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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

"Pseudostroke": Clinically Diagnosed Ischemia Shown to Be Multiple Sclerosis at Autopsy, A Case Report (P6.266)
CONCLUSIONS:This case emphasizes the difficult clinical and neuroradiological differential between acute stroke and acute MS in a patient presenting with new neurologic deficits with sudden onset. It appears that ADC in very acute lesions of MS may show low signal, contrary to the usual expectations. The high ADC signal reflects the increased extracellular space produced by extracellular edema or demyelination. Acute MS lesions can thus present as "Pseudostrokes".Disclosure: Dr. Uppal has nothing to disclose. Dr. Kataria has nothing to disclose. Dr. Rani has nothing to disclose. Dr. Miller has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Uppal, G., Kataria, N., Rani, P., Miller, D. Tags: Cerebrovascular Disease and Interventional Neurology: Case Reports Source Type: research

Cardiac Sarcoidosis Detected by Late Gadolinium Enhancement and Prevalence of Atrial Arrhythmias
In conclusion, atrial arrhythmias were documented more frequently than ventricular arrhythmias in patients with sarcoidosis with cardiac involvement and were 3 times more prevalent than in patients with sarcoidosis without cardiac involvement. Risk-benefit assessment of anticoagulation for primary prevention of stroke should be performed for patients with CS. In patients receiving implantable defibrillators, programing to minimize inappropriate ICD shocks for atrial arrhythmias must be considered.
Source: The American Journal of Cardiology - February 14, 2014 Category: Cardiology Authors: Matthew A. Cain, Mark D. Metzl, Amit R. Patel, Karima Addetia, Kirk T. Spencer, Nadera J. Sweiss, John F. Beshai Tags: Cardiomyopathy Source Type: research

The causes of hypopituitarism in the absence of abnormal pituitary imaging
Conclusion: These results show that hypopituitarism in the absence of pituitary pathology or an identifiable cause is rare. In patients with multiple anterior pituitary hormone deficiencies haemochromatosis and sarcoidosis should be considered.
Source: QJM - December 20, 2013 Category: Internal Medicine Authors: Wilson, V., Mallipedhi, A., Stephens, J. W., Redfern, R. M., Price, D. E. Tags: Original papers Source Type: research

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