Cases reported "Coma"

Filter by keywords:



Filtering documents. Please wait...

1/4. ethylene glycol ingestion resulting in brainstem and midbrain dysfunction.

    INTRODUCTION: ethylene glycol toxicity has produced central nervous system abnormalities including coma, cerebral edema, and cranial nerve dysfunction. CASE REPORT: A 26-year-old male developed widespread brainstem and midbrain dysfunction with corresponding cranial computed tomography findings after ingesting ethylene glycol. The computed tomography scan which was obtained 3 days after ethylene glycol ingestion showed low density areas in the basal ganglia, thalami, midbrain, and upper pons. The neurologic findings in our patient reflected dysfunction of all the areas of hypodensity on the cranial computed tomography scan. A magnetic resonance imaging of the brain obtained 24 days after ingestion revealed bilateral putamen necrosis. The patient's neurologic sequelae resolved over the following 4 months.
- - - - - - - - - -
ranking = 1
keywords = putamen
(Clic here for more details about this article)

2/4. Infantile acute encephalopathy with combined symmetrical hypodensities in the thalami and the putamen on computed tomography.

    An eight-month-old boy with clinical features of acute encephalopathy with symmetrical low-density areas in the thalami and the putamen on computed tomography is presented. These particular computed tomography features suggest potential aetiology common to acute encephalopathy with low-density areas in the thalami and infantile bilateral striatal necrosis with an acute onset. The therapeutic consideration of these conditions is also discussed.
- - - - - - - - - -
ranking = 5
keywords = putamen
(Clic here for more details about this article)

3/4. Hyperintense putamen on T1-weighted MR images in a case of chorea with hyperglycemia.

    A 77-year-old woman had an acute onset of chorea after hyperglycemic coma. She had no family history of neurologic disorders. Although brain CT showed no detectable lesions in the putamen, MR revealed a high intensity on T1-weighted images and a low intensity on T2-weighted images in both putamina.
- - - - - - - - - -
ranking = 5
keywords = putamen
(Clic here for more details about this article)

4/4. Fatal cyst formation after fetal mesencephalic allograft transplant for Parkinson's disease.

    OBJECT: In recent years, fetal mesencephalic tissue transplant for the treatment of Parkinson's disease (PD) has been demonstrated to hold promise, but potential complications related to growth of allograft tissue have not been well described. This report explores the development and possible causation of a fatal cyst arising from a fetal transplant in the brain. methods: The authors report the case of a 52-year-old woman who underwent bilateral putamenal fetal mesencephalic allograft transplant for PD at another hospital. Twenty-three months later she presented to the authors' institution in a coma. Admission computerized tomography and magnetic resonance (MR) studies revealed a contrast-enhancing mural nodule and associated large cyst arising from the left putamen and causing brainstem compression. Despite surgical decompression of the cyst, the patient did not regain consciousness. biopsy and autopsy specimens were obtained, along with an analysis of the cyst fluid. Genotyping of the nodule and the patient's peripheral lymphocytes by using polymerase chain reaction-based microsatellite analysis was also performed. biopsy samples and autopsy histopathological studies showed inflammatory cells, hemosiderin-laden macrophages, and astrocytosis. Scattered neurons and multiple rests of choroid plexus were also noted. The cyst had a thin wall and contained liquid that was identical in composition to cerebrospinal fluid (CSF). Genotyping demonstrated the presence of alleles in the nodule dna that were not present in lymphocytic dna, indicating that the nodule contained allograft tissue. CONCLUSIONS: The authors hypothesize that the choroid plexus tissue contained in the allograft resulted in CSF production and cyst formation at the transplant site, ultimately leading to the patient's herniation syndrome. The clinical history and large size of the mural nodule indicate slow growth of this allograft site and cyst over time. This case demonstrates that unusual patterns of tissue growth can occur in the brain after fetal tissue transplant and emphasizes the need for long-term monitoring of posttransplant patients by means of MR imaging. Cell sorting should be considered to ensure transplant of pure neuronal and astroglial populations.
- - - - - - - - - -
ranking = 2
keywords = putamen
(Clic here for more details about this article)


Leave a message about 'Coma'


We do not evaluate or guarantee the accuracy of any content in this site. Click here for the full disclaimer.