Case report: Amnestic left posterior cerebral artery infarction mimicking herpes simplex encephalitis

2003 ◽  
Vol 3 (1) ◽  
pp. 54-60
Author(s):  
C WILSON ◽  
J BILLER
Keyword(s):  
Case Report ◽  
Herpes Simplex ◽  
Cerebral Artery ◽  
Herpes Simplex Encephalitis ◽  
Posterior Cerebral Artery ◽  
Left Posterior

scholarly journals Left atrial myxoma causing posterior cerebral artery infarct-a case report

2017 ◽  
Vol 4 (6) ◽  
pp. 2070
Author(s):  
Sudesh Kumar ◽  
Shubhadev Bhattacharya ◽  
Narender S. Jhajhria ◽  
Vijay Kumar Gupta
Keyword(s):  
Case Report ◽  
Cerebral Artery ◽  
Left Atrial ◽  
Posterior Cerebral Artery ◽  
Atrial Myxoma ◽  
Visual Agnosia ◽  
Sudden Loss ◽  
Left Atrial Myxoma ◽  
Left Posterior ◽  
History Of

A 34-year-old female patient presented with a history of sudden loss of vision in right eye. On neurological examination, she was having visual agnosia in right eye. MRI was performed which revealed left posterior cerebral artery infarct. Trans thoracic echocardiography was performed. This showed a large left atrial myxoma. Patient underwent resection and had an uneventful postoperative course. This case report showed the importance of cardiac source of emboli in patients presenting as acute stroke. Performing echocardiography and diagnosing and treating cardiac source of emboli could prevent further complications.

scholarly journals Giant thrombosed aneurysm of P2 anterior segment of left posterior cerebral artery: Case Report and review of literature

2017 ◽  
Vol 14 (3) ◽  
pp. 42-45
Author(s):  
Gopal Raman Sharma ◽  
Sumit Joshi ◽  
Raj Kumar K C ◽  
Maya Bhattachan ◽  
Pawan Kumar Bhandari
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Cerebral Artery ◽  
Posterior Cerebral Artery ◽  
Anterior Segment ◽  
Postoperative Recovery ◽  
Posterior Circulation ◽  
Review Of Literature ◽  
Cerebral Angiogram ◽  
Left Posterior

P2A (anterior) segment aneurysm of posterior cerebral artery is one of the rare aneurysm of posterior circulation. We report a case of 30 years old right handed young man who presented with features of SAH in Emergency Department and cerebral angiogram confirmed left posterior cerebral artery P2A segment thrombosedfusi form aneurysm. Postoperative recovery was good except left sided ptosis after microsurgical trapping via left temporal approach. Treatment modality and outcome after intervention for P2A segment aneurysm will be discussed. Nepal Journal of Neuroscience, Volume 14, Number 3, 2017, Page : 42-45

scholarly journals Delayed mesencephalic venous infarction after endovascular treatment of a giant aneurysm of the posterior cerebral artery: Case report and anatomical review

2020 ◽  
Vol 26 (5) ◽  
pp. 593-597
Author(s):  
Keisuke Kadooka ◽  
Vaia Anagnostakou ◽  
Oliver Bozinov ◽  
Zsolt Kulcsár
Keyword(s):  
Case Report ◽  
Endovascular Treatment ◽  
Cerebral Artery ◽  
Coil Embolization ◽  
Posterior Cerebral Artery ◽  
Giant Aneurysm ◽  
Venous Infarction ◽  
Disturbance Of Consciousness ◽  
Left Posterior ◽  
Severe Disturbance

A 54-year old male patient underwent stent reconstruction of the P1-2 segment of the left posterior cerebral artery (PCA) and concomitant coil embolization of a symptomatic giant partially thrombosed P1 segment aneurysm. After an uneventful postinterventional period, on the 7th day the patient developed severe disturbance of consciousness. The imaging workup demonstrated acute venous infarction in the midbrain, caused by the compressive occlusion of the median anterior pontomesncephalic vein by the aneurysm in the interpeduncular fossa.

scholarly journals Continuous video electroencephalogram for herpes simplex encephalitis: a case report and literature review

2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Wanhui Lin ◽  
Shenggen Chen ◽  
Hanbin Lin ◽  
Changyun Liu ◽  
Huapin Huang
Keyword(s):  
Case Report ◽  
Herpes Simplex ◽  
Literature Review ◽  
Herpes Simplex Encephalitis

Gd-DTPA enhanced mri of herpes simplex encephalitis: A case report

1991 ◽  
Vol 15 (2) ◽  
pp. 121-124 ◽  
Author(s):  
Phil Switzer ◽  
John M. Gomori ◽  
Sid Eliashiv
Keyword(s):  
Case Report ◽  
Herpes Simplex ◽  
Herpes Simplex Encephalitis ◽  
Enhanced Mri

scholarly journals Microsurgical Treatment of Posterior Cerebral Artery Aneurysm (P2P Segment): Case Report and Review of the Literature

2018 ◽  
Vol 37 (04) ◽  
pp. 343-348
Author(s):  
Lucas Meguins ◽  
Antônio Spotti ◽  
Jean de Oliveira ◽  
Carlos Pereira ◽  
Ronaldo Fernandes ◽  
...  
Keyword(s):  
Case Report ◽  
Cerebral Artery ◽  
Posterior Cerebral Artery ◽  
Artery Aneurysm ◽  
Saccular Aneurysm ◽  
Neurological Deficits ◽  
Uneventful Recovery ◽  
Cerebral Peduncle ◽  
Vast Number ◽  
The Right

Introduction Aneurysms of the posterior cerebral artery (PCA) represent ∼ 1% of all intracranial aneurysms and usually present with subarachnoid hemorrhage. Objective The aim of the present study is to describe the case of an adult man presenting a saccular aneurysm of the right PCA at the posterior half of the postcommunicating (P2P) segment, and to discuss the technical nuances of the approach and of the clipping process. Case Report An investigation of a chronic headache in a 55-year-old man found a saccular aneurysm located just posterior to the most lateral portion of the right cerebral peduncle. A digital subtraction arteriography revealed a 7.8 mm × 5.6 mm × 4.8 mm posterior-medial projecting aneurysm of the right PCA at the P2P segment. A subtemporal approach was performed with partial aspiration of the right parahippocampal gyrus for a better exposure of the vascular structures. A proximal temporary occlusion of the PCA was performed at the anterior half of the postcommunicating P2A segment. The aneurysm was clipped with two semi-curved clips. The patient presented an uneventful recovery and was discharged from the hospital on the third postoperative day without any additional neurological deficits. Conclusion Aneurysms of the PCA are an uncommon vascular disease that challenges the ability of the neurosurgeons due to their many anatomical nuances, to their vast number of perforators, and to the risk of bleeding. However, the operative management of aneurysms of the PCA is technically feasible, safe and effective when performed respecting microsurgical principles.

scholarly journals Early Recognition of Stroke by Confrontation Visual Field Test – Is It Possible?

2020 ◽  
Keyword(s):  
Case Report ◽  
Visual Field ◽  
Cerebral Artery ◽  
Vision Loss ◽  
Posterior Cerebral Artery ◽  
Early Recognition ◽  
Past History ◽  
Neurological Deficits ◽  
Visual Field Defects ◽  
Axial Tomography

Introduction: Visual field loss is often the first sign of lesion of the anterior or posterior visual pathways. Screening for visual field defects should be a part of all routine eye examinations, mainly when neurological lesions are suspected. A confrontation visual field (CVF) test provide a rapid and practical method of visual field assessment, allowing the recognition of major neurological deficits. Materials and Research Methods: To report a case of posterior cerebral artery (PCA) stroke early suspected by CVF test. Case-Report: A 77 year-old male presented to our emergency department with vision blurring complaints and a strange sensation of a vision loss on one side on the left eye (OS), for the previous 15 days. He explained that symptoms initiated after an episode of dizziness followed by lipothymia. He denied diplopia or headaches. Past history revealed hypertension and diabetes as cardiovascular risk factors. The best corrected visual acuity was 20/25 on right eye (OD) and 20/60 on OS and pupillary reflexes were normal. CVF test was performed and showed a decrease on left hemicampus of OS. The biomicroscopy was normal and the fundus examination showed optic nerve edema bilaterally, also documented by Optical Coherence Tomography. Considering the findings and the history, neuroimaging and a neurological observation were requested. Computerized axial tomography revealed a hypodense lesion in right occipital posterior region, with hematic density. He was hospitalized for proper treatment with the diagnosis of posterior cerebral artery ischemic stroke, with further hemorrhagic transformation. Discussion: In acute stroke, visual disorders may form all or part of the initial presentation. Homonymous visual field deficits are well-known almost universal characteristics of PCA ischemia, however, due to the absent of cognitive impairment or speech problems associated to many cases, the diagnosis can be challenging at early stages. Our case-report highlights the importance of using CVF test to an immediate inspection of the peripheral visual field, in order to detect acute major defects, including homonymous deficits, to understand if a further prompt neurological examination is mandatory.

scholarly journals Relapse of Herpes Simplex Encephalitis by Epilepsy Surgery 35 Years after the First Infection: A Case Report and Literature Review

2021 ◽  
Vol 8 (1) ◽  
pp. 235-240
Author(s):  
Yasushi IIMURA ◽  
Hidenori SUGANO ◽  
Tetsuya UEDA ◽  
Shimpei MATSUDA ◽  
Kostadin KARAGIOZOV ◽  
...  
Keyword(s):  
Case Report ◽  
Herpes Simplex ◽  
Literature Review ◽  
Epilepsy Surgery ◽  
Herpes Simplex Encephalitis
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