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Cerebral Venous Thrombosis Mimicking Limbic Encephalitis.

Authors :
Tezuka T
Takahashi N
Tokuyasu D
Azami S
Sekiguchi K
Takizawa T
Izawa Y
Nakahara J
Katsumata M
Source :
Internal medicine (Tokyo, Japan) [Intern Med] 2024 May 01; Vol. 63 (9), pp. 1277-1280. Date of Electronic Publication: 2023 Aug 23.
Publication Year :
2024

Abstract

Cerebral venous thrombosis (CVT) is challenging to diagnose, as it presents with variable symptoms. We encountered a complicated case of CVT that mimicked limbic encephalitis due to sensory aphasia. Based on the characteristic magnetic resonance imaging findings, this 72-year-old Japanese man was later confirmed to have CVT, the cause of which was periodontitis due to Eikenella corrodens, a Gram-negative facultative anaerobic that is part of the mouth's normal flora. The symptoms improved without sequelae following anticoagulation treatment and antibiotics. Clinicians should consider CVT as a differential diagnosis when unexplainable neurological symptoms suggesting limbic encephalitis are observed.

Details

Language :
English
ISSN :
1349-7235
Volume :
63
Issue :
9
Database :
MEDLINE
Journal :
Internal medicine (Tokyo, Japan)
Publication Type :
Academic Journal
Accession number :
37612080
Full Text :
https://doi.org/10.2169/internalmedicine.2514-23