scholarly journals Fungal Brain Abscess Mimicking High Grade Glioma. Clinical Case

2016 ◽  
Vol 26 (5) ◽  
pp. 97-100
Author(s):  
Danius Liutkus ◽  
Darius Šilkūnas ◽  
Arnas Staškevičius
Keyword(s):  
Fungal Infection ◽  
Brain Abscess ◽  
Clinical Case ◽  
High Grade Glioma ◽  
History Of ◽  
Fungal Brain Abscess ◽  
The Central Nervous System ◽  
New Diagnosis ◽  
Abscess Wall ◽  
The Brain

Intracranial brain abscess is a recess of pus in the brain [1]. Abscess may have single or multiple leasions in varies regions of the brain [1-4]. Pus is surrounded by abscess wall or capsule. The most common cause of brain abscess is bacteria, as fungal infection usually occurse in patiens with history of immunosuppression. However half of fungal infection casses, patients had no risk factors, adjacent disease or known immumosuppresion. Fungal brain abscess is rare sourse of brain abscess but frequently fatal and even for patients with no immunosuppresion [4-7]. Infection to the central nervous system spreads in several different ways. Hematogenous path from the lungs, gastrointestinal tract, or directly from the sinuses, orbits and retro-parapharingialy [4]. In this article we present a clinical case, were we first of all suspected brain tumor for the patient but later this diagnosis was denied by histological findings, whitch brought us new diagnosis fungal brain abscess.

scholarly journals Intracranial And Intraorbital Rosai Dorfman Disease

2020 ◽  
Vol 11 (4) ◽  
pp. 5187-5191
Author(s):  
Sivapriya G Nair ◽  
Jina Raj ◽  
Sajesh K Menon ◽  
Suhas Udayakumaran ◽  
Roshni P R
Keyword(s):  
Histopathological Study ◽  
Disease Treatment ◽  
Mri Scan ◽  
Massive Lymphadenopathy ◽  
Rosai Dorfman Disease ◽  
History Of ◽  
The Central Nervous System ◽  
The Right ◽  
The Brain ◽  
Suprasellar Extension

Rosai Dorfman disease is a rare histiocytic disorder. It is also known as Sinus Histiocytosis. It is with massive lymphadenopathy involves an overproduction of a type of white blood cell. The disease is rarely associated with intracranial and intraorbital involvement. Intracranial Rosai-Dorfman can mimic meningioma. Other pathologies also underline its pathologies. Here, we report a nine-year-old boy with a history of proptosis of the right eye and presenting with multiple skull lesions. Histopathological study revealed Sphenopetroclival lesion, which features that of Rosai Dorfman Disease. His MRI scan of the brain was taken, which showed evidence of right optic nerve meningioma with sella and suprasellar extension, causing severe proptosis. The child underwent right frontotemporal craniotomy with petrosectomy and Transylvanian, subtemporal approach to multicompartmental Rosai-Dorfmans lesion. After four months, the patient had a recurrence of the disease on which chemotherapy and steroids were started, which also did not show much response while taking an MRI scan. A corticosteroid is a useful option in the Central Nervous System Rosai Dorfman disease treatment. But this patient showed a negative outcome to the treatment.

Kernicterus in Rats with an Inherited Deficiency of Glucuronyal Transferase

PEDIATRICS ◽  
1959 ◽  
Vol 24 (1) ◽  
pp. 73-73
Keyword(s):  
Binding Sites ◽  
Renal Excretion ◽  
Practical Importance ◽  
Human Beings ◽  
Human Infants ◽  
Toxic Agent ◽  
History Of ◽  
The Central Nervous System ◽  
The Brain ◽  
Comprehensive Study

Aside from the great theoretic interest, the experiments described in this paper have considerable practical importance in providing a means of studying the efficacy of treatments designed to prevent kernicterus. A comprehensive study of a strain of rats (the Gunn strain) which have a hereditary deficiency of the enzyme required to conjugate bilirubin, and thus develope jaundice due to increased concentration of unconjugated bilirubin in the blood and tissues. The rats developed kernicterus which was apparently identical with that seen in human beings and is the only example of kernicterus in animals that fulfills rigid criteria outlined by the authors. Extensive data on the natural history of the bilirubinemia and development of kernicterus in the rats, as determined by chemical and pathologic techniques, are provided. Bilirubin itself is incriminated as the toxic agent producing the characteristic changes in the brain in kernicterus. Sulfonamides were found to augment the toxic effects of bilirubin, apparently because of competition between bilirubin and sulfonamides for binding sites on serum albumin. Neither infection nor hypoxia appeared to aggravate the effects of bilirubin. Administration of sodium glucuronate to jaundiced rats was followed by a decrease in bilirubin in the serum which at times exceeded 50%. This was not accompanied by any postponement of the onset of signs of damage to the central nervous system and did not prevent development of kernicterus. It appeared that the decrease in bilirubin in the serum may have resulted from an increased transferral to tissues rather than elimination through renal excretion. On the basis of the knowledge of this strain of rats, it should be possible to explore the usefulness of proposed therapeutic regimens in the experimental animal without jeopardizing the course of human infants who might be successfully treated with exchange transfusion pending the discovery of a more satisfactory therapy.

scholarly journals Cerebral aspergillosis due to Aspergillus fumigatus in AIDS patient: first culture - proven case reported in Brazil

2005 ◽  
Vol 47 (3) ◽  
pp. 161-165 ◽  
Author(s):  
José E. Vidal ◽  
Rafi F. Dauar ◽  
Marcia S.C. Melhem ◽  
Walderez Szeszs ◽  
Sandra R.B.S. Pukinskas ◽  
...  
Keyword(s):  
Aspergillus Fumigatus ◽  
Amphotericin B ◽  
Brain Abscess ◽  
Brain Biopsy ◽  
Mass Effect ◽  
Aids Patients ◽  
History Of ◽  
Proven Case ◽  
Mycological Examination ◽  
The Brain

Cerebral aspergillosis is a rare cause of brain expansive lesion in AIDS patients. We report the first culture-proven case of brain abscess due to Aspergillus fumigatus in a Brazilian AIDS patient. The patient, a 26 year-old male with human immunodeficiency virus (HIV) infection and history of pulmonary tuberculosis and cerebral toxoplasmosis, had fever, cough, dyspnea, and two episodes of seizures. The brain computerized tomography (CT) showed a bi-parietal and parasagittal hypodense lesion with peripheral enhancement, and significant mass effect. There was started anti-Toxoplasma treatment. Three weeks later, the patient presented mental confusion, and a new brain CT evidenced increase in the lesion. He underwent brain biopsy, draining 10 mL of purulent material. The direct mycological examination revealed septated and hyaline hyphae. There was started amphotericin B deoxycholate. The culture of the material demonstrated presence of the Aspergillus fumigatus. The following two months, the patient was submitted to three surgeries, with insertion of drainage catheter and administration of amphotericin B intralesional. Three months after hospital admission, his neurological condition suffered discrete changes. However, he died due to intrahospital pneumonia. Brain abscess caused by Aspergillus fumigatus must be considered in the differential diagnosis of the brain expansive lesions in AIDS patients in Brazil.

Production of experimental brain abscess in the rat

1979 ◽  
Vol 51 (5) ◽  
pp. 685-690 ◽  
Author(s):  
H. Richard Winn ◽  
Michael Mendes ◽  
Paul Moore ◽  
Clarabelle Wheeler ◽  
George Rodeheaver
Keyword(s):  
Brain Abscess ◽  
Clinical Situation ◽  
Small Animals ◽  
Content Type ◽  
History Of ◽  
Slow Infusion ◽  
The Brain ◽  
Number Of Bacteria ◽  
Experimental Brain Abscess ◽  
Fine Print

✓ Experimental evaluation of brain abscess has been inhibited by the lack of a simple and reproducible model in small animals. A stereotaxic headholder and slow infusion of 1 µl of saline, containing a known number of bacteria, were used to produce brain abscess consistently in the rat. The natural history of the brain abscess produced by this technique closely simulated that found in the human clinical situation.

scholarly journals Successful treatment of bilateral multiple pulmonary arteriovenous malformations in a patient with brain abscess and severe hypoxemia using a combination of transcatheter embolotherapy and surgical resection: a case report

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Takahiro Ochi ◽  
Masako Chiyo ◽  
Takamasa Ito ◽  
Hideharu Furumoto ◽  
Toshihiko Sugiura ◽  
...  
Keyword(s):  
Arteriovenous Malformation ◽  
Brain Abscess ◽  
Surgical Resection ◽  
Arteriovenous Malformations ◽  
Pulmonary Arteriovenous Malformation ◽  
Positive Pressure ◽  
Pulmonary Arteriovenous Malformations ◽  
Severe Hypoxemia ◽  
History Of ◽  
The Brain

Abstract Background A pulmonary arteriovenous malformation is an abnormal dilated blood vessel that makes direct communication between a pulmonary artery and pulmonary vein and can be associated with hypoxemia or neurological complications, including brain abscess and cerebral infarction. Treatment of pulmonary arteriovenous malformation includes surgical resection and transcatheter embolotherapy, however the adaptation of therapies should be considered when a patient is in bad condition. Case presentation A 51-year-old man was admitted after developing fever, consciousness disorder, and hypoxemia. Magnetic resonance imaging of the brain showed a brain abscess. Bilateral pulmonary arteriovenous malformations were found by contrast computed tomography. Because of a family history of pulmonary arteriovenous malformation, a history of epistaxis, and the existence of oral mucosa telangiectasia, he was diagnosed with hereditary hemorrhagic telangiectasia and brain abscess caused by intrapulmonary right-to-left shunt. The brain abscess improved with antibiotic treatment; however, the administration of oxygen did not ameliorate his hypoxemia. His hypoxemia was exacerbated by positive pressure ventilation. Considering his systemic and respiratory condition, we considered surgery to involve a high degree of risk. After controlling his brain abscess and pneumonia, transcatheter embolotherapy was performed. This improved his systemic condition, enabling surgical treatment. Conclusions This middle-aged patient suffering from brain abscess and severe hypoxemia with multiple pulmonary arteriovenous malformations was successfully treated by a combination of transcatheter embolotherapy and surgery. The adaptation and combination of therapies, as well as the sequence of treatments, should be considered depending on the patient status and lesions.

William Macewen and the treatment of brain abscesses: revisited after one hundred years

1996 ◽  
Vol 84 (1) ◽  
pp. 133-142 ◽  
Author(s):  
Dee J. Canale
Keyword(s):  
Brain Abscess ◽  
Clinical Findings ◽  
Brain Diseases ◽  
Content Type ◽  
Harvey Cushing ◽  
Relevant Today ◽  
Clinical Observations ◽  
History Of ◽  
The Brain ◽  
Fine Print

✓ The year 1993 marked the centennial of the publication of Sir William Macewen's monograph, Pyogenic Infective Diseases of the Brain and Spinal Cord, and its accompanying volume, Atlas of Head Sections. As Harvey Cushing noted, the text on pyogenic diseases of the brain was a landmark in surgery of the nervous system. At the time of its publication, Macewen's work was the most comprehensive study of pyogenic brain diseases. In this paper the author reviews the state of knowledge of brain abscess existing in the 19th and 20th centuries, with particular emphasis on the late 19th century, and elucidates factors contributing to Macewen's remarkable success. His thorough knowledge of the natural history of pyogenic diseases of the temporal bone and nasal sinuses, in addition to his clear description of cranial anatomy, as illustrated in his Atlas of Head Sections, were especially important in developing his successful treatment of brain abscess. The x-ray had not yet been discovered; Macewen's diagnosis was based on clinical findings superbly illustrated by his three clinical stages of brain abscess development. His clinical observations are as relevant today as when he described them 100 years ago. Macewen recorded 25 cases of brain abscess. Nineteen of these patients came to his attention in time to undergo surgery, resulting in 18 recoveries. All five of his patients with extradural abscess recovered. These results were achieved in the era known as “the most glorious period in British surgery.” Neurosurgery was in its infancy; nevertheless, even as the 20th century closes, Macewen's results still have not been surpassed.

scholarly journals Intradural spinal neurocysticercosis: case illustration

2017 ◽  
Vol 31 (4) ◽  
pp. 530-535
Author(s):  
Jorge Balderrama ◽  
Dania Elizabeth Trinidad Arevalo ◽  
Willem Guillermo Calderon-Mirada ◽  
Andrei F. Joaquim ◽  
Alfonso Pacheco-Hernandez ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Clinical Case ◽  
Neurological Diseases ◽  
Taenia Solium ◽  
Parasitic Infection ◽  
Clonic Convulsion ◽  
Recurrent Headache ◽  
Spatial Disorientation ◽  
History Of ◽  
The Central Nervous System

Abstract Introduction: Neurocysticercosis (NCC) is a common parasitic infection of the central nervous system caused by the larvae of the Taenia solium. Spinal cord involvement is very uncommon. Clinical case: A female patient with a history of NCC presented with chronic and recurrent headache associated with motor and sensory deficit, which develops tonic-clonic convulsion, with spatial disorientation. She also had intracranial hypertension syndrome, meningitis syndrome, and pyramidal sygns suggestive of spinal NCC. Conclusions: Neurocysticercosis usually occurs in developing countries and should be considered as a differential diagnosis of neurological diseases. Early diagnosis and treatment are mandatory, as well as education to the community to primary prevention.

scholarly journals Rosai-Dorfman Disease – A Case Report

2019 ◽  
Author(s):  
Oldřich Medek ◽  
Petra Kašparová ◽  
Michael Bartoš ◽  
Petr Krůpa ◽  
Blanka Klimova ◽  
...  
Keyword(s):  
Resonance Imaging ◽  
Case Presentation ◽  
Adjacent Tissue ◽  
Organ Systems ◽  
Rosai Dorfman Disease ◽  
History Of Disease ◽  
History Of ◽  
The Central Nervous System ◽  
Significant Regression ◽  
The Brain

Abstract Background: The aim is to discuss a case of a meningeal form of Rosai-Dorfman disease, is a rare haematological disease, primarily affecting lymph nodes, but it can also affect most organ systems of the human body, including the central nervous system. So far, there have been over 650 cases of this disease described in literature. Case presentation: This report deals with a young, 40-year-old man with a negative history of disease, who observed a loss of smell and taste, without a history of anxiety or an injury. The patient was hospitalized and completely examined. Consequently, a navigational biopsy of the brain was indicated. The findings showed that the patient suffered from Rosai-Dorfman disease with reactive gliosis in adjacent tissue without evidence of amyloid. Conclusions: In January, March, and then in May 2018, the patient was checked for the magnetic resonance imaging of the brain, according to which there was a significant regression of the finding, and according to the outpatient reports of the same year, the taste and vision of the left eye are gradually being adjusted. The patient was treated with new corticosteroids, which proved to be effective.

scholarly journals Correlation of gastro-oesophageal reflux disease with psycological factors: A viscous cycle?

2021 ◽  
Vol 1 (5) ◽  
Author(s):  
Akriti Sharma ◽  
◽  
Garima Singal ◽  
Urvi Saini ◽  
◽  
...  
Keyword(s):  
Central Nervous System ◽  
Reflux Disease ◽  
Psychological Factors ◽  
Intestinal Tract ◽  
The Other ◽  
Anxiety And Depression ◽  
History Of ◽  
The Central Nervous System ◽  
Gastro Intestinal Tract ◽  
The Brain

Gastroesophageal reflux disease (GERD), a disorder of the gastro-intestinal tract is often associated with psychological factors such as anxiety and depression. Researchers across the globe are divided in their views about psychological factors being the cause or sequalae of GERD. While some researchers believe that psychiatric disorders contribute to GERD, others suggest that unresolved GERD leads to symptoms of anxiety and depression. Through this article we aim to highlight, that the brain-gut axis acts as a strong link between the central nervous system and Gastrointestinal tract and that there is a likelihood of a viscous cycle of psychological factors leading to symptoms of GERD, and unresolved GERD contributing to further worsening of psychological illnesses. In our opinion, while treating patients for either of the two disorders, history of the other one needs to be excluded and if GERD and psychological illnesses are found to co-exist, the two must be treated simultaneously as the treatment of one maybe incomplete without treatment of the other.

Acute Measles Encephalitis in Children With Immunosuppression

PEDIATRICS ◽  
1977 ◽  
Vol 59 (2) ◽  
pp. 232-239
Author(s):  
Jean Aicardi ◽  
Francoise Goutieres ◽  
Maria-Leonor Arsenio-Nunes ◽  
Pierre Lebon
Keyword(s):  
Measles Virus ◽  
Subacute Sclerosing Panencephalitis ◽  
Immunosuppressive Drugs ◽  
Prominent Feature ◽  
Epilepsia Partialis Continua ◽  
Fatal Course ◽  
Immunosuppressed Patients ◽  
History Of ◽  
The Central Nervous System ◽  
The Brain

Four cases of encephalitis occurring in children treated for lymphatic malignancies by immunosuppressive drugs are reported. Measles virus was isolated from the brain in one case and identified immunologically in another. Nucleocapsids identical to those seen in subacute sclerosing panencephalitis were demonstrated in three cases. Severe immunosuppression was evidenced in two patients by failure of rosette formation and low phytohemagglutinin tests. Pathologically, the inflammatory reaction was absent in one brain and moderate in two. Clinically, epilepsia partialis continua was a prominent feature in three patients. A history of measles or of contact was elicited in three cases, five weeks to three months before onset. All cases ran an acute fatal course. Measles virus can behave as an opportunistic invader of the central nervous system in children and the diagnosis of measles encephalitis should be considered in immunosuppressed patients.

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