1.
Pract Neurol
; 24(4): 335-337, 2024 Jul 16.
Article
in English
| MEDLINE
| ID: mdl-38508720
Subject(s)
Brain Stem , Cerebellum , Leukoencephalopathy, Progressive Multifocal , Humans , Brain Stem/diagnostic imaging , Brain Stem/pathology , Leukoencephalopathy, Progressive Multifocal/diagnostic imaging , Cerebellum/diagnostic imaging , Cerebellum/pathology , Male , Magnetic Resonance Imaging , Middle Aged , Female
2.
Pract Neurol
; 23(6): 509-511, 2023 Nov 23.
Article
in English
| MEDLINE
| ID: mdl-37468299
ABSTRACT
A 68-year-old Brazilian woman had 3 months of progressive fatigue, difficulty walking and 18 kg weight loss. On examination, there was gait apraxia and executive dysfunction. MR scan of brain showed communicating hydrocephalus and a cerebrospinal fluid showed 105 white cells/µL (≤5), predominantly lymphocytes, protein of 1.35 g/L (0.15-0.45) and the glucose content of 0.06 mmol/L (3.3-4.4). We suspected an infective cause and used of metagenomic next-generation sequencing to diagnose neurocysticercosis. This case highlights the challenge of diagnosing chronic meningitis and the relevance of genetic approaches in diagnosing neurological infections.