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
- plasmodium falciparum
- cerebral ischemia
- multiple sclerosis
- end stage renal disease
- newly diagnosed
- computed tomography
- contrast enhanced
- resting state
- chronic kidney disease
- subarachnoid hemorrhage
- functional connectivity
- high resolution
- ejection fraction
- magnetic resonance imaging
- oxidative stress
- ultrasound guided
- blood brain barrier
- peritoneal dialysis
- brain injury
- magnetic resonance
- fine needle aspiration
- risk factors
- gene expression
- high throughput
- mass spectrometry
- image quality
- depressive symptoms
- drug induced
- physical activity
- fluorescence imaging
- energy transfer