Reconstruction of the Ascending Reticular Activating System with Diffusion Tensor Tractography in Patients with a Disorder of Consciousness after Traumatic Brain Injury

Giant aneurysms have been treated with endovascular approaches like general, balloon-assisted and stent-assisted coiling, and flow diverter stent-assisted techniques. Few cases have been reported to be treated with both normal and large coils. Despite the mass effect, an adequate revascularization has been reported. An initial use of these coils is being reported in the current study. This is a case which has been successfully treated using a stent-assisted coiling with both small and large coils i.e., Penumbra Coil 400 (Penumbra, Inc., Alameda, California)

Stent-assisted Embolization of a Giant Aneurysm of the Middle Cerebral Artery Using Small and Large Coils (Penumbra Coil 400)

Giant aneurysms have been treated with endovascular approaches like general, balloon-assisted and stentassisted coiling, and flow diverter stent-assisted techniques. Few cases have been reported to be treated with both normal and large coils. Despite the mass effect, an adequate revascularization has been reported. An initial use of these coils is being reported in the current study. This is a case which has been successfully treated using a stent-assisted coiling with both small and large coils i.e., Penumbra Coil 400 (Penumbra, Inc., Alameda, California)

Intravascular lymphoma, the great simulator: Case report

Introducción El linfoma intravascular representa un subtipo de linfoma B muy poco común, sus síntomas diversos lo hacen un reto diagnóstico. Caso clínico Presentamos un caso de una paciente con síntomas desde hace un año, dados por compromiso cognitivo y de la marcha, con presencia de múltiples lesiones en la resonancia magnética. Su estado neurológico empeoró rápidamente, progresando a la muerte. La necropsia reportó la presencia de células tumorales en la luz de los vasos, compatible con linfoma intravascular. Conclusión Este linfoma no tiene síntomas específicos. Se debe sospechar rápidamente, ya que su mortalidad es del 90% sin tratamiento.Introduction Intravascular lymphoma is a very uncommon subtype of B-Cell lymphoma, it has many clinical manifestations which makes it a diagnostic challenge. Case report We present a patient who had cognitive deterioration and gait disturbance for over a year, with multiple lesions evidenced on MRI. Her neurological condition worsened rapidly, progressing to death. Necropsy reported the presence of tumor cells in the lumen of vessels compatible with intravascular lymphoma. Conclusion This lymphoma has no specific symptoms. It should be suspected quickly since their mortality is 90% without treatment