A 54-year-old, right-handed woman presented with a 4-year history of quadriparesis. While arguing with other people, she suddenly showedweakness of the right upper and lower extremities. She underwent evaluation and conservative management with the suspicion of a cerebral infarct at the neurology department of a university hospital. However, no lesion was detected, except for a meningioma in th...

BACKGROUND Many spine surgeons rely on reports of radiological studies for patients seen routinely in consultation. However, "best practice" should include the spine surgeon's individual assessment of the images themselves to better determine whether the diagnoses rendered were/are correct. METHODS A now 54-year-old male had an original enhanced magnetic resonance imaging (MR) scan of the cer...

Of the two reported immunocompetent patients with an isolated cerebellar aspergilloma, one was an adult[3] and another was an infant (his immune status being debatable).[4] The source of infection in our patient is unclear. Though Aspergillus is known to reside in tuberculous cavities, the chest X-rays did not reveal cavitatory lesions or a fungal ball. The other possibility is that he suffered...

INTRODUCTION Itraconazole is an anti-fungal agent widely used to treat various forms of mycosis. It is particularly useful in allergic bronchopulmonary aspergillosis and severe asthma with fungal sensitization. Side effects are uncommon and usually mild. Mild neuropathy is noted to occur very rarely. We present an unusual and, to the best of our knowledge, as yet unreported case of severe neuro...

A 50-year-old right-handed retired family business manager developed progressive left-sided weakness over 5 days after a mechanical fall. She remembered catching her foot on the carpet and falling down a flight of stairs, followed by severe neck pain over C4-C5 and inability to get up for nearly an hour. Over the subsequent month her symptoms progressed and she presented to hospital with an asy...