1.Pontine toxoplasmosis in an immunocompromised Filipino male: A case report.
Michelangelo D. Liban ; Laurence Kristoffer J. Batino ; Debbie Co Liquete
Philippine Journal of Neurology 2022;25(1):24-27
A 36-year-old-male was admitted complaining of headache, right sided weakness and
numbness of upper and lower extremity, and multiple cranial nerve deficits. Cranial magnetic
resonance imaging revealed an abscess in the pontomesencephalic junction. Patient was then
diagnosed to have Human Immunodeficiency Virus with a CD 4 count of 32 cells/ uL, his CSF
assay was positive for Toxoplasmosis IgG and was managed as a case of probable brainstem
toxoplasmosis. Patient was treated with Co-Trimoxazole 800/160mg 2 tablets twice a day. Upon
discharge the patient clinically improved and was tolerating oral feeding. A repeat cranial
magnetic resonance imaging after 6 weeks of antibiotic treatment revealed a decrease of size in
the previous lesion. To our knowledge, there are no reported cases in the Philippines that shows
the documentation of CNS toxoplasmosis in the brainstem. In this paper, a case of CNS
toxoplasmosis in the pons of a newly diagnosed HIV patient is presented and how its course led
to a good outcome.
Toxoplasmosis
;
Immunocompromised Host
2.Thirteen-and-a-Half syndrome stroke: A case report.
Laurence Kristoffer J. Batino ; Golden Tamon-Gayo ; Randolf John Fangonilo
Philippine Journal of Neurology 2021;24(2):14-16
We describe a 52-year old woman who developed one- and-a-half syndrome with an ipsilateral
trigeminal and facial nerve palsy from a lacunar infarct of the left paramedian pontine area
likely involving the median-paramedian perforators of the basilar artery.
Stroke, Lacunar
;
Brain Stem