Aqueductal stenosis secondary to Whipple’s disease
We present a 54-year old male with a history of Whipple’s Disease (WD) diagnosed 21 years previously and proven by an inguinal lymph node biopsy. Antibiotic therapy was initiated upon confirmation of gastrointestinal (GI) involvement via colonoscopy. On the most recent occasion, the patient presente...
Main Authors: | , , , , |
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Format: | Article |
Language: | English |
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Ubiquity Press
2013-11-01
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Series: | Journal of the Belgian Society of Radiology |
Online Access: | https://www.jbsr.be/articles/527 |
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author | F Chiang A R Verde D E Sossa D G Sossa M Castillo |
author_facet | F Chiang A R Verde D E Sossa D G Sossa M Castillo |
author_sort | F Chiang |
collection | DOAJ |
description | We present a 54-year old male with a history of Whipple’s Disease (WD) diagnosed 21 years previously and proven by an inguinal lymph node biopsy. Antibiotic therapy was initiated upon confirmation of gastrointestinal (GI) involvement via colonoscopy. On the most recent occasion, the patient presented with a 3-week history of ataxic gait, short-term memory loss, incontinence, oculofacial skeletal myorhythmia, and tinnitus. MRI showed markedly enlarged lateral and 3rd ventricles compatible with hydrocephalus. 3D constructive interference in steady state (CISS) images showed a small web traversing the distal cerebral aqueduct with cephalad dilatation (Fig. A). Post contrast images showed enhancement within the stenotic part of the aqueduct (Fig. B). |
first_indexed | 2024-12-17T01:23:27Z |
format | Article |
id | doaj.art-edeb7fb5f3374fc8a13ea188de7dd3d4 |
institution | Directory Open Access Journal |
issn | 2514-8281 |
language | English |
last_indexed | 2024-12-17T01:23:27Z |
publishDate | 2013-11-01 |
publisher | Ubiquity Press |
record_format | Article |
series | Journal of the Belgian Society of Radiology |
spelling | doaj.art-edeb7fb5f3374fc8a13ea188de7dd3d42022-12-21T22:08:45ZengUbiquity PressJournal of the Belgian Society of Radiology2514-82812013-11-0196610.5334/jbr-btr.527527Aqueductal stenosis secondary to Whipple’s diseaseF Chiang0A R Verde1D E Sossa2D G Sossa3M Castillo4Department of Radiology, Neuroradiology Division, University of North Carolina at Chapel Hill, Chapel Hill, NC, USADepartment of Radiology, Neuroradiology Division, University of North Carolina at Chapel Hill, Chapel Hill, NC, USADepartment of Radiology, Neuroradiology Division, University of North Carolina at Chapel Hill, Chapel Hill, NC, USADepartment of Radiology, Neuroradiology Division, University of North Carolina at Chapel Hill, Chapel Hill, NC, USADepartment of Radiology, Neuroradiology Division, University of North Carolina at Chapel Hill, Chapel Hill, NC, USAWe present a 54-year old male with a history of Whipple’s Disease (WD) diagnosed 21 years previously and proven by an inguinal lymph node biopsy. Antibiotic therapy was initiated upon confirmation of gastrointestinal (GI) involvement via colonoscopy. On the most recent occasion, the patient presented with a 3-week history of ataxic gait, short-term memory loss, incontinence, oculofacial skeletal myorhythmia, and tinnitus. MRI showed markedly enlarged lateral and 3rd ventricles compatible with hydrocephalus. 3D constructive interference in steady state (CISS) images showed a small web traversing the distal cerebral aqueduct with cephalad dilatation (Fig. A). Post contrast images showed enhancement within the stenotic part of the aqueduct (Fig. B).https://www.jbsr.be/articles/527 |
spellingShingle | F Chiang A R Verde D E Sossa D G Sossa M Castillo Aqueductal stenosis secondary to Whipple’s disease Journal of the Belgian Society of Radiology |
title | Aqueductal stenosis secondary to Whipple’s disease |
title_full | Aqueductal stenosis secondary to Whipple’s disease |
title_fullStr | Aqueductal stenosis secondary to Whipple’s disease |
title_full_unstemmed | Aqueductal stenosis secondary to Whipple’s disease |
title_short | Aqueductal stenosis secondary to Whipple’s disease |
title_sort | aqueductal stenosis secondary to whipple s disease |
url | https://www.jbsr.be/articles/527 |
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