We report the case of an eighteen year-old pregnant female with preeclampsia and florid signs and symptoms of posterior reversible encephalopathy syndrome (PRES) in whom intracerebral hemorrhage was evidenced following delivery. Management included blood pressure control, external ventricular drainage and lumboperitoneal shunt. To our knowledge this is the first report of intracranial hemorrhag...

Address for correspondence: Dr. Ankur Khandelwal, Department of Anaesthesiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Rae Barelly Road, Lucknow ‐ 226 014, Uttar Pradesh, India. E‐mail: [email protected] Sir, Securing of any external devices such as endotracheal tube (ETT), tracheostomy tube (TT), arterial and central venous catheters, nasogastric tubes, drainage tubes...

A 53-year-old woman was referred because a CT scan disclosed a subarachnoid hemorrhage. An aneurysm was seen on digital subtraction angiography, which suddenly ruptured (video 1 on the Neurology® Web site at Neurology.org) during the study, suggesting the cause of the hemorrhage (video 2). The rate of contrast emission was 3 mL/s with a total volume of 16 mL; the pressure was 200 psi. External ...

Clinical reasoning: the scimitar syndrome, due to the anomalous right pulmonary vein drainage, is clinically manifested as a simple atrial septal defect, with the described classic signs, few symptoms, ejection murmur in the pulmonary area, splitting of the second heart sound and right ventricular diastolic overload on the electrocardiogram. The scimitar sign on the chest X‐ray easily character...

A 34-year-old man was admitted in the emergency room with headache, vomiting, gait ataxia, dizziness and vertigo. He was submitted to a cranial CT that showed an important hydrocephalus secondary to a forth ventricle compression by a posterior fossa hematoma. He received advanced life support in an intensive care unit (ICU) and was submitted to an external ventricular drainage (EVD), posteriorl...

Headache as a chief complaint is rare in the paediatric emergency room. Actually, very seldom cases secondary to life threatening conditions as non-traumatic subarachnoid haemorrhage have been reported. A child with severe headache and nuchal rigidity and no other abnormalities on the physical examination is reported. Magnetic resonance angiography and cerebral angiography disclosed a ventricul...

A 2-month-old infant who had undergone orthotopic liver transplantation at the age of 2 weeks for carbamoyl phosphate synthetase deficiency developed infection of the CNS due to Aspergillus fumigatus. The patient was successfully treated with administration of a combination of antifungal agents (including intraventricular amphotericin B), drainage of the parietal lobe abscess, and cessation of ...

Traumatic perforation of the lamina cribrosa and penetration of the brain occurred during nasotracheal intubation of a preterm infant requiring resuscitation. This rare complication is specifically associated with the nasal route of intubation. The complication resulted in significant morbidity. The infant developed an extensive intracranial hemorrhage and posthemorrhagic hydrocephalus that req...

We report three cases of large occipito-encephaloceles that were managed in the Neurosciences Unit, Hospital Universiti Sains Malaysia over the last 5 years. All patients had pre-operative MRI (magnetic resonance imaging) evolution and mapping of the sagittal sinus tract. The cerebrospinal fluid (CSF) of all three patients were initially diverted by means of ventricular shunt two weeks prior to...

Current clinical practice in the premature infant with posthaemorrhagic ventricular dilatation (PHVD) includes drainage of cerebrospinal fluid (CSF). This case study used advanced volumetric three dimensional magnetic resonance imaging to document the impact of CSF removal on the volume of regional brain tissues in a premature infant with PHVD. The removal of a large volume of CSF was associate...