Clinical Reasoning: Pneumocephalus and pneumorrhachis in a 67-year-old man
نویسندگان
چکیده
منابع مشابه
Clinical Reasoning: Pneumocephalus and pneumorrhachis in a 67-year-old man.
SECTION 1 A 67-year-old man was admitted to the medical intensive care unit at a hospital in eastern Bavaria. The patient presented with back pain, fever (38.7°C, 101.7°F), disorientation regarding time, place, and his own identity, and drowsiness, all of which had developed in recent weeks. Apart from these findings, the neurologic examination was unremarkable. One day before admission, the pa...
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SECTION 1 A 57-year-old man presented with spasms of his left jaw. Two years prior, he had developed left-sided facial numbness followed by development of left-sided shock-like pain and then involuntary and repetitive movements of the jaw-closing muscles. Jaw muscle contractions were episodic, interfered with chewing and talking, and led to frequent tongue biting. Individual spasms varied from ...
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SECTION 1 A 39-year-old lawyer presented with intermittent spasms and pain in his abdominal muscles, particularly the right upper quadrant. These had occurred since his mid-20s and there had been long asymptomatic periods, including 8 years prior to the most recent 4-month exacerbation. Trivial movement triggered a spasm of the abdominal muscles, leading to severe pain, which made breathing unc...
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Sashank Prasad, MD Nicholas J. Volpe, MD Madhura A. Tamhankar, MD SECTION 1 A 36-year-old man with Von Hippel-Lindau syndrome presented with binocular vertical diplopia following suboccipital craniotomy for resection of a cerebellar hemangioblastoma. His diplopia was worse in left gaze. He was effectively treated with a 6-diopter base-down prism in the right eye. With-out spontaneous improvemen...
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SECTION 1 A 64-year-old right-handed man presented to the emergency department with a 4-week history of bilateral blurred and distorted vision. He reported that objects in his central visual field appeared to change shape and were disproportionately large or small. He also reported intermittent flashes of light with altered color perception. His medical history was notable for prostate cancer t...
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ژورنال
عنوان ژورنال: Neurology
سال: 2016
ISSN: 0028-3878,1526-632X
DOI: 10.1212/wnl.0000000000002693