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Clinics and Practice
Volume 9
Issue 4
10.4081/cp.2019.1187
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

Rapidly Fatal Encephalitis Associated with Atypical Lymphoid Proliferations of the Basal Ganglia Subsequent to Aneurysmal Subarachnoid Hemorrhage

by
Ayesha Kar
1,
Evin L. Guilliams
1,2,3,4,
Joshua A. Cuoco
1,2,3,4 and
Eric A. Marvin
1,2,3,4,*
1
Virginia Tech Carilion School of Medicine, Roanoke, VA, USA
2
Carilion Clinic, Section of Neurosurgery, Roanoke, VA, USA
3
Virginia Tech School of Neuroscience, Blacksburg, VA, USA
4
Edward Via College of Osteopathic Medicine, Blacksburg, VA, USA
*
Author to whom correspondence should be addressed.
Clin. Pract. 2019, 9(4), 1187; https://doi.org/10.4081/cp.2019.1187
Submission received: 21 July 2019 / Revised: 29 October 2019 / Accepted: 30 October 2019 / Published: 11 November 2019

Abstract

Rapidly fatal encephalitis associated with atypical lymphoid proliferations after intracranial aneurysm rupture has not been reported. Here, we describe a 52-year-old female who presented to the emergency department with a severe headache. Imaging demonstrated aneurysmal subarachnoid hemorrhage due to a ruptured left posterior inferior cerebellar artery aneurysm, which was treated with endovascular embolization and subsequent external ventricular drain. She recovered without neurologic sequelae by day seven; however, five weeks later she represented with a severe headache associated with nausea and fever. Initial repeat imaging was unremarkable. She deteriorated quickly and was empirically treated for meningitis despite negative cerebrospinal fluid studies. Magnetic resonance imaging revealed diffuse cerebral edema within the basal ganglia and thalamus. Biopsy of the caudate nuclei revealed atypical lymphoid proliferations. She was treated accordingly with no significant improvement. This case highlights the necessity for a better understanding of the etiology, chronology, and natural history of atypical lymphoid proliferations.
Keywords: atypical lymphoid proliferations; encephalitis; subarachnoid hemorrhage; aneurysm atypical lymphoid proliferations; encephalitis; subarachnoid hemorrhage; aneurysm

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MDPI and ACS Style

Kar, A.; Guilliams, E.L.; Cuoco, J.A.; Marvin, E.A. Rapidly Fatal Encephalitis Associated with Atypical Lymphoid Proliferations of the Basal Ganglia Subsequent to Aneurysmal Subarachnoid Hemorrhage. Clin. Pract. 2019, 9, 1187. https://doi.org/10.4081/cp.2019.1187

AMA Style

Kar A, Guilliams EL, Cuoco JA, Marvin EA. Rapidly Fatal Encephalitis Associated with Atypical Lymphoid Proliferations of the Basal Ganglia Subsequent to Aneurysmal Subarachnoid Hemorrhage. Clinics and Practice. 2019; 9(4):1187. https://doi.org/10.4081/cp.2019.1187

Chicago/Turabian Style

Kar, Ayesha, Evin L. Guilliams, Joshua A. Cuoco, and Eric A. Marvin. 2019. "Rapidly Fatal Encephalitis Associated with Atypical Lymphoid Proliferations of the Basal Ganglia Subsequent to Aneurysmal Subarachnoid Hemorrhage" Clinics and Practice 9, no. 4: 1187. https://doi.org/10.4081/cp.2019.1187

APA Style

Kar, A., Guilliams, E. L., Cuoco, J. A., & Marvin, E. A. (2019). Rapidly Fatal Encephalitis Associated with Atypical Lymphoid Proliferations of the Basal Ganglia Subsequent to Aneurysmal Subarachnoid Hemorrhage. Clinics and Practice, 9(4), 1187. https://doi.org/10.4081/cp.2019.1187

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