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Letter to Editor on “Lacunar Stroke in Cryptococcal Meningitis: Clinical and Radiographic Features”
We read with much pleasure the article “Lacunar Stroke in Cryptococcal Meningitis: Clinical and Radiographic Features” by Vela et al published in the Journal of Stroke and Cerebrovascular Disease.1 Authors have done a commendable job at describing the clinical and radiographical details of stroke in a cohort of patients with cryptoco ccal meningitis. Authors have collected extensive data over 18years from the University of Colorado Hospital, and have identified 42 patients. Among these, 32 (76%) of the patients had available neuroimaging.
Source: Journal of Stroke and Cerebrovascular Diseases - March 14, 2019 Category: Neurology Authors: Ajay K. Mishra, Anu A. George, Kamal K. Sahu, Amos Lal, Cijoy K. Kuriakose Tags: Letter to the Editor Source Type: research

Lacunar Stroke in Cryptococcal Meningitis: Clinical and Radiographic Features
Cryptococcal meningitis carries a high mortality, and survivors are left with considerable neurologic sequelae and marked disability. We lack a clear understanding of the pathogenesis of neurologic sequelae and description of stroke features in this population. We aim to describe clinical and radiographic features and predictors of stroke in a cohort of patients with cryptococcal meningitis.
Source: Journal of Stroke and Cerebrovascular Diseases - January 14, 2019 Category: Neurology Authors: Daniel Vela-Duarte, Eric Nyberg, Stefan Sillau, Amy Pate, Paula Castellanos, Daniel B. Chastain, Carlos Franco-Paredes, Andr és F. Henao-Martínez Source Type: research

Meningeal Disease Masquerading as Transient Ischemic Attack
Conclusions: Our study confirmed that serious meningeal disease could present as TIA, but this disease was relatively uncommon among patients treated in a TIA clinic. The findings highlight the diagnostic value of MRI in patients with suspected TIA.
Source: Journal of Stroke and Cerebrovascular Diseases - April 25, 2014 Category: Neurology Authors: Line Cuinat, Nathalie Nasr, Jeanine Manuela Kamsu, Frédéric Tanchoux, Fabrice Bonneville, Vincent Larrue Tags: Case Reports Source Type: research

Posterior Reversible Encephalopathy Syndrome in Patients with Coronavirus Disease 2019: Two Cases and a Review of the Literature
Central nervous system (CNS) manifestations of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection include encephalopathy, encephalitis, meningitis, acute disseminated encephalomyelitis, and stroke [1], both as a result of direct viral invasion of the central nervous system [2 –5] and as a consequence of critical illness and systemic infection [6]. Coronavirus disease 2019 (COVID-19) may also cause significant changes in endothelial morphology, including disruption of intercellular junctions, cell swelling, and a loss of contact with the basal membrane [7].
Source: Journal of Stroke and Cerebrovascular Diseases - July 29, 2020 Category: Neurology Authors: Pria Anand, K. H.Vincent Lau, David Y Chung, Deepti Virmani, Anna M. Cervantes-Arslanian, Asim Mian, Courtney E. Takahashi Source Type: research

Predictors of Infarction in Tuberculous Meningitis in Indian Patients
Stroke is a devastating complication of tuberculous meningitis (TBM) and is an important determinant of its outcome. We propose a model which would help to predict development of infarction or cerebrovascular events in patients of TBM.
Source: Journal of Stroke and Cerebrovascular Diseases - September 15, 2021 Category: Neurology Authors: Ashu Bhasin, Neha Kuthiala, Sakshi Sharma, Vivekanandhan Subramaniyam, MVP Srivastava Source Type: research

Subarachnoid Hemorrhage due to Spinal Cord Schwannoma Presenting Findings Mimicking Meningitis
We report an unusual case of spinal SAH mimicking meningitis with normal brain computed tomography (CT)/magnetic resonance imaging (MRI) and negative CT angiography. Cerebrospinal fluid examination results were consistent with the manifestation of SAH. Spinal MRI performed subsequently showed an intradural extramedullary mass. The patient received surgery and was finally diagnosed with spinal cord schwannoma.
Source: Journal of Stroke and Cerebrovascular Diseases - May 23, 2016 Category: Neurology Authors: Hong-Mei Zhang, Yin-Xi Zhang, Qing Zhang, Shui-Jiang Song, Zhi-Rong Liu Tags: Case Studies Source Type: research

Response to Ajay Kumar Mishra, et al. Lacunar strokes in Cryptococcal meningitis.
We thank Dr. Ajay Kumar Mishra et al. for their postpublication commentaries highlighting the pathology of cryptococcal meningitis vasculopathy. The lack of neuroimaging in some of our patients reflects unavailable information on retrospectively collected data rather than an informed clinical decision. Some of our patients had inaccessible imaging due to referrals from other institutions or old archived records. We agreed with the need for brain imaging in most cases, especially in the presence of altered mental status, seizures, signs or symptoms of increased intracranial pressure; or with focal neurologic deficits.
Source: Journal of Stroke and Cerebrovascular Diseases - March 17, 2019 Category: Neurology Authors: Daniel Vela-Duarte, Eric Nyberg, Stefan Sillau, Amy Pate, Paula Castellanos, Daniel B. Chastain, Carlos Franco-Paredes, Andr és F. Henao-Martínez Tags: Letter to the Editor Source Type: research

A Case of Cerebral Venous Thrombosis and Deep Venous Thrombosis Due to Hyperthyroidism with Increased Factor VIII Activity
A 48-year-old woman was admitted to our hospital because of headache and fever. She was diagnosed with aseptic meningitis. Five days later, she had a seizure and developed left hemiparesis. Magnetic resonance imaging showed hyperintensity in the right parietal area on fluid attenuated inversion recovery imaging. She was diagnosed as having cerebral venous thrombosis (CVT) because the suprasagittal sinus was invisible on the venographic studies. Moreover, deep venous thrombosis (DVT) was detected in her left lower extremity.
Source: Journal of Stroke and Cerebrovascular Diseases - September 10, 2019 Category: Neurology Authors: Mutsumi Yokoyama, Ryotaro Yamashita, Masayuki Furuya, Maiko Yamazaki, Kazuo Koyama, Fumiaki Tanaka Tags: Case Report Source Type: research

Bilateral ballism as limb-shaking transient ischemic attacks treated with unilateral carotid artery stent placement
A man in his 80s with no medical history and a heavy smoking habit experienced a sudden involuntary movement of the bilateral limbs, trunk, and tongue. He had mild dysarthria, and could not eat (Video 1). Symptoms lasted for several hours and days, with frequent onset during the day. No consciousness impairments, paralysis, or sensory disturbances were observed. Physical examination and laboratory data did not indicate meningitis, encephalitis, post-infectious causes, or autoimmune disorders.The electroencephalogram showed no abnormalities.
Source: Journal of Stroke and Cerebrovascular Diseases - September 23, 2022 Category: Neurology Authors: Toshihiko Shimizu, Keiko Haro, Masahiko Tagawa, Masaaki Hirata, Sachiko Iwano, Hiroshi Kosaka, Yuji Yamamoto Tags: Case Report Source Type: research