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Related Concept Videos

Cerebral Edema ll: Pathophysiology01:22

Cerebral Edema ll: Pathophysiology

Vasogenic edema is a major form of cerebral edema characterized by abnormal accumulation of fluid in the brain’s extracellular space due to disruption of the blood–brain barrier (BBB). The BBB is a specialized structure composed of endothelial cells connected by tight junctions, supported by astrocytic endfeet and a basement membrane. Under normal conditions, it tightly regulates the movement of ions, proteins, and solutes between the bloodstream and brain parenchyma. When this barrier loses...
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Cryptococcal meningitis is a life-threatening opportunistic infection predominantly associated with HIV/AIDS, accounting for over 100,000 deaths annually worldwide. However, it also affects individuals with other forms of immunosuppression, including those undergoing immunosuppressive therapy, organ transplant recipients, patients with innate immunodeficiencies, and individuals with hematological disorders. The infection is caused mainly by Cryptococcus neoformans and Cryptococcus gattii,...
Cytotoxic Edema: Pathophysiology01:21

Cytotoxic Edema: Pathophysiology

Cytotoxic edema is a form of cerebral edema characterized by intracellular swelling of neurons, astrocytes, and other glial cells. It develops when the mechanisms responsible for maintaining ionic gradients across the cell membrane become impaired. Under normal physiological conditions, the sodium–potassium ATPase actively transports sodium ions out of the cell and potassium ions into the cell, preserving osmotic balance and enabling electrical signaling. This pump requires a continuous supply...
Cytomegalovirus Disease01:27

Cytomegalovirus Disease

Cytomegalovirus (CMV) disease is caused by human cytomegalovirus, a double-stranded DNA virus of the Herpesviridae family. While primary CMV infection is often asymptomatic in immunocompetent individuals, the virus can cause severe disease in neonates and immunocompromised patients. CMV is the most common cause of congenital viral infection in the United States, and a major pathogen in solid organ and hematopoietic stem cell transplant recipients.CMV is transmitted via bodily fluids, sexual...
Encephalitis l: Introduction01:19

Encephalitis l: Introduction

Encephalitis is inflammation of the brain parenchyma, most often due to infections or autoimmune processes. It presents with neuropsychiatric features such as fever, altered mental status, behavioral changes, cognitive dysfunction, seizures, focal deficits, and sometimes autonomic instability. In some cases, the meninges are also involved, resulting in meningoencephalitis.Infectious CausesInfectious encephalitis is most commonly viral but can also result from bacterial, fungal, or parasitic...
Cerebral Edema l: Introduction01:19

Cerebral Edema l: Introduction

Cerebral edema is a pathological increase in brain water content that disrupts intracranial pressure regulation and impairs neurological function. Because the cranial vault is rigid, even modest increases in tissue volume can compromise cerebral perfusion, distort neural structures, and initiate secondary injury. Cerebral edema develops through four principal mechanisms: vasogenic, cytotoxic, interstitial, and ionic.Vasogenic EdemaVasogenic edema arises from disruption of the blood–brain...

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Updated: Jun 15, 2026

Chemotherapy-induced Vascular Toxicity - Real-time In vivo Imaging of Vessel Impairment
04:48

Chemotherapy-induced Vascular Toxicity - Real-time In vivo Imaging of Vessel Impairment

Published on: January 7, 2015

[Cerebral vasculitis associated with gemcitabine].

P Schmorl1, A Heer-Sonderhoff, R Vosshenrich

  • 1Urologische Klinik, Diakoniekrankenhaus Friederikenstift gGmbH, Hannover. philipp.schmorl@friederikenstift.de

Der Urologe. Ausg. A
|March 10, 2010
PubMed
Summary
This summary is machine-generated.

Gemcitabine chemotherapy for bladder cancer can cause serious neurological side effects. A patient developed cerebral vasculitis and cognitive deficits after receiving the drug, highlighting a rare but severe adverse reaction.

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Area of Science:

  • Neurology
  • Oncology
  • Pharmacology

Background:

  • Neoadjuvant chemotherapy is a standard treatment for transitional cell carcinoma of the bladder.
  • Cisplatin and gemcitabine are commonly used chemotherapeutic agents.

Observation:

  • A 50-year-old woman received neoadjuvant cisplatin and gemcitabine for bladder cancer.
  • Following the second cycle, she experienced a generalized tonic-clonic seizure and cognitive deficit.
  • Brain MRI revealed findings consistent with cerebral vasculitis.

Findings:

  • The temporal association suggests gemcitabine caused the cerebral vasculitis.
  • This is the first reported case of gemcitabine-induced cerebral vasculitis.

Implications:

  • Gemcitabine may be associated with rare but severe neurological adverse events.
  • Clinicians should be vigilant for neurological symptoms in patients receiving gemcitabine.
  • Further research is needed to understand the mechanism of gemcitabine-induced vasculitis.