{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T21:34:23Z","timestamp":1777671263004,"version":"3.51.4"},"reference-count":5,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Investigative Medicine High Impact Case Reports"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:p>Coccidioidal meningitis typically presents with symptoms that may include headache, altered mental status including personality changes, fever, nausea, vomiting, gait abnormalities, and focal neurological deficits. This is a case of coccidioidal meningitis that initially presented as 4 consecutive crescendo cerebrovascular transient ischemic attacks with focal neurological deficits that resolved within minutes. Imaging showed a left basilar coccidioma. Follow-up at 4 months showed treatment response to conservative therapy of fluconazole 1000 mg with a dexamethasone taper. Crescendo cerebrovascular transient ischemic attacks are a unique initial presentation of coccidioidal meningitis.<\/jats:p>","DOI":"10.1177\/2324709618813178","type":"journal-article","created":{"date-parts":[[2018,11,20]],"date-time":"2018-11-20T00:20:56Z","timestamp":1542673256000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Crescendo Transient Ischemic Attacks Due to Basilar Coccidioidal Meningitis With Coccidioma"],"prefix":"10.1177","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9967-9612","authenticated-orcid":false,"given":"Carlos","family":"D\u2019Assumpcao","sequence":"first","affiliation":[{"name":"Kern Medical\u2014UCLA, Bakersfield, CA, USA"},{"name":"Ross University, Miramar, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arash","family":"Heidari","sequence":"additional","affiliation":[{"name":"Kern Medical\u2014UCLA, Bakersfield, CA, USA"},{"name":"Valley Fever Institute, Bakersfield, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katayoun","family":"Sabetian","sequence":"additional","affiliation":[{"name":"Kern Medical\u2014UCLA, Bakersfield, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Royce H.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Kern Medical\u2014UCLA, Bakersfield, CA, USA"},{"name":"Valley Fever Institute, Bakersfield, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,11,19]]},"reference":[{"key":"bibr1-2324709618813178","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciw360"},{"key":"bibr2-2324709618813178","doi-asserted-by":"publisher","DOI":"10.1086\/497596"},{"key":"bibr3-2324709618813178","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cix318"},{"key":"bibr4-2324709618813178","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/14.3.673"},{"key":"bibr5-2324709618813178","doi-asserted-by":"publisher","DOI":"10.1159\/000076965"}],"container-title":["Journal of Investigative Medicine High Impact Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2324709618813178","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2324709618813178","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2324709618813178","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:59:58Z","timestamp":1777449598000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2324709618813178"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1]]},"references-count":5,"alternative-id":["10.1177\/2324709618813178"],"URL":"https:\/\/doi.org\/10.1177\/2324709618813178","relation":{},"ISSN":["2324-7096","2324-7096"],"issn-type":[{"value":"2324-7096","type":"print"},{"value":"2324-7096","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,1]]},"article-number":"2324709618813178"}}