Cerebral Venous Thrombosis Mimicking Limbic Encephalitis

Toshiki Tezuka, Nobuyuki Takahashi, Daiki Tokuyasu, Shunpei Azami, Koji Sekiguchi, Tsubasa Takizawa, Yoshikane Izawa, Jin Nakahara, Masahiro Katsumata

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Cerebral venous thrombosis (CVT) is challenging to diagnose, as it presents with variable symptoms. We encountered a complicated case of CVT that mimicked limbic encephalitis due to sensory aphasia. Based on the characteristic magnetic resonance imaging findings, this 72-year-old Japanese man was later confirmed to have CVT, the cause of which was periodontitis due to Eikenella corrodens, a Gram-negative facultative anaerobic that is part of the mouth’s normal flora. The symptoms improved without sequelae following anticoagulation treatment and antibiotics. Clinicians should consider CVT as a differential diagnosis when unexplainable neurological symptoms suggesting limbic encephalitis are observed.

Original languageEnglish
Pages (from-to)1277-1280
Number of pages4
JournalInternal Medicine
Volume63
Issue number9
DOIs
Publication statusPublished - 2024

Keywords

  • cerebral venous thrombosis
  • infectious disease
  • limbic encephalitis
  • periodontal infection

ASJC Scopus subject areas

  • Internal Medicine

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