Crescendo Transient Ischemic Attacks Due to Basilar Coccidioidal Meningitis With Coccidioma

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 c...

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Detalles Bibliográficos
Autores principales: D’Assumpcao, Carlos, Heidari, Arash, Sabetian, Katayoun, Johnson, Royce H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247484/
https://www.ncbi.nlm.nih.gov/pubmed/30480005
http://dx.doi.org/10.1177/2324709618813178
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author D’Assumpcao, Carlos
Heidari, Arash
Sabetian, Katayoun
Johnson, Royce H.
author_facet D’Assumpcao, Carlos
Heidari, Arash
Sabetian, Katayoun
Johnson, Royce H.
author_sort D’Assumpcao, Carlos
collection PubMed
description 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.
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spelling pubmed-62474842018-11-26 Crescendo Transient Ischemic Attacks Due to Basilar Coccidioidal Meningitis With Coccidioma D’Assumpcao, Carlos Heidari, Arash Sabetian, Katayoun Johnson, Royce H. J Investig Med High Impact Case Rep Case Report 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. SAGE Publications 2018-11-19 /pmc/articles/PMC6247484/ /pubmed/30480005 http://dx.doi.org/10.1177/2324709618813178 Text en © 2018 American Federation for Medical Research http://creativecommons.org/licenses/by/4.0/ This article is distributed under the terms of the Creative Commons Attribution 4.0 License (http://www.creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Report
D’Assumpcao, Carlos
Heidari, Arash
Sabetian, Katayoun
Johnson, Royce H.
Crescendo Transient Ischemic Attacks Due to Basilar Coccidioidal Meningitis With Coccidioma
title Crescendo Transient Ischemic Attacks Due to Basilar Coccidioidal Meningitis With Coccidioma
title_full Crescendo Transient Ischemic Attacks Due to Basilar Coccidioidal Meningitis With Coccidioma
title_fullStr Crescendo Transient Ischemic Attacks Due to Basilar Coccidioidal Meningitis With Coccidioma
title_full_unstemmed Crescendo Transient Ischemic Attacks Due to Basilar Coccidioidal Meningitis With Coccidioma
title_short Crescendo Transient Ischemic Attacks Due to Basilar Coccidioidal Meningitis With Coccidioma
title_sort crescendo transient ischemic attacks due to basilar coccidioidal meningitis with coccidioma
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247484/
https://www.ncbi.nlm.nih.gov/pubmed/30480005
http://dx.doi.org/10.1177/2324709618813178
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AT sabetiankatayoun crescendotransientischemicattacksduetobasilarcoccidioidalmeningitiswithcoccidioma
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