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September 2020; 7 (5) Clinical/Scientific NotesOpen Access

A case of cerebral vasculitis due to neurobartonellosis

View ORCID ProfileMeryim Poursheykhi, View ORCID ProfileFarhan Mithani, Tanu Garg, Christian Cajavilca, Siraya Jaijakul, Steve Fung, Richard Klucznik, Rajan Gadhia
First published June 4, 2020, DOI: https://doi.org/10.1212/NXI.0000000000000791
Meryim Poursheykhi
From the Department of Neurology (M.P., T.G., R.G.), Department of Infectious Diseases (S.J.), Department of Neuroradiology (S.F.), and Department of Interventional Neuroradiology (R.K.), Houston Methodist Hospital, TX; Texas A&M Health Science Center College of Medicine (F.M.), Bryan; and Department of Interventional Neurology (C.C.), Texas Stroke Institute, Plano.
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  • ORCID record for Meryim Poursheykhi
Farhan Mithani
From the Department of Neurology (M.P., T.G., R.G.), Department of Infectious Diseases (S.J.), Department of Neuroradiology (S.F.), and Department of Interventional Neuroradiology (R.K.), Houston Methodist Hospital, TX; Texas A&M Health Science Center College of Medicine (F.M.), Bryan; and Department of Interventional Neurology (C.C.), Texas Stroke Institute, Plano.
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Tanu Garg
From the Department of Neurology (M.P., T.G., R.G.), Department of Infectious Diseases (S.J.), Department of Neuroradiology (S.F.), and Department of Interventional Neuroradiology (R.K.), Houston Methodist Hospital, TX; Texas A&M Health Science Center College of Medicine (F.M.), Bryan; and Department of Interventional Neurology (C.C.), Texas Stroke Institute, Plano.
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Christian Cajavilca
From the Department of Neurology (M.P., T.G., R.G.), Department of Infectious Diseases (S.J.), Department of Neuroradiology (S.F.), and Department of Interventional Neuroradiology (R.K.), Houston Methodist Hospital, TX; Texas A&M Health Science Center College of Medicine (F.M.), Bryan; and Department of Interventional Neurology (C.C.), Texas Stroke Institute, Plano.
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Siraya Jaijakul
From the Department of Neurology (M.P., T.G., R.G.), Department of Infectious Diseases (S.J.), Department of Neuroradiology (S.F.), and Department of Interventional Neuroradiology (R.K.), Houston Methodist Hospital, TX; Texas A&M Health Science Center College of Medicine (F.M.), Bryan; and Department of Interventional Neurology (C.C.), Texas Stroke Institute, Plano.
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Steve Fung
From the Department of Neurology (M.P., T.G., R.G.), Department of Infectious Diseases (S.J.), Department of Neuroradiology (S.F.), and Department of Interventional Neuroradiology (R.K.), Houston Methodist Hospital, TX; Texas A&M Health Science Center College of Medicine (F.M.), Bryan; and Department of Interventional Neurology (C.C.), Texas Stroke Institute, Plano.
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Richard Klucznik
From the Department of Neurology (M.P., T.G., R.G.), Department of Infectious Diseases (S.J.), Department of Neuroradiology (S.F.), and Department of Interventional Neuroradiology (R.K.), Houston Methodist Hospital, TX; Texas A&M Health Science Center College of Medicine (F.M.), Bryan; and Department of Interventional Neurology (C.C.), Texas Stroke Institute, Plano.
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Rajan Gadhia
From the Department of Neurology (M.P., T.G., R.G.), Department of Infectious Diseases (S.J.), Department of Neuroradiology (S.F.), and Department of Interventional Neuroradiology (R.K.), Houston Methodist Hospital, TX; Texas A&M Health Science Center College of Medicine (F.M.), Bryan; and Department of Interventional Neurology (C.C.), Texas Stroke Institute, Plano.
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Full PDF
Citation
A case of cerebral vasculitis due to neurobartonellosis
Meryim Poursheykhi, Farhan Mithani, Tanu Garg, Christian Cajavilca, Siraya Jaijakul, Steve Fung, Richard Klucznik, Rajan Gadhia
Neurol Neuroimmunol Neuroinflamm Sep 2020, 7 (5) e791; DOI: 10.1212/NXI.0000000000000791

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    Figure Vessel imaging

    (A) Angiogram of the left internal carotid artery showing multifocal narrowing and fusiform dilatations (arrows) pretreatment. (B) Intracranial vessel wall MRI showing multifocal concentric vessel wall thickening and enhancement (arrows) pretreatment. (C) Intracranial vessel wall MRI showing reduction in vessel wall enhancement (arrows) posttreatment. (D) Magnetic resonance angiography (MRA) head showing multifocal stenoses (arrows) pretreatment. (E) MRA head showing improvement of stenoses (arrows) posttreatment.

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