Teaching NeuroImages: Brucellosis mimicking demyelinating disease
نویسندگان
چکیده
منابع مشابه
Teaching NeuroImages: brucellosis mimicking demyelinating disease.
A 57-year-old man presented with a 4-week history of fever, visual loss, and progressive ataxic gait. He worked as a truck driver and had been in contact with raw sheepskin a few months prior. Neurologic examination showed drowsiness, pseudobulbar syndrome, hyperreflexia, ataxia, and optic disc edema. He had a lymphocytic pleocytosis and diffuse hyperintense white matter lesions on brain MRI (f...
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Ventricular tachycardia is a life-threatening condition. ECG artifact caused by the 4to 6-Hz rest tremor of Parkinson disease (PD) can mimic a wide complex ventricular tachycardia (figure). Misinterpretation of ECG artifact can have grave consequences, including cardiac catheterization, administration of antiarrhythmics, and placement of automated implantable cardioverter-defibrillators.1 Tremo...
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Andoni Echaniz-Laguna, MD, PhD Nathalie Philippi, MD A 54-year-old man presented with 6 months of progressive gait unsteadiness and weakness of four limbs. Examination showed severe symmetric proximal and distal weakness of all limbs, hypesthesia below the knees, vibratory sensation loss in lower limbs and hands, absent tendon reflexes, and bilateral Babinski signs. CSF contained 19 g/L protein...
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A 30-year-old man with a history of bipolar disease presented with 6 months of cognitive decline, unsteady gait, urinary retention, and bilateral upper extremity tremors. Multiple punctate enhancing lesions were seen on brain MRI (figure). Differential diagnosis included infection (viral, tuberculosis, or cryptococcus), toxic leukoencephalopathy, gliomatosis cerebri, angiocentric lymphoma, and ...
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A 73-year-old man was referred to the outpatient clinic with a 2-week history of headache and apathy. Neurologic examination revealed mild left-sided facial, arm, and leg paresis. Head CT appeared to show a right frontal lobe tumor with finger-like vasogenic edema. Instead, MRI revealed a subacute lobar hemorrhage with perihematomal edema (figure). On follow-up imaging, no underlying cause was ...
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ژورنال
عنوان ژورنال: Neurology
سال: 2011
ISSN: 0028-3878,1526-632X
DOI: 10.1212/wnl.0b013e3182104370