Post-malaria neurological syndrome (PMNS): a rare case report with brain biopsy findings.
Mouhammad J AlawadMoustafa AlmayoofAdel Al BozomTaha AlkhidirSaeed S EmamKhalifa FarfarPublished in: BMC infectious diseases (2023)
Post-malaria neurological syndrome (PMNS) is a rare, self-limiting condition that presents with a wide range of neurological manifestations after clearance of malarial infection, especially 𝘗𝘭𝘢𝘴𝘮𝘰𝘥𝘪𝘶𝘮 f𝘢𝘭𝘤𝘪𝘱𝘢𝘳𝘶𝘮, most patients recover without residual deficits. Here we present a case of a 29-year-old, male with a recent history of malaria treated successfully, who presented due to a generalized tonic-clonic seizure, without any other neurological symptoms, the examination and labs were unremarkable, he underwent a computer tomography (CT) scan and Magnetic resonant imaging (MRI) which both showed two areas of vasogenic edema involving the subcortical white matter of left frontal and right posterior parasagittal regions, all autoimmune screens, infection workup from blood and CSF were negative, he underwent a brain biopsy that showed intense perivascular inflammation with neuronal loss and gliosis, findings are nonspecific and can be seen in a variety of condition. The patient's condition improved, and he was discharged without any complications.
Keyphrases
- white matter
- case report
- cerebral ischemia
- plasmodium falciparum
- multiple sclerosis
- computed tomography
- resting state
- end stage renal disease
- contrast enhanced
- subarachnoid hemorrhage
- functional connectivity
- ejection fraction
- magnetic resonance imaging
- ultrasound guided
- blood brain barrier
- oxidative stress
- brain injury
- chronic kidney disease
- traumatic brain injury
- high throughput
- fine needle aspiration
- dual energy
- working memory
- prognostic factors
- dna methylation
- gene expression
- image quality
- machine learning
- mass spectrometry
- patient reported outcomes
- quantum dots
- cerebrospinal fluid
- liquid chromatography
- depressive symptoms