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Hypertrophic Pachymeningitis Related Brain Infarction in Synovitis-Acne-Pustulosis-Hyperostosis Osteomyelitis Syndrome
A 50-year-old woman with a history of synovitis-acne-pustulosis-hyperostosis osteomyelitis (SAPHO) syndrome was admitted for left unilateral neglect, dysarthria, and left hemiparesis. Brain MRI showed multiple infarctions in the territory of the right middle cerebral artery and gadolinium enhancement of the thickened frontotemporal dura mater on the right side. MR angiography showed significant narrowing of the cavernous segment of the right internal carotid artery. The right internal carotid artery stenosis was thought to originate from hypertrophic pachymeningitis associated with SAPHO syndrome.
Source: Journal of Stroke and Cerebrovascular Diseases - December 8, 2020 Category: Neurology Authors: Yukako Yazawa, Ryo Itabashi Tags: Case Report Source Type: research

Headache and Facial Pain in Sickle Cell Disease
Abstract Children and adolescents with sickle cell disease (SCD) have a high prevalence of recurrent headaches (24.0–43.9 %). Acute presentation with headache can be diagnostically challenging, as the clinician must consider evaluation of several potentially devastating conditions including vascular diseases (stroke, hemorrhage, venous sinus thrombosis, moyamoya, posterior reversible encephalopathy syndrome), facial and orbital bone infarcts, dental pain, and osteomyelitis. Patients with SCD and primary headache disorders may benefit from comprehensive headache treatment plans that include abortive therapy, pr...
Source: Current Pain and Headache Reports - February 15, 2016 Category: Neurology Source Type: research

Increased risk of ischaemic stroke amongst patients with chronic osteomyelitis: a population‐based cohort study in Taiwan
ConclusionsThis is the first report linking COM to an increased risk of developing stroke. Results suggest that COM is a significant stroke risk factor and call for closer attention to this group of patients for more rigorous stroke prevention, especially in the younger age group.
Source: European Journal of Neurology - March 1, 2014 Category: Neurology Authors: C.‐H. Tseng, J.‐H. Chen, C.‐H. Muo, Y.‐J. Chang, F.‐C. Sung, C. Y. Hsu Tags: Original Article Source Type: research