Differentialdiagnose Neurologischer Krankheitsbilder

Bodechtel, G.

doi:10.1097/00000441-195907000-00029

Cited by 24 publications

(9 citation statements)

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“…The location of the occlusion distal to the origin of the anterior ehoroidal artery is also atypical in arteriosclerosis, and appears to be common in SLE. In Case II, middle cerebral artery stenosis progressed to complete occlusion, as in the patient described by Bodechtel [2]. Our patients had no clinical evidence of diabetes or arteriosclerosis, nor had they ever taken oral contraceptives.…”

Section: Commentsupporting

confidence: 59%

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Angiographic demonstration of major cerebral vessel occlusion in systemic lupus erythematosus

et al. 1972

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Summary. The authors describe three young women with systemic lupus erythematosus and hemiparesis who had major cerebral artery stenosis or occlusion documened by angiography. The only four similar, previously reported cases are reviewed; none of these have been published in the radiologic literature. In two of these seven patients middle cerebral artery stenosis progressed to complete occlusion. Supraclinoid internal carotid artery occlusions were demonstrated in the other five cases. Systemic lupus erythematosus should therefore be a primary diagnostic consideration in young women with intracranial internal carotid artery occlusion. Demonstration angiographique de l'oeclusion ma]eure de vaisseaux cerebraux en cas de lupus erithemateux systemariseRdsumd. Les auteurs rapportent le cas de trois jeunes femmes pr4sentant un lupus 6rithdmateux syst4matis4 et une h4mipar4sie, chez qui l'angiographie montra une stdnose ou une occlusion majeure des art~res c4rdbrales.Les auteurs font la revue des seuls quatre cas antTrieurs analogues dent aucun n'avait 6t6 publi6 duns la littTrature radiologique. Chez deux de ces sept roulades la stTnose de l'artTre cTrTbrale moyerme progressa jusqu'~ l'oeelusion eomplTte. Duns les cinq autres cas, on trouva des oeelusions de l'artTre earotide interne supra-clino/diennes. Le lupus 6rithTmateux systTmatis6 devrait donc @tre 6voqu6 eomme premiTre considTration diagnostique chez des jeunes femmes prTsentant une occlusion de l'artTre earotide interne. Angiographischer Nachweis yon grSfleren cerebralen Gefdflverschlfessen beim Lupus erythematodesZusammenfassung. Die Autoren beschreiben 3 jiingere Frauen, bei denen ein Lupus erythematodes vorlag. Bei diescn Patientinnen bestand gleichzeitig eine Hemiparese, undes konnte angiographisch ein intracranieller Gef~13-verschlul~ nachgewiesen werden. Diese Gef/ii?verschliisse beim Lupus erythematodes sind sehr selten und bisher in der radiologischen Literatur noch nicht publiziert.Signs and symptoms referable to the nervous system have been reported in 28 [3] --75% [26] of patients with systemic lupus erythematosus (SLE). Itemiplegia or focal cerebral dysfunction is reported in as many as 5% of these patients [8]. The neurologic deficits have been ascribed to a variety of lesions, most commonly arteritis of small vessels [17,26,29,35]. It is our purpose to review the problem of major vessel occlusion in systemic lupus erythematosus and to present three patients in whom this was visualized angiographically. There are no previous reports in the radiologic literature which demonstrate these findings in SLE. Case Reports Case ISystemic lupus erythematosus appeared in this white woman at age 20. The initial manifestation was a malar rash and thrombophlcbitis. Lupus erythematosus (LE) cells were isolated on this occasion. Her symptoms eompletly subsided with small doses of prednisone. During the next year she became pregnant and a severe generalized rash erupted. After a spontaneous abortion, the rash ameliorated and it was possible to start tapering the l...

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Section: Commentsupporting

confidence: 59%

“…Three of these patients were young women with internal carotid artery occlusions [6,36]. The fourth was a man with stenosis of the middle cerebral artery which progressed to complete occlusion [2]. None of these patients had histories of either diabetes or arteriosclerosis.…”

Section: Discussionmentioning

confidence: 99%

Angiographic demonstration of major cerebral vessel occlusion in systemic lupus erythematosus

et al. 1972

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“…The collapsed vertebra and increased activity in strontium scanning at the same site favored the idea of neoplasia. Primary extradural tumors are extremely rare, but many neoplasms can metastasize into the spinal cord [Bodechtel, 1974], The possibility of spondylitis was also considered, but no substantiation could be derived, nor could osteoporosis be demonstrated. The proposed nephrectomy and vertebral biopsy necessary to confirm the diagnosis could not be performed in time.…”

Section: Discussionmentioning

confidence: 99%

“…In association with tuberculous spondylitis, neurological symptoms may result from compression of the spinal cord or from the spread of infection into the spinal canal. The latter condition, known as hypertrophic spinal pachymeningitis, has been known for over 100 years [M oore, 1972], In the era of chemotherapy tuberculous radiculitis has occasionally been encountered as a rare consequence of treated meningi tis [Bodechtel, 1974], R oegel et al [1968] also report some cases of as cending polyradiculitis, probably as an 'allergic" manifestation of tubercu losis. Peripheral nerve function disturbances are fairly common during antituberculous chemotherapy [Bodechtel, 1974].…”

Section: Introductionmentioning

confidence: 99%

Radicular Symptoms in Tuberculosis

Myllylä¹,

Sutinen²,

Kotaniemi³

1976

Eur Neurol

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A case of tuberculous radiculitis in the lumbosacral region resulting in flaccid paresis of the lower limbs is presented. The primary site of tuberculosis was the intestine. Hematogenic dissemination resulted in organ tuberculosis of the third lumbar vertebra and left kidney. The infection spread locally into the lumbosacral dura and nerve roots. A decline in general immunological resistance lead to fatal dissemination of the disease into the meninges, lungs, liver, left adrenal and right kidney. Differential diagnostic problems, especially the Guillain-Barré syndrome, are discussed.

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“…Die in der Literatur mitgeteilten Untersuchungen ergeben weder ein vollständiges noch ein eindeutiges Bild der Augenmuskelkerne. Insbe sondere der Nuclcus centralis Perlia wird einerseits als großzelliges, typisch moto risches Zellgebict aufgefaßt (Ranson-Clark [1956]), andererseits als kleinzellige, dem Nucleus Edinger-Westphal gleichgestellte Formation (Bodechtel [1958]). Aber auch in bezug auf die Identität der Nucleus interstitialis Cajal und Darkschewitsch bestehen Unklarheiten.…”

unclassified

Die Nuclei nervorum oculomotorii et trochlearis der Cercopitheciden und ihre Stellung in der Reihe der Primaten

Gfeller¹,

Feremutsch²

1966

Cells Tissues Organs

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Differentialdiagnose Neurologischer Krankheitsbilder

Cited by 24 publications

References 0 publications

Angiographic demonstration of major cerebral vessel occlusion in systemic lupus erythematosus

Angiographic demonstration of major cerebral vessel occlusion in systemic lupus erythematosus

Radicular Symptoms in Tuberculosis

Die Nuclei nervorum oculomotorii et trochlearis der Cercopitheciden und ihre Stellung in der Reihe der Primaten

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