Deep gray matter involvement in neurobrucellosis.

Abstract:

:A 27-year-old man, recent visitor to the Middle East, presented with 6-week history of fever (up to 102°F) followed by altered behavior and left hemiparesis. CSF was acellular with raised protein (138 mg/dL). CSF bacterial culture was sterile; adenosine deaminase normal (3 U/L); cryptococcal antigen, Venereal Disease Research Laboratory test, and Japanese B serology were negative. HIV serology and vasculitic workup were unremarkable. Serum Brucella agglutination titer was 320 IU (immunoglobulin M fraction 280 IU). Cranial MRI showed nonenhancing bilateral white matter and basal ganglia hyperintensities on T2-weighted images (figure, A-C). The patient was treated with IV ceftriaxone (1 month) along with oral doxycycline and rifampicin (4 months). At 3 months, Brucella agglutination titer was <20 IU and the patient became independent. Follow-up imaging showed a reduction in lesions (figure, D). Brucellosis frequently presents as chronic meningitis along with cranial neuropathies and spinal arachnoiditis.(1) Demyelinating lesions are described in neurobrucellosis,(1,2) involvement of the deep gray matter being unusual.

journal_name

Neurology

journal_title

Neurology

authors

Rajan R,Khurana D,Kesav P

doi

10.1212/WNL.0b013e31827deb63

subject

Has Abstract

pub_date

2013-01-15 00:00:00

pages

e28-9

issue

3

eissn

0028-3878

issn

1526-632X

pii

80/3/e28

journal_volume

80

pub_type

杂志文章
  • Homolateral ataxia and crural paresis: case report.

    abstract::Homolateral ataxia and crural paresis is a recognized vascular syndrome. However, confirmation of the causative lesion rests principally on one earlier case with multiple other infarcts. We studied a patient with the clinical syndrome; computerized tomography revealed a lucency that appeared within 1 week of the infar...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.30.9.1013

    authors: Perman GP,Racy A

    更新日期:1980-09-01 00:00:00

  • Conjugal amyotrophic lateral sclerosis: report of a young married couple.

    abstract::We report a 38-year-old nurse who developed amyotrophic lateral sclerosis (ALS) beginning in September 1990. In May 1991, her 38-year-old husband developed dysarthria, which progressed to typical ALS. This is the fourth report in the literature of conjugal ALS occurring outside of Guam. Although this event is most lik...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/wnl.43.11.2378

    authors: Cornblath DR,Kurland LT,Boylan KB,Morrison L,Radhakrishnan K,Montgomery M

    更新日期:1993-11-01 00:00:00

  • Prevalence and types of dementia in the very old: results from the Canadian Study of Health and Aging.

    abstract::We report on the prevalence of dementia in Canadians age 85 years and older. The purpose of this study was to determine whether the prevalence of dementia continued to increase in the very old, and to define the types of dementia and their relative proportions in this age group. We collected data as part of the Canadi...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.44.9.1593

    authors: Ebly EM,Parhad IM,Hogan DB,Fung TS

    更新日期:1994-09-01 00:00:00

  • Relapse occurrence in women with multiple sclerosis during pregnancy in the new treatment era.

    abstract:OBJECTIVE:To determine the rate of relapse occurrence during pregnancy and postpartum. METHODS:In a cross-sectional study using the national multiple sclerosis (MS) registry, pregnant women with relapsing MS were identified. Data on demographics, clinical characteristics, and disease-modifying therapies (DMTs), includ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000005065

    authors: Alroughani R,Alowayesh MS,Ahmed SF,Behbehani R,Al-Hashel J

    更新日期:2018-03-06 00:00:00

  • Penetrance of Parkinson disease in glucocerebrosidase gene mutation carriers.

    abstract:OBJECTIVE:Glucocerebrosidase (GBA) gene mutations represent a strong risk factor for Parkinson disease (PD). PD penetrance in GBA mutation carriers, which represents a key issue for genetic counseling, especially for relatives of patients with Gaucher disease (GD), is unknown. Our objective was to estimate PD penetranc...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e318245f476

    authors: Anheim M,Elbaz A,Lesage S,Durr A,Condroyer C,Viallet F,Pollak P,Bonaïti B,Bonaïti-Pellié C,Brice A,French Parkinson Disease Genetic Group.

    更新日期:2012-02-07 00:00:00

  • Long-lasting conduction block in hereditary neuropathy with liability to pressure palsies.

    abstract::We detected 29 conduction blocks in 12 patients with hereditary neuropathy and liability to pressure palsies. The blocks occurred at entrapment sites, most often the ulnar nerve at the elbow. Some had lasted for several years. This kind of block seems to be characteristic of the neuropathy, and may be related to the l...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.35.11.1639

    authors: Magistris MR,Roth G

    更新日期:1985-11-01 00:00:00

  • Combined defects of muscle phosphofructokinase and AMP deaminase in a child with myoglobinuria.

    abstract::A 14-year-old boy with exercise-related myalgia and cramps had several episodes of myoglobinuria since early childhood. An episode at 2 years of age caused acute renal failure. Histochemical and biochemical analysis of muscle showed a combined defect of phosphofructokinase (PFK) and adenosine monophosphate (AMP) deami...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.50.1.296

    authors: Bruno C,Minetti C,Shanske S,Morreale G,Bado M,Cordone G,DiMauro S

    更新日期:1998-01-01 00:00:00

  • Dantrolene sodium and hepatic injury.

    abstract::This is a report on hepatic adverse events associated with dantrolene therapy. All cases reported to the manufacturer are included, from all sources, through 1987. Of 122 cases containing sufficient data to analyze, 47 patients had asymptomatic transaminase elevations, 12 had additional mild (less than or equal to 2.5...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.40.9.1427

    authors: Chan CH

    更新日期:1990-09-01 00:00:00

  • Brain mechanisms of successful compensation during learning in Alzheimer disease.

    abstract:OBJECTIVE:To determine whether patients with Alzheimer disease (AD) compensate for neuropathologic changes when performing a mnemonic task by recruiting 1) the same brain regions as age-matched, healthy controls, but to a greater extent; 2) additional brain regions not activated by controls; or 3) both. METHODS:Twelve...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000237534.31734.1b

    authors: Gould RL,Arroyo B,Brown RG,Owen AM,Bullmore ET,Howard RJ

    更新日期:2006-09-26 00:00:00

  • Mortality among patients with idiopathic intracranial hypertension enrolled in the IH Registry.

    abstract:OBJECTIVE:To determine (1) if mortality among patients with idiopathic intracranial hypertension (IIH) enrolled in the Intracranial Hypertension Registry (IHR) is different from that of the general population of the United States and (2) what the leading underlying causes of death are among this cohort. METHODS:Mortal...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000009312

    authors: Hermes SM,Miller NR,Waslo CS,Benes SC,Tanne E

    更新日期:2020-08-18 00:00:00

  • Singing paraplegia: a distinctive manifestation of a spinal dural arteriovenous fistula.

    abstract::The unique case of a baritone with a spinal dural arteriovenous fistula (SDAVF) causing recurrent, acute paraplegia during singing is described. This case underscores the presence of impaired venous drainage in these lesions and the high level of clinical suspicion required for their diagnosis in patients with any mye...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.58.8.1279

    authors: Khurana VG,Perez-Terzic CM,Petersen RC,Krauss WE

    更新日期:2002-04-23 00:00:00

  • Spared awareness for the left side of internal visual images in patients with left-sided extrapersonal neglect.

    abstract::Two patients with neglect for extrapersonal space following right-hemisphere stroke both demonstrated retained ability to attend to the left side of internally generated visual images. The attentional system for extrapersonal space may not be identical to the attentional system for intrapersonal space. ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.43.1_part_1.213

    authors: Anderson B

    更新日期:1993-01-01 00:00:00

  • Acute symptomatic seizures and hippocampus damage: DWI and MRS findings.

    abstract::The authors describe diffusion-weighted imaging (DWI) and magnetic resonance spectroscopy (MRS) changes in the hippocampus within 48 hours of acute symptomatic seizures or status epilepticus in 12 patients. DWI showed increased signal and a decreased apparent diffusion coefficient (ADC) in all patients, with correspon...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章

    doi:10.1212/01.wnl.0000218207.18707.f4

    authors: Parmar H,Lim SH,Tan NC,Lim CC

    更新日期:2006-06-13 00:00:00

  • Broad spectrum of Pompe disease in patients with the same c.-32-13T->G haplotype.

    abstract:BACKGROUND:Pompe disease (acid maltase deficiency, glycogen storage disease type II; OMIM 232300) is an autosomal recessive lysosomal storage disorder characterized by acid alpha-glucosidase deficiency due to mutations in the GAA gene. Progressive skeletal muscle weakness affects motor and respiratory functions and is ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000252798.25690.76

    authors: Kroos MA,Pomponio RJ,Hagemans ML,Keulemans JL,Phipps M,DeRiso M,Palmer RE,Ausems MG,Van der Beek NA,Van Diggelen OP,Halley DJ,Van der Ploeg AT,Reuser AJ

    更新日期:2007-01-09 00:00:00

  • Comprehensive analysis of the predictors of neurobehavioral symptom reporting in veterans.

    abstract:OBJECTIVE:This study assessed the strength of military-related concussion-, psychological-, and behavioral-related measures to predict neurobehavioral symptom (NBS) reporting in order to help clarify the extent to which persistent NBS reflect lingering effects of concussion vs other psychological/behavioral factors amo...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000006034

    authors: Andrews RJ,Fonda JR,Levin LK,McGlinchey RE,Milberg WP

    更新日期:2018-08-21 00:00:00

  • Meningeal gliomatosis with "negative" CSF cytology: the value of GFAP staining.

    abstract::We report a patient with meningeal gliomatosis who had signs of meningitis, hypoglycorrhachia, and an intracranial mass. Despite suspicion of a primary intracranial neoplasm, repeated CSF cytologies were not diagnostic and led to a brain biopsy for diagnosis. Immunoperoxidase staining for glial fibrillary acidic prote...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.34.12.1611

    authors: Wechsler LR,Gross RA,Miller DC

    更新日期:1984-12-01 00:00:00

  • Ventilatory response in myotonic dystrophy.

    abstract::Patients with myotonic dystrophy often develop respiratory failure caused by alveolar hypoventilation. Abnormalities in the ventilatory response to hypoxia and hypercapnia may explain this phenomenon. Accordingly, hypoxic and hypercapnic responses were measured in seven patients with myotonic dystrophy who had only mi...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.27.12.1125

    authors: Carroll JE,Zwillich CW,Weil JV

    更新日期:1977-12-01 00:00:00

  • Doxycycline and intracranial hypertension.

    abstract::The authors report seven patients from six neuro-ophthalmology referral centers who developed pseudo-tumor cerebri during treatment with doxycycline. All four female patients and one of three male patients were obese. Vision was minimally affected in most patients, but two had substantial visual acuity or visual field...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.62.12.2297

    authors: Friedman DI,Gordon LK,Egan RA,Jacobson DM,Pomeranz H,Harrison AR,Goldhammer Y

    更新日期:2004-06-22 00:00:00

  • The prevalence of MS in the United States: A population-based estimate using health claims data.

    abstract:OBJECTIVE:To generate a national multiple sclerosis (MS) prevalence estimate for the United States by applying a validated algorithm to multiple administrative health claims (AHC) datasets. METHODS:A validated algorithm was applied to private, military, and public AHC datasets to identify adult cases of MS between 200...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000007035

    authors: Wallin MT,Culpepper WJ,Campbell JD,Nelson LM,Langer-Gould A,Marrie RA,Cutter GR,Kaye WE,Wagner L,Tremlett H,Buka SL,Dilokthornsakul P,Topol B,Chen LH,LaRocca NG,US Multiple Sclerosis Prevalence Workgroup.

    更新日期:2019-03-05 00:00:00

  • Efficacy of mycophenolate mofetil in patients with chronic immune demyelinating polyneuropathy.

    abstract::The authors retrospectively reviewed the efficacy of mycophenolate mofetil (MMF; mean dose, 2 g/day given for an average of 14 months) in 21 patients with immune demyelinating polyneuropathy. There were no significant differences in the median strength, sensory, or Rankin scores before and after treatment. In patients...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/01.wnl.0000134676.05850.c0

    authors: Gorson KC,Amato AA,Ropper AH

    更新日期:2004-08-24 00:00:00

  • Nonseptic cardiogenic cerebral embolic stroke: clinical-CT correlations.

    abstract::We studied 35 patients with nonseptic cardiogenic cerebral emboli. In 28 cases, there was sudden onset with maximal neurologic deficit within 1 hour; in 7 cases, there was progression in 24 hours. In six cases, neurologic abnormality worsened in the first week after an initial period of stabilization. CT showed eviden...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.35.6.896

    authors: Weisberg LA

    更新日期:1985-06-01 00:00:00

  • Myoclonus-dystonia: clinical and electrophysiologic pattern related to SGCE mutations.

    abstract:OBJECTIVE:To clarify the clinical and neurophysiologic spectrum of myoclonus-dystonia patients with mutations of the SGCE gene. METHODS:We prospectively studied 41 consecutive patients from 22 families with documented mutations of the SGCE gene. The patients had a standardized interview, neurologic examination, and de...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000297516.98574.c0

    authors: Roze E,Apartis E,Clot F,Dorison N,Thobois S,Guyant-Marechal L,Tranchant C,Damier P,Doummar D,Bahi-Buisson N,André-Obadia N,Maltete D,Echaniz-Laguna A,Pereon Y,Beaugendre Y,Dupont S,De Greslan T,Jedynak CP,Ponsot G,D

    更新日期:2008-03-25 00:00:00

  • The psychosocial aspects of narcolepsy.

    abstract::Although referrals for narcolepsy are increasing, physicians continue to confront obstacles in diagnosing and treating this condition. Patients with narcolepsy also face challenges at work, at school, and at home. One of the more disturbing problems is the lack of public awareness of the disorder and its potential the...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/wnl.50.2_suppl_1.s27

    authors: Douglas NJ

    更新日期:1998-02-01 00:00:00

  • Imipramine-mediated interference with levodopa absorption from the gastrointestinal tract in man.

    abstract::The effect of imipramine on the absorption of a single dose of levodopa was studied in male volunteers. By delaying gastric emptying and retarding delivery to intestinal absorptive sites, imipramine interfered with the absorption of levodopa. This action caused by the anticholinergic effect of imipramine. The retardat...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.25.11.1029

    authors: Morgan JP,Rivera-Calimlim L,Messiha F,Sundaresan PR,Trabert N

    更新日期:1975-11-01 00:00:00

  • Brain reserve and cognitive reserve protect against cognitive decline over 4.5 years in MS.

    abstract:OBJECTIVE:Based on the theories of brain reserve and cognitive reserve, we investigated whether larger maximal lifetime brain growth (MLBG) and/or greater lifetime intellectual enrichment protect against cognitive decline over time. METHODS:Forty patients with multiple sclerosis (MS) underwent baseline and 4.5-year fo...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000000433

    authors: Sumowski JF,Rocca MA,Leavitt VM,Dackovic J,Mesaros S,Drulovic J,DeLuca J,Filippi M

    更新日期:2014-05-20 00:00:00

  • Peripheral neuropathy in classic Niemann-Pick disease: ultrastructure of nerves and skeletal muscles.

    abstract::A patient with classic (type A) Niemann-Pick disease had the usual clinical signs of failure to thrive, hepatosplenomegaly, and intellectual deterioration in the first year of life. In addition, there was striking hypotonia, areflexia, and abnormal nerve conduction velocities. Pathologically, the Schwann cells were fi...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.25.2.107

    authors: Gumbinas M,Larsen M,Mei Liu H

    更新日期:1975-02-01 00:00:00

  • Evidence for a genetic association between monoamine oxidase A and restless legs syndrome.

    abstract:BACKGROUND:Impairment in the central dopaminergic system has been consistently suggested as an etiologic factor in restless legs syndrome (RLS). OBJECTIVE:To investigate a possible role for the MAOA and MAOB genes in RLS using a population-based association study. METHODS:In addition to a dinucleotide repeat located ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.59.2.215

    authors: Desautels A,Turecki G,Montplaisir J,Brisebois K,Sequeira A,Adam B,Rouleau GA

    更新日期:2002-07-23 00:00:00

  • Recurrent stroke and cardiac risks after first ischemic stroke: the Northern Manhattan Study.

    abstract:BACKGROUND:Few population-based studies with long-term follow-up have compared risk of recurrent stroke and cardiac events after first ischemic stroke. The relative risk of these two outcomes may inform treatment decisions. METHODS:In the population-based Northern Manhattan Study, first ischemic stroke patients age 40...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000201253.93811.f6

    authors: Dhamoon MS,Sciacca RR,Rundek T,Sacco RL,Elkind MS

    更新日期:2006-03-14 00:00:00

  • Network dysfunction predicts speech production after left hemisphere stroke.

    abstract:OBJECTIVE:To investigate the role of multiple distributed brain networks, including the default mode, fronto-temporo-parietal, and cingulo-opercular networks, which mediate domain-general and task-specific processes during speech production after aphasic stroke. METHODS:We conducted an observational functional MRI stu...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000002537

    authors: Geranmayeh F,Leech R,Wise RJS

    更新日期:2016-04-05 00:00:00

  • Serial study of gadolinium-DTPA MRI enhancement in multiple sclerosis.

    abstract::We performed serial baseline and gadolinium (Gd)-DTPA-enhanced MRI in 4 patients with definite multiple sclerosis. Studies were performed every month for a total of 4 scans. We obtained short TR/short TE sequences at 10 and 60 minutes after Gd-DTPA injection. All patients had multiple hyperintense lesions seen on base...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.40.4.591

    authors: Bastianello S,Pozzilli C,Bernardi S,Bozzao L,Fantozzi LM,Buttinelli C,Fieschi C

    更新日期:1990-04-01 00:00:00