Cases reported "Paralysis"

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1/25. Bilateral trochlear nerve palsy associated with cryptococcal meningitis in human immunodeficiency virus infection.

    This is the report of a case of bilateral trochlear nerve palsy secondary to cryptococcal meningitis in a 34-year-old woman with acquired immune deficiency syndrome. Based on clinical and neuroradiologic findings, it is concluded that in the present case, a postinflammatory shrinking of the arachnoid has stretched the fourth cranial nerves at their point of emergence from the dorsal surface of the brainstem.
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ranking = 1
keywords = meningitis
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2/25. A child with neurobrucellosis.

    An 11-year-old boy presented with chronic meningitis followed by acute flaccid paralysis. The aetiology remained uncertain until the brucellar serology test became positive and there was a good response to specific antimicrobial therapy. Nerve conduction studies confirmed a proximal radiculopathy. awareness of the condition and performance of the appropriate tests will differentiate neurobrucellosis from other chronic central nervous system infections.
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ranking = 0.2
keywords = meningitis
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3/25. west nile virus--the eye of the storm: a case study.

    west nile virus (WNV) is an arbovirus that emerged in the united states in 1999 and is migrating westward across the country. It occurs in the late summer or fall when there is an abundance of mosquitoes. Symptoms develop 3-14 days after an infected mosquito bites a person. Most WNV infections are asymptomatic or produce mild symptoms; however, 1 in 150 cases is severe with significant neurological deficits. The virus can attack the anterior horn cells, causing acute flaccid paralysis resulting in a poliomyelitis-like syndrome. diagnosis is based on history, clinical presentation, and laboratory tests. In the late summer or fall, WNV infections should be suspected in persons with unexplained encephalitis, meningitis, or flaccid paralysis. There is no definitive medical treatment for WNV. Preventive measures are the most effective means to combat the disease.
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ranking = 0.2
keywords = meningitis
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4/25. west nile virus encephalomyelitis with polio-like paralysis & nigral degeneration.

    BACKGROUND: patients infected with west nile virus (WNV) may develop acute neurologic disease, which can be severe or even fatal, including WNV meningitis, encephalitis, and an irreversible acute flaccid paralysis or poliomyelitis-like syndrome. movement disorders have also been described. REPORT: We report combined neuronal loss, gliosis, and neurofibrillary tangle formation in the substantia nigra of a 41-year-old man with a history of WNV encephalomyelitis and poliomyelitis-like paralysis. CONCLUSIONS: Clinically our patient did not display parkinsonism, however, it is interesting to speculate whether, in the absence of the residual subacute poliomyelitis-like syndrome, the neuropathologic findings could have eventually evolved clinically into WNV-associated postencephalitic parkinsonism.
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ranking = 0.2
keywords = meningitis
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5/25. Syphilitic meningitis causing paraparesis in an hiv-negative woman.

    Syphilitic meningitis, which can occur near the time of secondary syphilis, is frequently asymptomatic. There has been one recent report of an hiv-positive patient who developed syphilitic polyradiculopathy following a recent history of secondary syphilis. We describe an hiv-negative woman in whom paraparesis occurred secondary to syphilitic meningitis. Complete recovery followed a course of high-dose intravenous penicillin therapy, emphasizing the treatable nature of this cause of paraparesis.
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ranking = 1.2
keywords = meningitis
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6/25. Hypertrophic spinal pachymeningitis: report of two cases and review of the literature.

    The cases of two patients with idiopathic pachymeningitis hypertrophica that caused progressive paraparesis are presented. gadolinium-enhanced magnetic resonance imaging was used to demonstrate this pathological entity in one patient, and myelography was used in the other. Decompressive surgery led to significant neurological improvement. The etiology, diagnosis, and management of this disease is discussed, and the literature is reviewed. To our knowledge, this is the first report to describe the features of this rare pathological entity on magnetic resonance imaging.
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ranking = 25.908786941335
keywords = pachymeningitis, meningitis
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7/25. The operculum syndrome: an unusual complication of tuberculous meningitis.

    The operculum syndrome, not previously documented as a complication of tuberculous meningitis, is described in a three-year-old African boy. The appearance on CT scan correlates radiographically with anatomical descriptions of the operculum syndrome, and is useful in distinguishing the condition from pseudobulbar palsy.
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ranking = 1
keywords = meningitis
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8/25. Candida pachymeningitis with multiple cranial nerve pareses.

    A 66-year-old woman complained of right-sided headache and was found to have progressive dysfunction of cranial nerves V and VIII through XII on the right side. At autopsy, there was a granulomatous pachymengitis involving the floor of the right middle and posterior cranial fossae due to candida tropicalis infection. Inflammatory tissue compressed the clinically affected cranial nerves.
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ranking = 20.727029553068
keywords = pachymeningitis, meningitis
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9/25. Cranial nerve palsies in streptococcus pneumoniae meningitis.

    Cranial nerve palsies are uncommon in nontuberculous bacterial meningitis. We report a patient with streptococcus pneumoniae meningitis, multiple cranial nerve involvement, and cerebellar signs suggestive of basilar meningitis. Nontuberculous bacterial meningitis should be considered in the differential diagnosis of basilar meningitis.
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ranking = 1.8
keywords = meningitis
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10/25. Locked-in state in borrelia burgdorferi meningitis.

    The case is reported of a 28-year-old woman with persistent tetraplegia following acute meningitis due to borrelia burgdorferi infection. The patient developed erythema chronicum migrans before radicular pain occurred in the upper extremities. The poor clinical outcome was suggestive of pontine infarction due to vasculitis of branches of the basilar artery.
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ranking = 1
keywords = meningitis
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