ABSTRACT
Background: Neuroschistosomiasis is an uncommonly reported disease. Casecharacteristics: An adolescent Indian boy residing in Kenya presented with headache,visual symptoms and seizures, with MRI showing space-occupying lesions in the occipitallobe and cerebellum. Observation: Brain biopsy was diagnostic of neuro-schistosomiasis;complete recovery was seen with praziquantel and corticosteroid therapy. Message: Thiscase highlights the importance of considering epidemiology in differential diagnosis andestablishing definitive diagnosis even if it is by invasive methods
ABSTRACT
The viper is one of India’s most commonly encountered poisonous snakes and envenomation following viper bite usually leads to consumption coagulopathy. Clinical manifestations most frequently include external and internal bleeding. In the setting of viper envenomation, large-vessel thrombosis is a very rare occurrence. Also, bilateral anterior cerebral artery infarction, when unrelated to anatomical abnormalities, subarachnoid haemorrhage, surgery or trauma, itself is an exceedingly rare event. We report a case of a 24-year-old previously healthy man who presented with bilateral anterior cerebral artery infarction following a viper bite. We also present hypotheses that may explain this unusual occurrence. ©
Subject(s)
Adult , Amoxicillin/therapeutic use , Animals , Anti-Bacterial Agents/therapeutic use , Antivenins/therapeutic use , Cerebral Arteries/pathology , Cerebral Infarction/chemically induced , Cerebral Infarction/diagnosis , Clavulanic Acid/therapeutic use , Diuretics, Osmotic/therapeutic use , Factor VIII , Fibrinogen , Humans , Male , Mannitol/therapeutic use , Phenytoin/therapeutic use , Plasma , Snake Bites/complications , Viper Venoms/poisoning , ViperidaeABSTRACT
Tuberculous involvement of pituitary is extremely rare and is usually not suspected while dealing with pituitary adenomas, even in patients with history of systemic tuberculosis. We report a case of pituitary tuberculoma in a patient who was undergoing treatment for prostatic tuberculosis. Although diagnosis of sellar tuberculomas is difficult on clinical and radiological examinations, pituitary tuberculomas should be considered in the differential diagnosis of suprasellar masses, especially in developing countries as the condition is potentially curable with antituberculous treatment.