Teaching NeuroImages: Cerebral adrenoleukodystrophy: A rare adult form
نویسندگان
چکیده
منابع مشابه
Teaching NeuroImages: adrenoleukodystrophy presenting as raised intracranial pressure.
A 7-year-old boy presented with acute onset headache, vomiting, and visual deterioration 2 weeks previously without any cognitive or behavioral changes. Optic fundi showed papilledema, and there were no pyramidal signs or gait disturbances. The remainder of the neurologic examination was normal. CSF protein was 174 mg/dL. Although MRI features (figure) were consistent with adrenoleukodystrophy ...
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Adam Strzelczyk, MD Ulrich Sure, MD Felix Rosenow, MD A 34-year-old man with refractory epilepsy due to an arteriovenous malformation (AVM) of the right postcentral gyrus (figure, A) was evaluated for epilepsy surgery.1 After study of the size, location, and depth of the lesion, we decided to defer resection, radiosurgery, and embolization because of concern that intervention would result in ne...
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A 41-year-old woman with a history of recurrent epistaxis presented with left hemiplegia, right gaze deviation, and dysarthria. Physical examination confirmed skin and lip telangiectasia (figure 1). Her son had pulmonary arteriovenous malformation (AVM). Her head CT and cerebral angiography revealed right parietal hemorrhage with parasagittal AVM (figure 2). Hereditary hemorrhagic telangiectasi...
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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 brain CT, performed because of subacute pain and weakness in the left arm of a 61-year-old man, revealed cerebral and faciocervical venous gas emboli (figures 1 and 2). A peripheral IV catheter had been placed 2 hours prior to CT without incident of disconnection. A second CT, performed 2 hours later, showed only persistent gas in the cavernous sinus. Twelve days later, CT was normal. Transth...
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ژورنال
عنوان ژورنال: Neurology
سال: 2013
ISSN: 0028-3878,1526-632X
DOI: 10.1212/wnl.0b013e3182815416