Paraneoplastic Ischemic Stroke: Case Report and Review

OBJECTIVE: Paraneoplastic etiology is not frequent among cerebrovascular disorders. This rare disorder is interesting with different mechanisms, clinical manifestations and treatment options. Diagnosis may be overlooked for its rarity. We present a paraneoplastic ischemic stroke patient with its clinical and imaging characteristics for recalling this rare disease. CASE: A sixty years old woman with a history of ovarian and colon cancer and liver metastasis admitted with acute left sided hemiplegia. Brain magnetic resonance imaging showed multiple ischemic lesions at the same age. Laboratory findings were compatible with chronic disseminated intravascular coagulopathy. She was anticoagulated but the clinical findings were not changed. She died one month after her discharge from the hospital. CONCLUSIONS: Paraneoplastic ischemic stroke is rare and it should be recognized by the clinician to differentiate from other ischemic strokes by its different mechanisms, imaging characteristics and treatment modalities. Prognosis depends on the characteristics of the primary tumo

Revisiting a historical phenomenon: Myodil droplets in the subarachnoid space

WOS: 000423136200065PubMed ID: 29323010Myodil (iodophenylundecylic acid, a fatty acid) is an oil-based positive contrast media that has been widely used in myelography, ventriculography, and cisternography. [1] However, the use of oil-based contrast agents has been stopped long ago because of the potentially severe complications arising from their usage, including arachnoiditis and anaphylaxis. Thus, images of remnant material of intradural oil-based contrast are rarely encountered nowadays. We present a patient in whom incidentally detected myodil remnants were seen on computed tomography (CT). Additionally, we obtained and present the follow-up CT and magnetic resonance images (MRI) of this patient

Diastematomyelia: A Case With Familial Aggregation of Neural Tube Defects

Intrauterine neural tube defects, meningomyelocele, and diastematomyelia are developmental errors at different stages of the closure of the neural tube. The familial aggregation of these neural tube defects is not previously reported in the literature and should make one think about a common embryogenesis and a possible common mechanism of etiopathogenesis leading to anomalies at different stages of this embryogenesis. This paper presents a 12-year-old Turkish boy with diastematomyelia who was suspected with a demonstrative dermatologic finding without any neurologic sign and diagnosed with magnetic resonance imaging (MRI). He has a positive family history of a stillbirth with neural tube defect, an exitus with meningomyelocele, and an epileptic child in his female siblings.PubMedScopu