A 3.5-year-old healthy boy with 4 days of fever was referred to the emergency department for respiratory distress. The physical examination was remarkable for stupor, tachycardia, tachypnea, and dyspnea. Initial blood tests showed pancytopenia. He rapidly developed torticollis. Computerized tomography of the neck revealed a thrombus in the internal jugular vein. A presumptive diagnosis of Lemie...

Felix Mendelssohn, Goethe's favorite, who revealed the genius ofJohann Sebastian Bach after almost a century of oblivion, was of a fragile constitution. Last year of his life he was very depressed because of his sister Fanny's sudden death. The last month he had several attacks of severe headaches with agitation, anxiety, confusion and slow pulse. Last three days these episodes became more freq...

Four patients with pathologically documented polycystic cavitation of the brain had an acute illness characterised by stupor, seizures, CSF erythrocytic and monocytic pleocytosis, increased CSF protein, and diminished CSF glucose. The acute phase was followed by chronic decerebation, disappearance of the CSF abnormalities, and radiological evidence of polycystic cavitation of the brain. In one ...

We describe a case of deep stupor after a suicide attempt with Zolpidem (Stillnox). A 64 year old patient was admitted unconscious to the emergency room. According to the medical document brought by his family, the patient was recently diagnosed with APLA syndrome, had 2 previous CVAs, the last one, having been located in the occipital lobe, resulted in cortical blindness. His wife described sh...

The concept of catatonia was first described by Kahlbaum (1874). Catatonic stupor is one of the most dramatic psychiatric presentations, but is becoming increasingly rare in the Western world. However, it has been suggested that catatonia is under-recognised and under-diagnosed (Van der Heijden et al, 2005). Although the introduction of antipsychotics has reduced the incidence of catatonia, it ...

Pituitary Apoplexy: The Role of A theromalous Emboli • Patients with clinically unsuspected pituitary adenomas may present with sudden severe frontal headaches, stupor, ophthalmoplegia, meningeal irritation, compression of the optic nerves or chiasm, and abnormal cerebrospinal fluid. These findings are commonly misinterpreted as due to a ruptured cerebral aneurysm. The clinical features and con...

Background: Takotsubo syndrome and myasthenic crisis can be triggered by physical stress. We present the case of a woman who developed following radiocontrast media-induced anaphylaxis.Case Report: A 39-year-old presented with diplopia ptosis. After chest computed tomography scan, her consciousness was stupor oxygen saturation decreased. Electrocardiography showed ST elevation, cardiac enzyme l...

Acute compartment syndrome is a serious condition requiring immediate medical care. A lack of urgent medical treatment can result in serious complications such as loss of function and even amputation. While the pathophysiology of acute compartment syndrome is well understood, numerous potential causes are still being discovered. A rare cause of acute compartment syndrome is IV infiltration. We ...

OBJECTIVES To describe the occurrence of delirium in a cohort of older medical intensive care unit (ICU) patients and its short-term duration in the hospital and to determine the association between preexisting dementia and the occurrence of delirium. DESIGN Prospective cohort study. SETTING Fourteen-bed medical ICU of an 800-bed university teaching hospital. PARTICIPANTS One hundred eigh...