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Your search keyword '"Neurological symptom"' showing total 4 results
Start Over Descriptor "Neurological symptom" Journal journal of international medical research
4 results on '"Neurological symptom"'

1. Clinical analysis of aortic dissection with sudden coma and paraplegia as the main symptoms

Author

Caixia Jiang, Yinuo Lin, Xinhong Zhang, Yuehui Liu, and Dongwei Zhang

Subjects
medicine.medical_specialty, Medicine (General), neurological symptom, Aortic dissection, Myelitis, Case Report, coma, 030204 cardiovascular system & hematology, Biochemistry, myelitis, 03 medical and health sciences, 0302 clinical medicine, R5-920, medicine, Humans, Aged, Paraplegia, Coma, Clinical pathology, business.industry, Cerebral infarction, Biochemistry (medical), Disease Management, Cell Biology, General Medicine, cerebral infarction, medicine.disease, Surgery, 030220 oncology & carcinogenesis, Female, Symptom Assessment, medicine.symptom, Tomography, X-Ray Computed, business
Abstract

Objective This study aimed to investigate the clinical characteristics of patients with aortic dissection presenting with neurological symptoms as the initial symptoms. Methods Clinical characteristics, radiological abnormalities, and prognosis were analyzed in two female patients with aortic dissection. The main clinical symptoms were sudden coma and paraplegia. A detailed clinical examination was performed and computed tomography scans were evaluated. Results The initial symptoms of the patients involved the nervous system. Chest and abdominal computed tomography scans were performed to confirm the diagnosis of aortic dissection. Both patients died. Conclusion Patients who present with nervous system symptoms as the first symptoms of aortic dissection, which lead to misdiagnosis and missing the diagnosis, are rare. Improvement in the understanding of this disease is required to ensure that patients receive a timely diagnosis in the early stages.

Published
2020

2. Neuroimaging findings of linear scleroderma of the head and face: a case report.

Author

Meng L and Wang Q

Subjects
Diffusion Tensor Imaging, Head, Humans, Magnetic Resonance Imaging, Neuroimaging, Scleroderma, Localized diagnostic imaging
Abstract

Linear scleroderma of the head and face is a rare connective tissue disorder characterized by linear depressed scarring in the frontoparietal area of the face. Here, we report a patient with linear scleroderma of the head and face with neurological symptoms such as spontaneous epilepsy and numbness of the right limb as well as the presence of white matter lesions. The patient underwent computed tomography and 3.0-T magnetic resonance examinations including diffusion weighted imaging, diffusion tensor imaging, and perfusion imaging. The imaging findings suggested a disrupted fiber tract and decreased relative cerebral blood flow. Our observation may help to improve the diagnosis and treatment of linear scleroderma of the head and face.

Published
2022
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3. Intracranial hemorrhage risk factors of deep brain stimulation for Parkinson's disease: a 2-year follow-up study.

Author

Yang C, Qiu Y, Wang J, Wu Y, Hu X, and Wu X

Subjects
Aged, Brain diagnostic imaging, Deep Brain Stimulation instrumentation, Electrodes, Implanted adverse effects, Female, Follow-Up Studies, Humans, Incidence, Intracranial Hemorrhages diagnosis, Intracranial Hemorrhages etiology, Magnetic Resonance Imaging, Male, Middle Aged, Religion and Sex, Retrospective Studies, Risk Assessment, Risk Factors, Tomography, X-Ray Computed, Deep Brain Stimulation adverse effects, Hypertension epidemiology, Intracranial Hemorrhages epidemiology, Parkinson Disease therapy
Abstract

Objective: This study aimed to analyze the risk factors of intracranial hemorrhage (ICH) after deep brain stimulation (DBS) for idiopathic Parkinson's disease (PD)., Methods: Patients who received DBS from March 2014 to December 2016 were retrospectively analyzed. The hemorrhage index was derived by combining the hemorrhagic volume and clinical manifestations of ICH. All patients with IHC were followed up for 2 years., Results: Computed tomography showed 13 events of ICH in 11 patients (nine cases in the subthalamic nucleus), including eight cases with symptomatic hemorrhage (seven cases in the subthalamic nucleus). Hemorrhage was characterized by intracranial hematoma in the electrode puncture tract. Male sex and hypertension were significant risk factors for ICH. Hemorrhage in the preferred puncture side was significantly higher than that in the non-preferred puncture side. The mean hemorrhage index was 2.23 ± 0.83 in 11 patients, and no permanent neurological impairment was found during the 2-year follow-up. The effect of DBS on motor symptoms was similar in patients with and without ICH., Conclusion: Male sex and hypertension are risk factors of ICH after DBS in PD. The risk of hemorrhage on the first puncture site is significantly higher than that on the second puncture site.

Published
2020
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