Browsing by Author "Sarada, C."

Now showing 1 - 3 of 3
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    Acute subdural effusion in vasculitis
    (NEUROLOGY INDIA, 2008)
    We report a 29-year-old man with a unique presentation of vasculitis as acute unilateral subdural effusion and meningoencephalitis. Magnetic resonance imaging showed a brainstem lesion that spread to the thalamus over time. There were no systemic features of vasculitis other than a positive pathergy test. Histopathological examination I from the pathergy site showed neutrophilic infiltrate and leucocytoclastic vasculitis. The condition was steroid responsive and he remained in remission at two years' follow-up. The anatomy of the brainstem lesion, absence of other inflammatory and infective conditions on evaluation suggests a vasculitic pathology either as primary central nervous system angiitis or as neurological presentation of systemic vasculitis like Behcet's disease although the international diagnostic criteria for Behcet's were not fulfilled.
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    An elusive diagnosis: Scedosporium apiospermum infection after near-drowning
    (ANNALS OF INDIAN ACADEMY OF NEUROLOGY, 2010)
    A 51-year-old male was admitted in our institute following an episode of near-drowning. He later developed ventriculitis and cerebral ring-enhancing lesions. He died following a subarachnoid hemorrhage due to rupture of a mycotic aneurysm involving the right fetal posterior cerebral artery. Scedosporium apiospermum was isolated from the cerebrospinal fluid. Central nervous system invasion by S apiospermum may present insidiously in near-drowning patients and, therefore, requires a high index of suspicion. In cases with the characteristic cerebral ring-enhancing lesions and concomitant ventriculitis, treatment should be instituted while awaiting fungal culture. With this article we intend to alert neurologists, intensivists, and physicians to this near fatal infection, as early identification and prompt treatment with voriconazole may be life saving.
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    Clinical outcome and prognostic indicators of acute transverse myelitis
    (JOURNAL OF THE NEUROLOGICAL SCIENCES, 2009)