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Transient posterior cerebral arteriopathy: An unusual case enterovirus-related
Transient Cerebral Arteriopathy (TCA) is one of the main causes of childhood stroke. Here we present an unusual case of Arterial Ischemic Stroke (AIS) caused by a TCA of posterior flow and originally located in the right thalamus. The detection of enterovirus in the cerebrospinal fluid allowed us to suppose a probable post infectious etiology. The course of symptoms was self-limited and the child had a complete clinical recovery after five days. A new ischemic lesion on the antero-inferior paravermian region of the left cerebellum was revealed by a following brain Magnetic Resonance Imaging (MRI) three months later and the...
Source: Brain and Development - September 14, 2018 Category: Neurology Authors: Benedetta Piccolo, Marina Barsacchi, Francesca Greco, Davide Cerasti, Francesca Ormitti, Francesco Pisani Tags: Case Report Source Type: research

4 Cases of Aseptic Encephalitis Mimicking Right Middle Cerebral Artery Syndrome (P6.028)
We present 4 cases of presumed aseptic encephalitis in Southern California all causing a transient right MCA syndrome (eyes deviated to the right, left hemianopia, left hemiparesis, and inattention), with 3 of them presenting within a 10 day period, and all within a geographic radius of 40 miles. None of these cases had right MCA vascular occlusions, ischemic infarcts on imaging or severe hyperglycemia. All patients had near-complete resolution of the right MCA syndromes between 3-12 days. 2 of 4 cases developed complex or secondary generalized partial motor seizures requiring treatment with antiepileptic drugs. Every pati...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Way, C., Sangha, N. Tags: Ischemic Stroke Diagnosis Source Type: research

Neurological Perspectives of Neurogenic Pulmonary Edema
Background: Neurogenic pulmonary edema (NPE) is characterized by acute respiratory distress triggered by acute, severe compromise of the central nervous system (CNS). This review aims at summarizing and discussing recent and previous findings about the type and frequency of CNS triggers of NPE, pathogenesis, diagnosis, treatment, and outcome of patients experiencing NPE.Key Messages: NPE is diagnosed in the presence of pink, frothy sputum, pulmonary edema, bilateral opacities on X-ray, PaO2:PiO2 #x3c;200 mm Hg, acute CNS compromise with increased intra-cranial pressure, rapid resolution within 48 –72 h, and the absence o...
Source: European Neurology - May 22, 2019 Category: Neurology Source Type: research