Darshan V Patel

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A woman with neuro-Behçet disease characterized by recurrent attacks of meningoencephalitis is reported. During an attack of brain stem dysfunction characterized by dysarthria, diplopia, and ataxia, the postcontrast CT showed an enhancing lesion of the upper brain stem. During a subsequent attack characterized by subcortical dementia and amnesia, magnetic(More)
We compared clinical and angiographic features of 26 white and 45 black patients with symptomatic occlusive cerebrovascular disease. White patients had more transient ischemic attacks, carotid bruits, and more severe occlusive disease of the internal carotid artery origin. Blacks had more severe disease of the middle cerebral artery stem and supraclinoid(More)
Cerebral amyloid angiopathy (CAA) is a cause of intracerebral hemorrhage in a significant proportion of normotensive patients. Two cases of pathologically proved multiple intracerebral hemorrhages due to CAA are reported. These hemorrhages are accurately demonstrated on computed tomography and are typically superficial in location. CAA should be considered(More)
BACKGROUND AND PURPOSE We compared cranial computed tomography findings among 58 multi-infarct dementia index cases and 74 multi-infarct control subjects without cognitive impairment to identify potential determinants of multi-infarct dementia. METHODS The cranial computed tomography records of acute ischemic stroke patients with a history of multiple(More)
Giant serpentine aneurysms are considered a distinct subgroup of giant aneurysms because of their characteristic angiographic appearance and clinical behavior. A case of this unusual vascular abnormality showing progressive enlargement documented by computed tomography and cerebral angiography is presented, along with a review of the literature. Etiology,(More)
A case of pituitary apoplexy is presented with previously unreported computed tomographic findings of intraventricular hemorrhage. Because of the successful use of new microsurgical techniques for the treatment of pituitary apoplexy even in patients with poor clinical status, it is important to differentiate the various causes of intraventricular hemorrhage(More)
We studied 20 patients with severe occlusive disease of the mainstem middle cerebral artery (MCA) or its major division branches, and 25 patients with internal carotid artery (ICA) disease. MCA disease patients were more often black, female, younger, and had fewer TIAs than the ICA disease patients. Neurologic signs in patients with MCA disease evolved(More)
Nine patients had intraluminal filling defects identifiable as clot within the internal carotid artery at angiography. Thrombus was unilateral in eight, bilateral in one. Eight of the 10 clots were attached to atheromatous plaques. Three patients had serious concurrent illness: pancreatic cancer, rheumatoid arthritis with arteritis, and chronic pulmonary(More)
Gastric involvement is a rare complication of chronic granulomatous disease of childhood that may present at any time during the course of the disease. This case study presents the findings on CT and upper gastrointestinal examinations in a 10-year-old boy who developed symptoms of gastric outlet obstruction during treatment for hepatic abscesses.