a Record control number S0022510X13026774

a ISSN 0022-510X

a Original cataloging agency NEU GrandLibrary

a Language code of text/sound track or separate title eng

a Classification number WL140

b Item number .C47 2013

a Personal name Eker, A.

h Medium Electronic Document

a Title Cerebral malaria with corpus callosum splenium lesion.

c Statement of responsibility, etc A.Eker, K. Süer, O. Tosun.

c Date of publication, distribution, etc 2013.

a Place of publication, distribution, etc Elsevier B.V.,

a Summary, etc Cerebral malaria is the most severe neurological complication of infection with Plasmodium falciparum malaria. Mortality is high and some surviving patients with sustained/INS; brain injury manifest as long-term neuro-cognitive impairments. Cerebral malaria is seen in 2% of malaria cases. In endemic areas it affects mainly children. Occurrence in adults is far less. Here we report a 27-year-old man with cerebral malaria who has a rare but suggestive radiologic finding for malaria. He has been admitted to our emergency department with fever, diarrho/INS;ea, muscle pain, headache and progressive drowsiness. He visited Sierra Leone, Africa 5 days ago. His physical /INS;examination revealed icterus, hepatosplenomegaly and dark urine. At his neurological examination, he was leth/INS;argic and had a score of 6 on the Glasgow Coma Scale. He has meningeal irritation signs with neck stiffness. Cranial MRI performed urgently and showed focal restricted diffusion in corpus callosum splenium in diffusion weighted imaging. Epileptic attacks have been observed and his EEG revealed generalised severe background slowing. Blood smears showed Plasmodium falciparum. Urgent antimalarial treatments have been administered/INS; /INS;and the patient regained consciousness. Antiepileptic medication was progressively reduced and the treatment was finally stopped after normal EEG was /INS;obtained. Awareness of clinical and radiological features of malaria and cerebral malaria is really important for early recognition and treatment. Taking the visiting history of an endemic area is helpful for diagnosis.

a Topical term or geographic name as entry element Near East University Article

a Topical term or geographic name as entry element Yakın Doğu Üniversitesi Makale

a Topical term or geographic name as entry element Neurology

a Topical term or geographic name as entry element Cerebral malaria

a Topical term or geographic name as entry element Corpus callosum

g Relationship information OCT 15 2013,Vol 333, p685, Supplement 1.

t Title Journal of the Neurological Sciences

x International Standard Serial Number 0022510X

u Uniform Resource Identifier http://library.neu.edu.tr:2048/login?url=http://dx.doi.org/10.1016/j.jns.2013.07.2366