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International Medical Case Reports Journal Volume 16, 2023 - Issue
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CASE REPORT

The Elusive SLIPPERS Syndrome (Supratentorial Lymphocytic Inflammation with Parenchymal Perivascular Enhancement Responsive to Steroids): A Case Report and Literature Review

Adnan Khan1 Department of Neurosurgery, Hamad General Hospital, Hamad Medical Corporation, Doha, QatarView further author information
,
Muhammad Mohsin Khan1 Department of Neurosurgery, Hamad General Hospital, Hamad Medical Corporation, Doha, QatarCorrespondence[email protected]
ORCID Iconhttps://orcid.org/0000-0001-8703-2328View further author information
ORCID Icon,
Issam A Al-Bozom2 Department of Laboratory Medicine and Pathology, Hamad Medical Corporation, Doha, QatarORCID Iconhttps://orcid.org/0000-0001-9514-7731View further author information
ORCID Icon,
Younis Baregzai1 Department of Neurosurgery, Hamad General Hospital, Hamad Medical Corporation, Doha, QatarView further author information
,
Wanis Ibrahim3 Department of Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, QatarView further author information
&
Firas Hammadi1 Department of Neurosurgery, Hamad General Hospital, Hamad Medical Corporation, Doha, QatarView further author information
Pages 357-361 | Received 23 Mar 2023, Accepted 03 Jun 2023, Published online: 10 Jun 2023

References

  • Zalewski NL, Tobin WO. CLIPPERS. Curr Neurol Neurosci Rep. 2017;17(9):65. doi:10.1007/s11910-017-0773-7
  • Pittock SJ, Debruyne J, Krecke KN, et al. Chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids (CLIPPERS). Brain. 2010;133(9):2626–2634. doi:10.1093/brain/awq164
  • Biotti D, Deschamps R, Shotar E, et al. CLIPPERS: chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids. Pract Neurol. 2011;11(6):349. doi:10.1136/practneurol-2011-000043
  • Al-Araji A, Kidd DP. Neuro-Behçet’s disease: epidemiology, clinical characteristics, and management. Lancet Neurol. 2009;8(2):192–204. doi:10.1016/S1474-4422(09)70015-8
  • Hillesheim PB, Parker JR, Parker JC, Escott E, Berger JR. Chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids following influenza vaccination. Arch Pathol Lab Med. 2012;136(6):681–685. doi:10.5858/arpa.2011-0428-CR
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  • List J, Lesemann A, Wiener E, et al. A new case of chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids. Brain. 2011;134(Pt 8):e185; author reply e186. doi:10.1093/brain/awr035
  • Simon NG, Parratt JD, Barnett MH, et al. Expanding the clinical, radiological and neuropathological phenotype of chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids (CLIPPERS). J Neurol Neurosurg Psychiatry. 2012;83(1):15–22. doi:10.1136/jnnp-2011-301054
  • Wijntjes J, Wouda EJ, Siegert CEH, Karas GB, Vlaar AMM. Need for prolonged immunosupressive therapy in CLIPPERS--a case report. BMC Neurol. 2013;13. doi:10.1186/1471-2377-13-49
  • Duprez TP, Sindic CJ. Contrast-enhanced magnetic resonance imaging and perfusion-weighted imaging for monitoring features in severe CLIPPERS. Brain. 2011;134(Pt 8):e184; author reply e186. doi:10.1093/brain/awr034
  • Tohge R, Nagao M, Yagishita A, Matsubara S. A case of chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids (CLIPPERS) in East Asia. Intern Med. 2012;51(9):1115–1119. doi:10.2169/internalmedicine.51.7040
  • Taieb G, Wacongne A, Renard D, Figarella-Branger D, Castelnovo G, Labauge P. A new case of chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids with initial normal magnetic resonance imaging. Brain. 2011;134(Pt 8):e182; author reply e183. doi:10.1093/brain/awq390
  • Armand C, Graber J, Lado F, LaSala P, Weidenheim K. SLIPPERS: supratentorial lymphocytic inflammation with parenchymal perivascular enhancement responsive to steroids: a case report (P5.118). Neurology. 2015;84(14 Supplement):5.118.
  • Horng S, Crary J, Fabian M. A case of SLIPPERS (Supratentorial Lymphocytic Inflammation with Parenchymal Perivascular Enhancement Responsive to Steroids) presenting with isolated cognitive dysfunction. Neurology. 2017;88(16 Supplement):1.336.
  • Dudesek A, Rimmele F, Tesar S, et al. CLIPPERS: chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids. Review of an increasingly recognized entity within the spectrum of inflammatory central nervous system disorders. Clin Exp Immunol. 2014;175(3):385–396. doi:10.1111/cei.12204

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