scholarly journals Unusual Presentation in Infratentorial Superficial Siderosis: Acute Intracranial Hypertension

2021 ◽  
pp. 9-16
Author(s):  
Maria Sheila Guimarães Rocha ◽  
Hugo Salomão Grangeiro Mirô ◽  
Gregori Manfroi ◽  
Arthur de Medeiros Dias ◽  
Raphaella Cardoso ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Intracranial Hypertension ◽  
Cranial Nerves ◽  
Superficial Siderosis ◽  
Brain Iron ◽  
Progressive Hearing Loss ◽  
Atypical Case ◽  
Neurological Features ◽  
The Brain ◽  
Hemosiderin Deposits

Superficial siderosis (SS) of the nervous system is a rare acquired condition related to hemosiderin deposits in subpial layers of the brain, brainstem, cerebellum, cranial nerves, and spinal cord, leading to brain iron-mediated neurodegeneration. The cardinal neurological features are slowly progressive hearing loss, ataxia, and pyramidal signs. Here we describe an atypical case of infratentorial SS evolving with acute intracranial hypertension in the absence of typical chronic signs.

Facial Ganglia - Anatomy, Symptomatology of Lesions and Biological Relevance

2021 ◽  
Vol 53 ◽  
pp. 41-50
Author(s):  
Ilya Lebedev ◽  
Alexander Bragin ◽  
Yulia Boldyreva ◽  
Artem Borsukov ◽  
Alexander Tersenov ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Facial Pain ◽  
Multidisciplinary Approach ◽  
Human Life ◽  
Cranial Nerves ◽  
Living Organism ◽  
Sympathetic Ganglia ◽  
Historical Background ◽  
Brain And Spinal Cord ◽  
The Brain

The article summarizes information about the head ganglia (the sympathetic ganglia and in the sensory cranial nerves). Gives а brief historical background on the history issue and relevance of the topic. Characterized by each node with its topography and lesion clinic. The described process of treatment, and prospects for new therapies. Raised the issue of the significance of the defeat ganglia, namely, the suffering of the sick and forced treatment costs (due to the complex differential diagnosis). In a biological sense, pain first appears in chordates and during evolution, as well as transformations of the brain and spinal cord, it acquires new types, localization and significance for the performance of a living organism. And facial pain, being a nosology with a multidisciplinary approach in diagnosis and treatment, demonstrates both its complexity and importance in human life.

Unknown fatal encephalomyelopolyradiculoneuritis in a child. A case report

2021 ◽  
Vol 2 (2) ◽  
pp. 100-106
Author(s):  
Aleksandra I. Pavlyuchkova ◽  
Aleksey S. Kotov
Keyword(s):  
Spinal Cord ◽  
Cerebrospinal Fluid ◽  
Genetic Diseases ◽  
Cranial Nerves ◽  
Unknown Etiology ◽  
Active Therapy ◽  
Nerve Roots ◽  
Child Patient ◽  
Brain And Spinal Cord ◽  
The Brain

In childhood, various infectious, autoimmune, genetic diseases can manifest. We present a case of fatal encephalomyelopolyradiculoneuritis of unknown etiology in a 9-year-old child. Patient N.K. in February 2019, noted an increase in temperature to subfebrile values, received symptomatic and antibiotic therapy without effect. An increase in protein and lymphocytes was found in the cerebrospinal fluid. According to MRI data, the emergence of more and more foci of the pathological signal in the brain and spinal cord, cranial nerves and nerve roots of the lumbar plexus was noted. Known infectious and autoimmune diseases were excluded. Despite active therapy with glucocorticoids, antibiotics, antiviral drugs, immunoglobulin, the disease continued to progress, and the patient died in April 2020.

scholarly journals Hemosiderosis of Central Nervous System: a case report of a rare and underdiagnosed disease

2021 ◽  
Vol 10 (11) ◽  
pp. e270101119579
Author(s):  
Cássio Marques Perlin ◽  
Lanusa Alquino Colombo ◽  
Anderson Dillmann Groto ◽  
Bruno Gleizer da Silva Rigon
Keyword(s):  
Spinal Cord ◽  
Central Nervous System ◽  
Nervous System ◽  
Superficial Siderosis ◽  
Medical Clinic ◽  
Resonance Imaging ◽  
System A ◽  
Magnetic Resonance Imaging Mri ◽  
Brain And Spinal Cord ◽  
The Brain

Superficial Siderosis (SS) of Central Nervous System is a rare disease characterized by the deposit of hemosiderin in the brain and spinal cord. Clinically, it is characterized by progressive sensorineural ataxia and deafness associated with injury of superior motor neuron. The diagnosis is made by magnetic resonance imaging (MRI) of the encephalon and spinal cord. The objective of the study is to report the case of a patient with characteristic elements of the syndrome, accompanied in a private medical clinic.

Low grade b-cell non-Hodgkin lymphomas (NHL) involving the central nervous system (CNS): An analysis from the National Cancer Database (NCDB).

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e13083-e13083 ◽  
Author(s):  
Priyanka Avinash Pophali ◽  
Gita Thanarajasingam ◽  
Jose Pulido ◽  
Patrick B. Johnston ◽  
Ronald S. Go
Keyword(s):  
Spinal Cord ◽  
Nervous System ◽  
B Cell ◽  
Cranial Nerves ◽  
Case Series ◽  
The United States ◽  
Age At Diagnosis ◽  
Low Grade ◽  
Cns Involvement ◽  
The Brain

e13083 Background: CNS involvement from low grade B-cell NHL is rare and has only been reported as case series. The distribution, demographics and outcomes of patients with low grade B-cell CNS NHLs have not been well characterized. Methods: The NCDB represents ~70% of cancer cases in the United States. Using the 2004-2013 NCDB extranodal NHL database, we identified all CNS B-cell NHLs based on ICD-O-3 site and histology codes. Primary or secondary CNS involvement could not be determined. Results: Out of 9435 CNS NHL cases, 475 [5.03%] had low grade histologies. In this group, the median age at diagnosis was 58 years [range 19-89]. Majority of the cases were female [56%], White, non-Hispanic [72%], privately insured [53%], with no comorbidities [74%] and treated in academic/research programs [38%]. Site of CNS disease was not specified in 22%. HIV status was known in 318 cases (6.3% positive). The brain [44%] was the most common site of involvement followed by spinal cord [19%] and meninges [15%]. Follicular lymphoma (FL) [48%] was the most common histology overall followed by marginal zone (MZL) [37%], small lymphocytic (SLL) [8%] and lymphoplasmacytic lymphomas (LPL) [7%]. MZL was the most common histology in the brain [44%] and meninges [61%] while FL was most common in the spinal cord [77%] and nervous system, NOS [69%]. Cranial nerves and eye (retina/optic nerve) involvement was very rare [2 and 1 case each- both MZL]. The overall survival (OS) of CNS B-cell NHL was significantly better if histology was low grade vs other [5-year OS 74% vs 32%, P < 0.0001]. Among CNS low grade B-cell NHLs, 5-year OS varied by histology [MZL 83%, FL 75%, LPL 56% and SLL 50%, P = 0.0003] and site of disease [spinal cord 89%, meninges 78% and brain 63%, P = 0.03] in addition to age at diagnosis and co-morbidities on both uni- and multivariate analysis. Survival was not influenced by sex, race, insurance, year of diagnosis, facility type or location. Conclusions: CNS involvement with low grade B-cell NHL is rare but has a relatively good outcome with most patients surviving beyond 5 years. FL and MZL are the more common low grade histologies. Both histology and disease site are important factors affecting survival.

scholarly journals Gross morphology of the brain of Pseudopimelodus bufonius (Valenciennes, 1840) (Siluriformes: Pseudopimelodidae)

2015 ◽  
Vol 13 (2) ◽  
pp. 255-264 ◽  
Author(s):  
Vitor Pimenta Abrahão ◽  
Oscar Akio Shibatta
Keyword(s):  
Spinal Cord ◽  
Motor Coordination ◽  
Food Selection ◽  
Cranial Nerves ◽  
Relative Size ◽  
Tectum Opticum ◽  
Morphometric Characters ◽  
The Brain

The gross morphology of the brain of the pseudopimelodid Pseudopimelodus bufonius is described and compared with congeners. Observations were made on removed brains after elimination of bones from the top of the skull and severing of the cranial nerves and the spinal cord. Nine morphometric characters associated with the major subdivisions of the brain were identified, seven of which revealed significant differences among the species examined. The corpus cerebelli in all examined species of the genus is the largest structure of the brain. The behavior of the species of Pseudopimelodus is still unknown, but in other teleosts that condition is typically correlated with a higher degree of motor coordination. Relative size proportions of the tectum opticum, eminentia granularis, lobus facialis and lobus vagi, might be related to carnivory and an enhanced capacity for food selection.

scholarly journals Clinical Significance of T2*gradient-recalled Echo/susceptibility-weighted Imaging Sequences in Evaluating Superficial Siderosis in the Setting of Intracerebral Tumors: Pilocytic Astrocytoma

2018 ◽  
Vol 8 ◽  
pp. 36
Author(s):  
Sankarsh N. Jetty ◽  
Zain Badar ◽  
Douglas Drumsla ◽  
Rajiv Mangla
Keyword(s):  
Magnetic Resonance Imaging ◽  
Spinal Cord ◽  
Pilocytic Astrocytoma ◽  
Superficial Siderosis ◽  
Susceptibility Weighted Imaging ◽  
Resonance Imaging ◽  
Gradient Echo ◽  
Common Cause ◽  
Brain And Spinal Cord ◽  
The Brain

Superficial siderosis is the slow accumulation of hemosiderin on the pial surfaces of the brain and spinal cord. The most common cause of intracranial superficial siderosis is secondary to subarachnoid hemorrhage. Rarely, superficial siderosis can also be caused by tumors. Superficial siderosis presents clinically as hearing loss and gait instability that progressively worsen. The diagnosis is primarily made by magnetic resonance imaging; however, susceptibility-weighted imaging (SWI) and T2* gradient echo (GRE) sequences demonstrate the highest sensitivity in detecting this condition. To the best of our knowledge, there has been only one previous case of superficial siderosis secondary to a pilocytic astrocytoma of the spine. However, we present a case of intracerebral pilocytic astrocytoma resulting in superficial siderosis, with emphasis on acquisition and use of T2*GRE/SWI sequences.

The plated bayonet: a new instrument to facilitate surgery for intra-axial neoplasms of the spinal cord and brain stem

1993 ◽  
Vol 78 (3) ◽  
pp. 505-507 ◽  
Author(s):  
Fred J. Epstein ◽  
Memet Ozek
Keyword(s):  
Spinal Cord ◽  
Brain Stem ◽  
Cranial Nerves ◽  
Neoplastic Tissue ◽  
Content Type ◽  
Small Incision ◽  
New Instrument ◽  
The Brain ◽  
Fine Print

✓ A new instrument for use in surgically treating intra-axial neoplasms of the spinal cord and brain stem is described. The plated bayonet allows neoplastic tissue in the spinal cord to be separated from functioning neural elements without perforating the adjacent spinal cord. In addition, the plated bayonet facilitates exposure through the very small incision necessary to remove tumors of the brain stem without damaging cranial nerves or other vital structures.

Diffuse cerebrospinal gliomatosis

1978 ◽  
Vol 49 (2) ◽  
pp. 303-307 ◽  
Author(s):  
Nobuyuki Kawano ◽  
Yoshio Miyasaka ◽  
Kenzoh Yada ◽  
Hideo Atari ◽  
Kenichi Sasaki
Keyword(s):  
Spinal Cord ◽  
Tumor Cells ◽  
Clinical Picture ◽  
Cranial Nerves ◽  
Gliomatosis Cerebri ◽  
Content Type ◽  
The Brain ◽  
Fine Print

✓ A case of diffuse cerebrospinal gliomatosis is presented, with widespread involvement of the brain, cranial nerves, and spinal cord. This case showed a far more extensive distribution of tumor cells than previously reported cases of gliomatosis cerebri. The clinical picture and oncogenesis of gliomatosis cerebri is briefly discussed.

‘Neurologie: the doctrine of the nerves’

2021 ◽  
pp. 614-662
Author(s):  
Alastair Compston
Keyword(s):  
Spinal Cord ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Cranial Nerves ◽  
De Anima ◽  
Autonomic Nervous ◽  
Reflex Movement ◽  
Cerebral Localization ◽  
Brain And Spinal Cord ◽  
The Brain

Chapter 16: ‘Neurologie: the doctrine of the nerves: the brain and nervous stock’ summarizes Willis’s treatises in Cerebri anatome, Nervorumque descriptio et usus (1664), De motu musculari (1670) and De anima brutorum (1672). Willis’s coinage of the term ‘neurologie’, intending this as the doctrine of the nerves based on the anatomy of the cranial nerves rather than the study of diseases affecting the brain and nervous stock, is described. The chapter explains why these treatises are additionally important for assigning function to the cerebrum and cerebellum rather than the ventricles; the concept of cerebral localization; the distinction between voluntary and involuntary, or reflex, movement; Willis’s account of the autonomic nervous system; and his ideas on muscular movement. Apart from these innovative contributions, Willis’s description of the arrangement of blood vessels supplying the brain and spinal cord, for which the book is celebrated, is described. The fifteen engraved plates are included. {148 words}

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