Arch Neurol Chicago
-
To identify the causes of an altered mental status in a cancer population. ⋯ Patients with cancer usually have multiple causes of delirium, many of which are treatable, with rapid improvement in their cognitive status.
-
Arch Neurol Chicago · Dec 2000
Safety of discontinuation of anticoagulation in patients with intracranial hemorrhage at high thromboembolic risk.
Limited data are available to guide the management of anticoagulation in patients with intracranial hemorrhage (ICH) at high thromboembolic risk. ⋯ Discontinuation of warfarin therapy for 1 to 2 weeks has a comparatively low probability of embolic events in patients at high embolic risk. This should be taken into consideration when deciding whether to continue or discontinue anticoagulation in these patients at high embolic risk. Early recurrence of ICH is exceedingly uncommon.
-
Arch Neurol Chicago · Dec 2000
Case ReportsCorrelation of clinical and neuroimaging findings in a case of rabies encephalitis.
Rabies encephalitis is a feared, virtually uniformly fatal form of central nervous system infection. The incidence of rabies encephalitis in the United States is almost certainly underestimated because of the predominance of bat-borne rabies, which can be spread without traumatic exposure. Because of its rarity in developed countries, rabies encephalitis has been seldom studied with modern imaging techniques. ⋯ Rabies is an uncommon cause of fatal encephalitis. Anatomic imaging studies such as computed tomographic and magnetic resonance scans have generally been negative in confirmed cases of rabies. We report a case of confirmed rabies with extensive brainstem and hypothalamic-pituitary abnormalities on magnetic resonance imaging. Although these findings are nonspecific, they should raise the clinical suspicion of rabies in the setting of aggressive encephalitis of unclear cause, and appropriate diagnostic tests should be performed.