1.Absence of hemispatial neglect following right hemispherectomy in a 7-year-old girl with neonatal stroke
Jiqing Qiu ; Yu Cui ; Lichao Sun ; Bin Qi ; Zhanpeng Zhu ; JQ Qiu
Neurology Asia 2017;22(2):149-154
Neonatal stroke leads to cognitive deficits that may include hemispatial neglect. Hemispatial neglect is
a syndrome after stroke that patients fail to be aware of stimuli on the side of space and body opposite
a brain lesion. We report here a 7-year-old girl who suffered neonatal right brain stroke and underwent
right hemispherectomy due to refractory epilepsy. Post-surgical observation of the child’s behavior
and tests did not show any signs of hemispatial neglect. We concluded the spatial attention function
of the child with neonatal stroke might be transferred to the contralateral side during early childhood.
2.Delayed hemorrhage after microvascular decompression in a hemifacial spasm patient associated with neurosyphilis
Ji-Qing QIU ; Yu CUI ; Li-Chao SUN ; Bin QI ; Zhan-Peng ZHU ; JQ QIU ; Y CUI
Neurology Asia 2017;22(4):357-362
Microvascular decompression is an effective treatment for hemifacial spasm. Hemorrhage is oneof the complications of microvascular decompression. However, delayed hemorrhage is very rare.Here, we report a case of ipsilateral cerebellar hemorrhage at day seven following microvasculardecompression. A 45-year-old woman presented with left HFS for the previous two years. Diagnostictesting demonstrated the presence of neurosyphilis. Brain magnetic resonance image was unremarkableon presentation. She received microvascular decompression and her hemifacial spasm completelyresolved after surgery. At day seven post-operatively, the patient presented with a sudden onsetheadache. Emergency computed tomography scan showed a cerebellar hemorrhage. A suboccipitalcraniotomy was performed and a cerebellar hematoma was evacuated. The delayed hemorrhage wasattributed to possible microaneurysm from syphilis.
3.Intracranial hemorrhage from metastatic CNS lymphoma: A case report and literature review
Ji-Qing QIU ; Yu Cui MD ; Li-Chao Sun MD ; Bin QI ; Zhan-Peng ZHU ; JQ Qiu and Y Cui
Neurology Asia 2018;23(1):69-75
Metastatic brain lymphomas, which belong to secondary central nervous system lymphomas, usually originate from primary tumors of the bone marrow, testis, or orbit. Gastrointestinal lymphomas commonly metastasize to the lung or heart. We report here a case of brain hemorrhage due to metastasis from primary gastrointestinal diffuse large B-cell lymphoma (DLBCL). A 30-year-old male presented with headache. He was diagnosed to have gastrointestinal lymphoma 6 months earlier, and treated with gastrointestinal surgery. Pathological diagnosis was DLBCL. A PET-CT scan immediately after gastrointestinal surgery demonstrated no brain metastasis. On admission to the ward, imaging of the brain showed right temporoparietal hematoma. In the ward, the patient deteriorated with impaired consciousness. Repeat brain imaging showed enlargement of the hematoma. He underwent right temporoparietal craniotomy for the removal of a hematoma, and tumor nodules adherent to the cortex was found. Pathology confirmed a metastatic DLBCL in the brain. Literature review showed that this was the first reported case of brain hemorrhage from metastatic lymphoma. Metastatic central nervous system lymphoma should be considered as a differential diagnosis in patients with a history of gastrointestinal lymphoma presenting with neurological symptoms.