46-female patient presented with World Federation of Neurological Surgeons Scale 1 subarachnoid hemorrhage...
February 22, 2024: Neuro-Chirurgie
https://read.qxmd.com/read/38382934/-resting-tremor-of-parkinson-s-disease-changing-into-holmes-tremor-by-cerebellar-hemorrhage-an-examination-of-the-pathophysiological-mechanism-of-tremor
#17
JOURNAL ARTICLE
Masahiro Nakamura, Osamu Isono, Tetsuya Nasu, Yuji Hinuma, Noriko Nakamura
A 71-year-old male who suffered from Hoehn and Yahr stage III Parkinson's disease with bradykinesia, rigidity and a 5-6-Hz tremor at rest in the right extremities was admitted to our hospital due to the sudden onset of vertigo. Right cerebellar hemorrhage was confirmed by CT. The patient's resting tremor in the right extremities disappeared immediately following the cerebellar hemorrhage. Six days later, MRI showed Wallerian degeneration in the cerebello-rubro-thalamic tract. Approximately 5 months later, a 2-3-Hz Holmes' tremor gradually appeared in the right upper extremity...
February 22, 2024: Rinshō Shinkeigaku, Clinical Neurology
https://read.qxmd.com/read/38382149/spatial-colocalization-of-imaging-markers-in-iatrogenic-cerebral-amyloid-angiopathy-with-the-site-of-surgery-a-metaanalysis
#18
REVIEW
Ulf Jensen-Kondering
INTRODUCTION: Iatrogenic cerebral amyloid angiopathy (iCAA) is a rare form of CAA. Imaging features are overlapping with spontaneous CAA. However, in iCAA imaging features have not been systematically described so far. The aim of this metaanalysis was to evaluate if any of the described imaging features showed colocalization with the initial site of surgery. MATERIAL AND METHODS: A systematic review of the medical literature was performed. Patients with probable iCAA were included if the route of potential entry of amyloid into the CNS was unambiguous...
February 13, 2024: Journal of the Neurological Sciences
https://read.qxmd.com/read/38375626/sweet-ending-when-genetics-prevent-a-dramatic-cdg-diagnostic-mistake
#19
Antoine Civit, Paul Gueguen, Helene Blasco, Isabelle Benz-de-Bretagne, Élodie Lebredonchel, Giulia Dingeo, Médéric Jeanne, Sophie Rouxel, Marine Tardieu, Alexandre Raynor, François Labarthe, Arnaud Bruneel, Violette Goetz
Herein, we described the case of a newborn male, from consanguineous parents, who developed, at day 11 of life, an obstructive hydrocephalus resulting from bilateral cerebellar hemorrhage without evident cause. Then, at 1 month, he developed a fulminant hepatitis with hyperammonia, hyperlactatemia and metabolic acidosis. Infectious and first line metabolic explorations were normal. Screening for congenital disorder of glycosylation (CDG) was performed using capillary electrophoresis and western blot of serum transferrin...
November 1, 2023: Clinica Chimica Acta; International Journal of Clinical Chemistry
https://read.qxmd.com/read/38324943/craniovertebral-and-spinal-adhesive-arachnoiditis-a-late-complication-of-ruptured-vertebral-and-posterior-inferior-cerebellar-arteries-aneurysms
#20
REVIEW
Valérie Gilbert, Sara Chakir, Jean-Baptiste Peeters, Gilles El Hage, Moujahed Labidi, Roland Jabre, Chiraz Chaalala, Michel W Bojanowski
BACKGROUND: Adhesive arachnoiditis is a rare yet serious complication that may occur following subarachnoid hemorrhage (SAH). In this circumstance, it is mainly due to ruptured vertebral artery (VA) or posterior inferior artery (PICA) aneurysms. It disrupts cerebrospinal fluid (CSF) flow leading to complications such as spinal arachnoiditis, syringomyelia, trapped 4th ventricle, or a combination of these conditions. Evidence for effective treatment strategies is currently limited. We aimed to review the epidemiology, clinical characteristics, treatment, complications, outcomes, and prognosis of cranio-vertebral junction and spinal adhesive arachnoiditis resulting from ruptured VA and PICA aneurysms...
February 5, 2024: Neuro-Chirurgie
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