NMC Case Report Journal最新文献

Two Cases of Mechanical Thrombectomy in Patients with Fenestration of the M1 Segment of the Middle Cerebral Artery 两例大脑中动脉 M1 段瘘患者的机械血栓切除术

NMC Case Report Journal Pub Date : 2024-04-05 DOI: 10.2176/jns-nmc.2023-0258

Masashi Nakadate, Ryushi Kondo, Shoichiro Ishihara, Nahoko Uemiya, Yoshiaki Kakehi, Yukihiro Hidaka, Kenzo Minamimura, Kazuo Tokushige, Nobusuke Tsuzuki

引用次数: 0

A Case of Multiple Brain Tuberculomas in the Subarachnoid Cisterns: Recognition of Radiological Characteristics Regarding the Development of Paradoxical Response during Antituberculosis Treatment 蛛网膜下腔多发性脑结核瘤病例：认识抗结核治疗期间出现反常反应的放射学特征

NMC Case Report Journal Pub Date : 2024-04-05 DOI: 10.2176/jns-nmc.2023-0270

Kazuma Sahara, Kiyohito Shinno, Kenta Sato, Yuya Watari, Tetsuya Tamura, Eiji Kudo

{"title":"A Case of Multiple Brain Tuberculomas in the Subarachnoid Cisterns: Recognition of Radiological Characteristics Regarding the Development of Paradoxical Response during Antituberculosis Treatment","authors":"Kazuma Sahara, Kiyohito Shinno, Kenta Sato, Yuya Watari, Tetsuya Tamura, Eiji Kudo","doi":"10.2176/jns-nmc.2023-0270","DOIUrl":"https://doi.org/10.2176/jns-nmc.2023-0270","url":null,"abstract":"Brain tuberculoma and its occurrence within the subarachnoid cisterns is rare in Japan. Serological and cerebrospinal fluid (CSF) examinations and imaging findings lack specificity; thus, preoperative diagnosis is often challenging. This report presents the case of a 70-year-old woman admitted to our hospital with a one-month history of low-grade fever and altered mental status. Based on the CSF analysis and her history of latent tuberculosis infection seven years ago, she was strongly suspected of suffering from tuberculous meningitis (TBM). Consequently, the patient was enrolled in a clinical trial for antituberculosis treatment (ATT). CSF soluble interleukin-2 receptor level decreased from 2,926 U/mL on day 1 to 225 U/mL 42 days after initiating ATT. Her condition improved after five weeks; however, contrast-enhanced T1-weighted magnetic resonance imaging (MRI) revealed multiple enhanced lesions within the basal subarachnoid cisterns 25 days after admission. As the number and size of these lesions increased, a biopsy confirmed brain tuberculoma diagnosis, and the treatment was continued. In conclusion, when intracisternal scattered mass lesions are identified during TBM treatment, we should consider the possibility of tuberculoma developments arising from a paradoxical response (PR) during the treatment. Serial MRIs are crucial in monitoring PR development in cisternal tuberculomas, an extension of severe TBM. Finally, a PR can be effectively managed by continuing ATT with adjunctive corticosteroids.","PeriodicalId":19260,"journal":{"name":"NMC Case Report Journal","volume":"17 9","pages":"93 - 98"},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140738858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Parent Artery Occlusion for a Dissecting Posterior Cerebral Artery Aneurysm in the P4 Segment Presenting with Ischemic Stroke and Rapid Growth: A Case Report 以缺血性中风和快速增长为表现的 P4 节段解剖性大脑后动脉动脉瘤的母动脉闭塞术：病例报告

NMC Case Report Journal Pub Date : 2024-04-05 DOI: 10.2176/jns-nmc.2023-0267

Kotaro Ishimoto, Jo Matsuzaki, R. Iwata, Naoki Yamamoto, Toru Yamagata, H. Ikuno, Misao Nishikawa, Takeo Goto

{"title":"Parent Artery Occlusion for a Dissecting Posterior Cerebral Artery Aneurysm in the P4 Segment Presenting with Ischemic Stroke and Rapid Growth: A Case Report","authors":"Kotaro Ishimoto, Jo Matsuzaki, R. Iwata, Naoki Yamamoto, Toru Yamagata, H. Ikuno, Misao Nishikawa, Takeo Goto","doi":"10.2176/jns-nmc.2023-0267","DOIUrl":"https://doi.org/10.2176/jns-nmc.2023-0267","url":null,"abstract":"A dissecting aneurysm in the P4 segment of the posterior cerebral artery (PCA) is extremely rare, and its treatment is sometimes challenging. Endovascular parent artery occlusion (PAO) was performed for an unruptured P4 segment dissecting PCA aneurysm presenting with ischemic stroke and rapid growth. A 70-year-old man was rushed to our emergency department due to a right-sided headache and a visual field defect. Head magnetic resonance imaging showed a right occipital lobe ischemic stroke, with right PCA occlusion and aneurysm formation in the P4 segment. The diagnosis was PCA dissection in the calcarine artery, and oral aspirin was started. Within a week, the dissecting aneurysm had enlarged progressively to 6.2 mm in diameter. Thus, PAO with coils was performed as a preventive measure against aneurysm rupture, assuming that complication risks were low because the tributary area of the dissecting PCA had already infarcted. A 6-Fr guiding sheath was introduced from the right brachial artery to the right vertebral artery, and a microcatheter/microguidewire was placed into the true lumen of the calcarine artery distal to the aneurysm. PAO with coils was performed, and the blood flow to the aneurysm was completely obliterated. After the treatment, the known infarction in the right occipital lobe was enlarged, but no new neurological symptoms developed. The patient was discharged independently on postoperative day 3. Treatment for a distal PCA dissecting aneurysm is challenging. PAO with coils is one of the reasonable choices, especially when a visual field defect has already developed.","PeriodicalId":19260,"journal":{"name":"NMC Case Report Journal","volume":"29 23","pages":"103 - 108"},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140739126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Thoracic Intra and Extramedullary Capillary Hemangioma with Subacute Clinical Course: A Case Report and Literature Review 胸腔髓内和髓外毛细血管瘤，临床过程呈亚急性：病例报告和文献综述

NMC Case Report Journal Pub Date : 2024-04-05 DOI: 10.2176/jns-nmc.2023-0205

Yumeki Yamamoto, Hiroya Shimauchi-Ohtaki, Fumiaki Honda, Takahiro Shirakura, Keigo Aramaki, Ryosuke Shintoku, T. Miyagishima, Masanori Aihara, Hideaki Yokoo, Y. Yoshimoto

{"title":"Thoracic Intra and Extramedullary Capillary Hemangioma with Subacute Clinical Course: A Case Report and Literature Review","authors":"Yumeki Yamamoto, Hiroya Shimauchi-Ohtaki, Fumiaki Honda, Takahiro Shirakura, Keigo Aramaki, Ryosuke Shintoku, T. Miyagishima, Masanori Aihara, Hideaki Yokoo, Y. Yoshimoto","doi":"10.2176/jns-nmc.2023-0205","DOIUrl":"https://doi.org/10.2176/jns-nmc.2023-0205","url":null,"abstract":"Capillary hemangiomas are benign tumors comprising a lobulated proliferation of capillary vessels frequently located in the soft tissues of the neck and head. Spinal intradural capillary hemangiomas are rare, particularly intramedullary lesions. To our knowledge, only 31 cases of spinal intramedullary capillary hemangiomas have been reported. Here, we describe a rare case of a thoracic capillary hemangioma comprising extramedullary and intramedullary components. A 51-year-old male patient presented with bilateral lower extremity numbness and subsequent paraparesis, sensory disturbance, and bladder-bowel dysfunction with a subacute clinical course. Magnetic resonance imaging revealed a mass lesion with intramedullary and intradural extramedullary components at the Th9-10 vertebrae level and widespread spinal cord edema. Contrast-enhanced computed tomography revealed abnormal vessels on the dorsal spinal cord surface. Spinal angiography revealed a light-stained mass lesion fed by the radiculopial artery from the right Th11 intercostal artery. The tumor was resected en bloc, and the histological diagnosis was a capillary hemangioma. Postoperatively, the spinal cord edema diminished, and the patient was discharged from the convalescent rehabilitation ward. Although intramedullary capillary hemangioma is a rare spinal tumor and its preoperative diagnosis is difficult, it should be considered in the differential diagnosis of spinal intramedullary tumors.","PeriodicalId":19260,"journal":{"name":"NMC Case Report Journal","volume":"16 2","pages":"85 - 91"},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140737544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Probable Sporadic Creutzfeldt-Jakob Disease Presenting as Refractory Status Epilepticus in a Poststroke Epilepsy Patient: A Case Report 中风后癫痫患者出现难治性癫痫状态的疑似散发性克雅氏病：病例报告

NMC Case Report Journal Pub Date : 2023-12-31 DOI: 10.2176/jns-nmc.2023-0166

Junki Sogano, Kenzo Kosugi, Atsushi Okano, Yoshihiro Nihei, Narumi Watanabe, Jin Nakahara, Masahiro Toda

引用次数: 0

Successful Treatment of a CNS Tumor with BCOR Internal Tandem Duplication: A Case Report 用 BCOR 内部串联复制成功治疗中枢神经系统肿瘤：病例报告

NMC Case Report Journal Pub Date : 2023-12-31 DOI: 10.2176/jns-nmc.2023-0091

Reina Mizuno, Atsushi Sasaki, Tomonari Suzuki, junihci adachi, M. Shirahata, Ryo Nishikawa, K. Mishima

引用次数: 0

Internal Trapping of a Growing Ruptured Dissecting Aneurysm of the A1 Segment: A Case Report and Literature Review. A1 节段生长型破裂剥离动脉瘤的内陷：病例报告与文献综述

NMC Case Report Journal Pub Date : 2023-08-03 eCollection Date: 2023-01-01 DOI: 10.2176/jns-nmc.2023-0060

Tomoki Kimura, Yoshikazu Arai, Shintaro Yamada, Tetsuya Hosoda

{"title":"Internal Trapping of a Growing Ruptured Dissecting Aneurysm of the A1 Segment: A Case Report and Literature Review.","authors":"Tomoki Kimura, Yoshikazu Arai, Shintaro Yamada, Tetsuya Hosoda","doi":"10.2176/jns-nmc.2023-0060","DOIUrl":"10.2176/jns-nmc.2023-0060","url":null,"abstract":"<p><p>A 47-year-old man presented with sudden-onset headache and Fisher group 3 subarachnoid hemorrhage. The World Federation of Neurological Surgeons grade was II. Digital subtraction angiography (DSA) only showed a vessel wall irregularity in the A1 segment of the right anterior cerebral artery (ACA), but an obvious bleeding source was not detected. Repeat angiography showed a tiny aneurysmal dilatation in the A1 segment with an intimal flap. The aneurysm enlarged on subsequent angiograms. Dissecting aneurysm was diagnosed, and the patient underwent internal trapping of the A1 segment to prevent rerupture. Postoperative DSA showed complete obliteration of the dissected segment. Magnetic resonance imaging showed a clinically silent cerebral infarction in the territory of the A1 segment perforators. Parent vessel occlusion for a dissected A1 segment can be effective, provided that sufficient collateral blood flow from the contralateral ACA is observed. We recommend endovascular trapping in this setting and hope that fellow clinicians select this approach for this rare pathology.</p>","PeriodicalId":19260,"journal":{"name":"NMC Case Report Journal","volume":"10 ","pages":"227-233"},"PeriodicalIF":0.0,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8e/be/2188-4226-10-0227.PMC10446869.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10127837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spontaneous Middle Meningeal Arteriovenous Fistula Caused by Aneurysm Rupture: A Case Report. 动脉瘤破裂引起的自发性中脑膜动静脉瘘：病例报告。

NMC Case Report Journal Pub Date : 2023-03-24 eCollection Date: 2023-01-01 DOI: 10.2176/jns-nmc.2022-0376

Satoshi Miyamoto, Hisayuki Hosoo, Eiichi Ishikawa, Yuji Matsumaru

引用次数: 0

Advantages of Extradural Anterior Clinoidectomy and Extradural Approach with Dural Incision for Blood Blister Aneurysm or Pseudoaneurysm in the Internal Carotid Artery: Two Case Reports. 硬膜外前斜突切除术及硬膜外入路硬膜切口治疗颈内动脉血疱性动脉瘤或假性动脉瘤2例

NMC Case Report Journal Pub Date : 2023-01-01 DOI: 10.2176/jns-nmc.2022-0272

Hideki Nakajima, Shigetoshi Shimizu, Takuro Tsuchiya, Hidenori Suzuki

引用次数: 0

Speech-language Pathology Rehabilitation in a Case of Jefferson Fracture Complicated with Lower Cranial Nerve Palsies. 杰弗逊骨折合并下颅神经麻痹1例言语病理康复。

NMC Case Report Journal Pub Date : 2023-01-01 DOI: 10.2176/jns-nmc.2022-0060

Shota Horiike, Yasuhiro Nakajima, Mamoru Matsuo, Akinori Kageyama, Ayako Motomura, Takashi Tsujiuchi, Ryuta Saito

{"title":"Speech-language Pathology Rehabilitation in a Case of Jefferson Fracture Complicated with Lower Cranial Nerve Palsies.","authors":"Shota Horiike, Yasuhiro Nakajima, Mamoru Matsuo, Akinori Kageyama, Ayako Motomura, Takashi Tsujiuchi, Ryuta Saito","doi":"10.2176/jns-nmc.2022-0060","DOIUrl":"https://doi.org/10.2176/jns-nmc.2022-0060","url":null,"abstract":"A 68-year-old man presented with a Jefferson fracture leading to lower cranial nerve palsies affecting the ninth, tenth, and twelfth cranial nerves with a traumatic basilar impression. On the X day, the patient underwent occipitocervical posterior fixation surgery; the surgery was uneventful. However, just after the surgery, epipharyngeal palsy and airway obstruction occurred. Consequently, tracheostomy was needed. On the X+8 day, speech-language pathology (SLP) therapy was initiated for decannulation. On the X+21 day, the patient could clear all the checkpoints and was decannulated. On the X+36 day, the patient was discharged home and SLP therapy was continued. On the X+171 day, his SLP therapy was halted. However, the patient continued to complain that he could not speak as fast as before, and his quality of life remained compromised. Some studies reported that lower cranial nerve palsies affecting the ninth to the twelfth cranial nerve occur in conjunction with Jefferson fractures. Thus, SLP therapy is crucial for Jefferson fracture cases.","PeriodicalId":19260,"journal":{"name":"NMC Case Report Journal","volume":"10 ","pages":"157-162"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f0/22/2188-4226-10-0157.PMC10310350.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9802116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0