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Piperacillin/tazobactam‐induced neurotoxicity in a hemodialysis patient: A case report
This report presents a case of a hypertensive and diabetic 67‐year‐old woman in regular hemodialysis, which previously had a stroke. She was hospitalized presenting pneumonia, which was initially treated with cefepime. Two days after treatment, she presented dysarthria, left hemiparesis, ataxia, and IX and X cranial nerves paresis. Computed tomography showed no acute lesions and cefepime neurotoxicity was hypothesized, and the antibiotic was replaced by piperacillin/tazobactam. The neurologic signs disappeared; however, 4 days after with piperacillin/tazobactam treatment, the neurological manifestations returned. A new...
Source: Hemodialysis International - July 1, 2014 Category: Hematology Authors: Precil Diego M. M. Neves, Fernanda M. Freitas, Christiane A. Kojima, Beatriz L. Carmello, Rodrigo Bazan, Pasqual Barretti, Luis C. Martin Tags: Case Report Source Type: research

Portal–Left Atrium Shunt Leading to Stroke
A 37-year-old man presented acutely with a stroke, ataxia, and left upper limb weakness. His medical history was positive for congenital low-grade liver fibrosis and for a single episode of paresthesia of the left upper limb (4 y previously). Magnetic resonance imaging showed acute ischemic lesions in the right cerebellum and temporal region (). Chest radiography, blood tests, and echocardiography were normal. Computed tomography demonstrated dilatation of the portal vein and gastroesophageal varix arising from the left gastric vein (arrowhead) and reaching the left atrium (arrow), which is partially contrasted in the veno...
Source: Journal of Vascular and Interventional Radiology : JVIR - February 27, 2014 Category: Radiology Authors: Umberto G. Rossi, Giovanni Gandini, Maurizio Cariati Source Type: research

Profile of Patients with Cerebral Venous Sinus Thrombosis with Cerebellar Involvement
Conclusions: Cerebellar involvement in CVT is very rare, and high index of suspicion is required for diagnosis. Imaging with CT and MRI will help in confirming the diagnosis. Conventional anticoagulation is effective in treatment. Mortality was 33%, and there was no disability in survivors.
Source: Journal of Stroke and Cerebrovascular Diseases - November 14, 2013 Category: Neurology Authors: Girish B. Kulkarni, Veerendrakumar Mustare, Mirza M. Abbas Tags: Original Articles Source Type: research

A single-site retrospective study of pediatric arterial ischemic stroke etiology, clinical presentation, and radiologic features.
CONCLUSIONS: PAIS occurs more frequently in younger children and this group most frequently presents with convulsion as the initial symptom. The overall etiologies of PAIS may be different from those of adult stroke and the involved regions may be distinguishing features of PAIS or its different forms, but more research is required. PMID: 24034087 [PubMed - in process]
Source: Chinese Medical Journal - September 1, 2013 Category: Journals (General) Authors: Sun D, Wu XM, Wang ZW, Jin RM, Liu ZS, Liu F, Huang S, Wang HQ, Hu JS Tags: Chin Med J (Engl) Source Type: research

Dermatomal Sensory Manifestations in Lateral Medullary Infarction
In conclusion, lateral medullary infarction is an important entity to consider in the differential diagnosis of dermatomal sensory manifestations.
Source: Journal of Stroke and Cerebrovascular Diseases - October 24, 2012 Category: Neurology Authors: Hiroki Hongo, Yasutaka Tanaka, Yoshiaki Shimada, Ryota Tanaka, Nobutaka Hattori, Takao Urabe Tags: Case Reports Source Type: research

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