Crescendo Transient Ischemic Attacks Due to Basilar Coccidioidal Meningitis With Coccidioma.
Carlos D'AssumpcaoArash HeidariKatayoun SabetianRoyce H JohnsonPublished in: Journal of investigative medicine high impact case reports (2018)
Coccidioidal meningitis typically presents with symptoms that may include headache, altered mental status including personality changes, fever, nausea, vomiting, gait abnormalities, and focal neurological deficits. This is a case of coccidioidal meningitis that initially presented as 4 consecutive crescendo cerebrovascular transient ischemic attacks with focal neurological deficits that resolved within minutes. Imaging showed a left basilar coccidioma. Follow-up at 4 months showed treatment response to conservative therapy of fluconazole 1000 mg with a dexamethasone taper. Crescendo cerebrovascular transient ischemic attacks are a unique initial presentation of coccidioidal meningitis.
Keyphrases
- cerebral ischemia
- subarachnoid hemorrhage
- cerebrospinal fluid
- blood brain barrier
- brain injury
- traumatic brain injury
- ischemia reperfusion injury
- chemotherapy induced
- high resolution
- low dose
- mental health
- mesenchymal stem cells
- stem cells
- high dose
- bone marrow
- photodynamic therapy
- abdominal pain
- cell therapy
- smoking cessation