Differential diagnostics of cns lesions of infectious etiology in neurosurgical practice (clinical observations)
Abstract
THE AIM of the study is to describe clinical observations of patients with central nervous system lesions of infectious etiology and to analyze the tactics of examination and differential diagnosis with brain diseases requiring surgical treatment.
MATERIALS AND METHODS. There are two clinical observations of patients hospitalized for emergency indications at the St. Petersburg State Budgetary Healthcare Institution “City Mariinsky Hospital” presented. Оne of them – with suspected closed craniocerebral trauma (CCI), the other – with acute cerebrovascular accident (ACVI) of the ischemic type and occlusive hydrocephalus in the stage of subcompensation. As a result of the examination, in the first case, toxoplasmosis of the brain was diagnosed against the background of HIV infection in the AIDS stage, in the second – tuberculous meningoencephalitis.
RESULTS. The carried out diagnostic measures made it possible to make an accurate diagnosis in time and plan the treatment of patients correctly.
Keywords
brain tumor,
hydrocephalus,
HIV infection in the AIDS stage,
toxoplasmosis,
tubular meningitis,
clinical and radiation diagnostics
Supporting agencies: The study did not have financial support.
About the Authors
I. G. Kamyshanskaya
St Petersburg University, Saint Petersburg State University (SPbU); SPb GBUZ “City Mariinsky Hospital”
Russian Federation
Russian Federation
V. M. Cheremisin
St Petersburg University, Saint Petersburg State University (SPbU); SPb GBUZ “City Mariinsky Hospital”
Russian Federation
Russian Federation
M. Yu. Podgornyak
SPb GBUZ “City Mariinsky Hospital”
Russian Federation
Russian Federation
A. E. Shcherban’
Russian Research Center for Radiology and Surgical Technologies
Russian Federation
Russian Federation
V. V. Prits
SPb GBUZ “City Mariinsky Hospital”
Russian Federation
Russian Federation
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Review
For citations:
Kamyshanskaya I.G., Cheremisin V.M., Podgornyak M.Yu., Shcherban’ A.E., Prits V.V. Differential diagnostics of cns lesions of infectious etiology in neurosurgical practice (clinical observations). Russian Neurosurgical Journal named after Professor A. L. Polenov. 2021;13(3):46-51. (In Russ.)
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