Intradural extramedullary cavernous malformation with extensive superficial siderosis of the neuraxis: Case report and review of literature.

CONCLUSIONS: There are only 56 cases of spinal intradural-extramedullary cavernous malformations published in the literature; however, only 3 described superficial neuraxis siderosis as noted in this case. In the present case, slowly recurring hemorrhages of the lesion located at the conus likely contributed to the complete neuraxis superficial siderosis. Timely evaluation and treatment of these lesions is warranted to avoid further compressive and/or hemorrhagic complications. PMID: 28680728 [PubMed - in process]
Source: Surgical Neurology International - Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

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A 28-year-old healthy man was admitted to our hospital because of right-sided headache, vomiting, and lower back pain after the administration of vardenafil. Computed tomography and magnetic resonance imaging of the brain showed a small, right-sided, subdural hematoma. A lumbar magnetic resonance imaging showed a longitudinally extended subdural hematoma. He had no history of trauma. We speculated that vardenafil might have had an association with the bleeding. Several reports have suggested a relationship between phosphodiesterase-5 inhibitors and intracerebral or subarachnoid hemorrhage.
Source: Journal of Stroke and Cerebrovascular Diseases - Category: Neurology Authors: Tags: Case Studies Source Type: research
Rationale: Subarachnoid hemorrhage (SAH) is a common and serious disease and one of the most important differential diagnoses in the emergency department. Patient concerns: A 39-year-old female patient with a 12 years’ history of migraine, presented with a sudden headache combined with motor aphasia. Physical examination suggested probable positive neck resistance. SAH was confirmed by magnetic resonance imaging. In addition, spinal digital subtraction angiography and spinal vascular computed tomography angiography indicated spinal arteriovenous malformation (SAVM). Diagnoses: The final diagnosis was spinal d...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
CONCLUSIONS: Patients with spontaneous cervicothoracic epidural hematomas may occasionally present with symptoms of severe headache and neck pain/stiffness mimicking an SAH. Long diagnostic delays in establishing SSEH may result in irreversible cord damage. PMID: 28868194 [PubMed]
Source: Surgical Neurology International - Category: Neurosurgery Tags: Surg Neurol Int Source Type: research
ConclusionThis case highlights the possibility of a hepatitis B virus-induced vasculitis as the cause of subarachnoid hemorrhage, transverse myelitis, and nephropathy.
Source: Journal of Medical Case Reports - Category: Journals (General) Source Type: research
Authors: Magno Pereira V, Marote Correia L, Rodrigues T, Serrão Faria G Abstract The posterior reversible encephalopathy syndrome is a neurological syndrome characterized by headache, confusion, visual disturbances and seizures associated with identifiable areas of cerebral edema on imaging studies. The authors report the case of a man, 33 years-old, leukodermic with a history of chronic alcohol and tobacco consumption, who is admitted to the emergency department for epigastric pain radiating to the back and vomiting with about six hours of evolution and an intense holocranial headache fo...
Source: Acta Medica Portuguesa - Category: Journals (General) Tags: Acta Med Port Source Type: research
A 62-year-old lady presented to hospital with thunderclap headache and was found to have a grade 1 subarachnoid haemorrhage due to ruptured anterior communicating artery (ACoA) aneurysm, treated by endovascular coiling. Two small coincidental left middle cerebral artery (MCA) aneurysms were managed conservatively. Follow-up imaging at 6 months showed only minor ischaemic changes. Routine 2 year follow up magnetic resonance angiography (MRA) showed the coiled aneurysm to be secure with unchanged coincidental MCA aneurysms but multiple new right cerebral hemisphere lesions with extensive perilesional oedema. These lesions sh...
Source: Journal of Neurology, Neurosurgery and Psychiatry - Category: Neurosurgery Authors: Tags: Immunology (including allergy), Epilepsy and seizures, Headache (including migraine), Pain (neurology), Radiology, Radiology (diagnostics) ABN Annual Meeting, 17-19 May 2016, The Brighton Centre, Brighton Source Type: research
Abstract OBJECTIVE: The purpose of this study was to determine the duration, intensity, location, and usual treatment of pain throughout hospitalization following subarachnoid hemorrhage. BACKGROUND: Headache following subarachnoid hemorrhage can be sudden and severe. Little is known about the longitudinal course of headache or its analgesic therapy following the initial diagnosis of subarachnoid hemorrhage. METHODS: A prospectively maintained database of 564 patients diagnosed with cerebral aneurysms collected from 10/2009 to 2/2013 was searched for conscious patients with subarachnoid hemorrhage. Avail...
Source: Headache - Category: Neurology Authors: Tags: Headache Source Type: research
ObjectiveThe purpose of this study was to determine the duration, intensity, location, and usual treatment of pain throughout hospitalization following subarachnoid hemorrhage. BackgroundHeadache following subarachnoid hemorrhage can be sudden and severe. Little is known about the longitudinal course of headache or its analgesic therapy following the initial diagnosis of subarachnoid hemorrhage. MethodsA prospectively maintained database of 564 patients diagnosed with cerebral aneurysms collected from 10/2009 to 2/2013 was searched for conscious patients with subarachnoid hemorrhage. Available electronic records were queri...
Source: Headache: The Journal of Head and Face Pain - Category: Neurology Authors: Tags: Research Submissions Source Type: research
There are certain patients who push your buttons and cause you to lose your cool. It’s up to you to anticipate these triggers and come up with a plan to manage their care with compassion and poise. GREG HENRY, MD Founder and CEO of Medical Practice Risk Assessment, Inc.; past president of ACEP. All my attempts to delve into the shallowness of epistemological relativism and to grasp objective and universal truths seem to have flopped. View-ing my fan mail versus hate mail, it is clear that the more down-to-earth suggestions are what people want. As one reader put it: “Don’t give me any crap by Bonhoeffer...
Source: EPMonthly.com - Category: Emergency Medicine Authors: Tags: Uncategorized Source Type: news
We report a rare case of concurrent aneurysmal subarachnoid hemorrhage (SAH) and acute aortic dissection (AAD). A 38-year-old man visited our hospital complaining of severe headache, and brain computed tomography (CT) revealed the presence of SAH. Thoracic to neck computed tomography angiography (CTA), performed in addition to brain CTA, suggested a tear in the aortic arch, and subsequent CT aortography established the diagnosis of Stanford type A AAD. The AAD in our patient, who reported no episodes of chest or back pain, was detected incidentally by thoracic to neck CTA.
Source: Journal of Stroke and Cerebrovascular Diseases - Category: Neurology Authors: Tags: Case Studies Source Type: research
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