{"title":"The Blood-Brain Barrier and Bioenergetics in Stroke","authors":"Emily A. Hone, Sajad Sarvari","doi":"10.4172/2314-7326.1000298","DOIUrl":"https://doi.org/10.4172/2314-7326.1000298","url":null,"abstract":"","PeriodicalId":89982,"journal":{"name":"Journal of neuroinfectious diseases","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90811648","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}
{"title":"Nodding Syndrome – An Investment Case for Global Health?","authors":"A. Winkler, E. Schmutzhard, C. Årdal, P. Spencer","doi":"10.4172/2314-7326.1000273","DOIUrl":"https://doi.org/10.4172/2314-7326.1000273","url":null,"abstract":"Nodding syndrome represents a complex encephalopathy in previously healthy children and adolescents that occurs in hot spots of South Sudan, northern Uganda and southern Tanzania. The core feature of this neurological disorder is a repetitive forward bobbing of the head towards the chin of a variable length of time associated with other features such generalized epileptic seizures, psychiatric symptoms/signs, stunted growth, wasting and reduced sexual development, among others. The etiology of this neuropediatric disorder so far has remained obscure, but there seems to be some evidence in support of a post-measles disorder as well as an involvement of the parasite Onchocerca volvulus which can cause skin and eye disease (river blindness). While discussing potential etiology and pathogenesis of nodding syndrome, we also explore reasons while funding for research on nodding syndrome has been so scarce and compare it to other similarly neglected diseases. Furthermore, we discuss the inclusion of nodding syndrome in the WHO list of neglected tropical diseases with the aim of creating a disease specific lobby, thereby supporting financing and collaboration on research and development for nodding syndrome. In the last paragraph we examine a global health approach to nodding syndrome via the sustainable development goals and conclude that by investing in some of the goals concerning health, poverty alleviation and quality education, among others, individuals suffering from nodding syndrome and their families may derive clear benefits which eventually can lead to an overall reduction in morbidity and mortality. However, other diseases will also benefit from employment of the sustainable development goals and therefore awareness of nodding syndrome needs to be raised, so that it will not be forgotten.","PeriodicalId":89982,"journal":{"name":"Journal of neuroinfectious diseases","volume":"10 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87487010","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}
Ildefonso Rodríguez-Leyva, F. Cortes-Enríquez, Juan Francisco Hernández-Gómez
{"title":"Potential Pitfalls in the Diagnostic Criteria for Neurocysticercosis: Are Mimmicks Common?","authors":"Ildefonso Rodríguez-Leyva, F. Cortes-Enríquez, Juan Francisco Hernández-Gómez","doi":"10.4172/2314-7326.1000279","DOIUrl":"https://doi.org/10.4172/2314-7326.1000279","url":null,"abstract":"","PeriodicalId":89982,"journal":{"name":"Journal of neuroinfectious diseases","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84224426","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}
{"title":"Rare Presentations of CNS Melioidosis - An Institutional Experience","authors":"S. Ganapathy, R. Nair, Vinod Kumar","doi":"10.4172/2314-7326.1000278","DOIUrl":"https://doi.org/10.4172/2314-7326.1000278","url":null,"abstract":"CNS Melioidosis is rare and presents as an abscess secondary to haematogenous spread from the lungs. The presentation is typical for a brain abscess and the treatment is surgical excision followed by medical therapy. Prognosis depends greatly on the susceptibility of the bacteria to multimodal chemotherapy, recurrence thus being a major cause of morbidity. The incidence is now much worse since the global explosion of HIV/AIDS where immunosuppression leads to atypical and aggressive presentations. We present two atypical presentations, which required a high index of suspicion along with a multidisciplinary team approach to ensure appropriate treatment and good results. The write up highlights the complexities of presentation, operative dilemmas and eventual course of treatment in a tertiary care centre in south India.","PeriodicalId":89982,"journal":{"name":"Journal of neuroinfectious diseases","volume":"43 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85399081","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}
{"title":"Atypical Base of Skull Osteomyelitis Presenting as Bilateral Facial Palsy","authors":"S. Ibrikji, Halabi Te, J. Salameh","doi":"10.4172/2314-7326.1000282","DOIUrl":"https://doi.org/10.4172/2314-7326.1000282","url":null,"abstract":"Base of skull osteomyelitis is a rare cause of headaches and cranial neuropathies in general, and cranial nerve VII palsy in particular. Both typical and atypical skull base osteomyelitis can have similar presentation and Magnetic Resonance Imaging of the brain is very important to differentiate between them since each is caused by a different organism and requires different treatment. However, bone sampling remains crucial for diagnosis in atypical cases. We hereby report a case of atypical skull base osteomyelitis presenting as bilateral peripheral facial nerve palsy. We also present a new and less invasive diagnostic and therapeutic approach especially when bone sampling is not possible and intravenous empiric treatment cannot be initiated.","PeriodicalId":89982,"journal":{"name":"Journal of neuroinfectious diseases","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74811622","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}
{"title":"Alzheimer’s Disease:Intracellular Beta Amyloid Completes the Irreversible Pathway from Spirochetes to Biofilms to Beta Amyloid to Hyperphosphorylated Tau Protein","authors":"H. Allen, R. Allawh, C. Cusack, S. Joshi","doi":"10.4172/2314-7326.1000276","DOIUrl":"https://doi.org/10.4172/2314-7326.1000276","url":null,"abstract":"In this histopathological study, we have identified beta amyloid (Aβ) intracellularly in hippocampal specimens of Alzheimer’s disease (AD) patients. This is a continuation of the same histopathological project in which we observed biofilms intracellularly in the same neuronal cells in the same brain samples. To demonstrate that these were intracellular biofilms, we utilized the same techniques that showed biofilms in senile plaques in AD, in occluded eccrine ducts in atopic dermatitis, and in tonsils of psoriasis patients. Lyme spirochetes have recently been cultured from AD brains, and those same cultivated organisms have been shown in vitro to make biofilms, beta amyloid precursor protein (AβPP), and Aβ. We believe these spirochetes (and others) make the in vivo biofilms, and we believe our finding of intracellular Aβ helps confirm the in vitro observations. The Aβ, in turn, has previously been shown to stimulate the production and accumulation of hyperphosphorylated tau protein which has been shown to result in axonal and dendritic disintegration. With neuronal cell deterioration, the biofilms, AβPP, Aβ, and neurofibrillary tangles that were once inside are now present outside the cells. Once in the tissue, biofilms lead to upregulation of Toll-like receptor 2 (TLR2) which by known pathways leads to further production of Aβ. Thus, the Aβ can be derived from two sources: one is the spirochetes themselves and the other is from the activation of the innate immune system. The two major components of AD (tau protein and Aβ) have consequently been shown to be created by the pathogenic spirochetes. The spirochetes themselves have been shown to be of Lyme disease and dental origin.","PeriodicalId":89982,"journal":{"name":"Journal of neuroinfectious diseases","volume":"29 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72947019","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}
Z. Tyrakowska-Dadełło, E. Tarasów, Anna M. Moniuszko-Malinowska, Sawomir Pancewicz, J. Zajkowska
{"title":"Follow-Up MR and MRS Studies in Herpes Simplex Encephalitis","authors":"Z. Tyrakowska-Dadełło, E. Tarasów, Anna M. Moniuszko-Malinowska, Sawomir Pancewicz, J. Zajkowska","doi":"10.4172/2314-7326.1000281","DOIUrl":"https://doi.org/10.4172/2314-7326.1000281","url":null,"abstract":"The paper presents imaging studies in eight patients with polymerase chain reaction proven Herpes Simplex encephalitis (HSE). MRI studies in the acute phase of infection have presented both typical and unusual changes. 3-year follow-up results of imaging examinations have also been described. DWI (Diffusion-weighted Imaging) and MR spectroscopy (MRS) values in the course of HSE infection have been shown in addition to conventional MR studies. In the article, particular emphasis is put on the importance of ischemic changes during HSE infection, which have not been widely discussed so far.","PeriodicalId":89982,"journal":{"name":"Journal of neuroinfectious diseases","volume":"162 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80246018","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}
{"title":"Neurocysticercosis and Epilepsy: A Review","authors":"L. M. Machado, F. M. Oliveira, A. P. Oliveira","doi":"10.4172/2314-7326.1000280","DOIUrl":"https://doi.org/10.4172/2314-7326.1000280","url":null,"abstract":"Neurocysticercosis is an infection of the central nervous system caused by the larval form of the tapeworm, Taenia solium. It is an endemic disease, especially in developing countries of sub-Saharan Africa, Asia and Latin America. The flow of travelers and immigrants from these places to the developed countries has contributed to increase the prevalence also in Europe and North America. It is known that in addition to genetic and structural causes, infectious and inflammatory causes can also be common causes of epilepsy. Some studies points neurocysticercosis as one of the leading causes of epilepsy in the world. The objective of this review is to highlight the main epidemiological, pathophysiological and clinical aspects that correlate neurocysticercosis with epilepsy.","PeriodicalId":89982,"journal":{"name":"Journal of neuroinfectious diseases","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82782563","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}
J. Dulski, M. Schinwelski, M. Dubaniewicz, J. Sławek
{"title":"Tetanus Presented as Hemiparesis and Facial Dystonia","authors":"J. Dulski, M. Schinwelski, M. Dubaniewicz, J. Sławek","doi":"10.4172/2314-7326.1000272","DOIUrl":"https://doi.org/10.4172/2314-7326.1000272","url":null,"abstract":"We report a case of tetanus presenting as the facial dystonia and hemiparesis with complete recovery and video accompanied follow-up. A 78-year-old male, who sustained an abrasion to his right forearm, presented with dysarthria, dysphagia, prominent involuntary painful muscle spasms in the face, blepharospasm, risus sardonicus, trismus (lockjaw), neck muscle rigidity and mild weakness of the distal right upper extremity. The combined treatment of human antitetanus immunoglobulin, tetanus vaccine, penicillin, metronidazole and diazepam were given with no effect. He continued to worsen and due to the risk of the respiratory failure (finally not developed) he was sent to the Intensive Care Unit. The combined treatment was continued, and his symptoms started to improve within 2 weeks. As the muscle rigidity has been improving, the patient developed significant right hemiparesis. The imaging of the brain and cervical spine found no significant pathology. At the follow-up visits the patient presented only slightly impaired dexterity of the right hand that gradually resolved. There are many reports of unusual presentations of tetanus, however, hemiparesis is uncommon, and to our knowledge, only one case was reported in the literature. We highlight the variability of clinical presentation of tetanus, the need to consider tetanus in cases of rapidly evolving muscle spasms following peripheral injuries and provide the guidelines on tetanus prophylaxis.","PeriodicalId":89982,"journal":{"name":"Journal of neuroinfectious diseases","volume":"113 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79400679","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}
{"title":"Does Intraoperative Use of Vancomycin Powder Increase the Risk of Gram-Negative Infections?","authors":"H. Aliabadi, A. Nikpour, B. BarryChehrazi","doi":"10.4172/2314-7326.1000274","DOIUrl":"https://doi.org/10.4172/2314-7326.1000274","url":null,"abstract":"Post-surgical site infections lead to significant morbidity and mortality, as well as significant healthcare costs. Despite intravenous prophylactic antibiotic measures, the rates of surgical site infections, especially those from skin pathogens, have been reported to be up to 15% in individuals undergoing spinal surgery. Thus, the use of vancomycin powder has gained significant popularity in the last few years.","PeriodicalId":89982,"journal":{"name":"Journal of neuroinfectious diseases","volume":"34 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81153659","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}