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- Toshiki Tezuka, Nobuyuki Takahashi, Daiki Tokuyasu, Shunpei Azami, Koji Sekiguchi, Tsubasa Takizawa, Yoshikane Izawa, Jin Nakahara, and Masahiro Katsumata.
- Department of Neurology, Keio University School of Medicine, Japan.
- Intern. Med. 2024 May 1; 63 (9): 127712801277-1280.
AbstractCerebral 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.
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