for loss of neurological function in brain death examinations only detects the absence of brainstem function. This comprises the loss of consciousness and the absence of brainstem reflexes, including the capacity to breathe. The clinical examination cannot distinguish the complete loss of whole brain function from the isolated loss of brainstem function. The distinction between whole brain and ...

Abstract OBJECTIVE We aim to describe a case of follicular lymphoma that presented as durally-based thoracic spine lesion manifested rapidly progressive back pain and meningismus. BACKGROUND Follicular is one the most common forms non-Hodgkin’s lymphoma; however, it rare for present spinal meningeal mass lesion. METHODS This report review literature. RESULTS A 38-year-old man developed progress...

It was Cruveilhier in 1829 who gave the picturesque description of intracranial keratinous tumours, 'tumeurs perlees'. Bailey described the first successful removal of an intracranial pearly tumour in 1920. In the second case reported in that paper and in two subsequent cases reported by Bailey in 1924 in which only a subtotal removal of this lesion could be safely effected, the postoperative c...

Three cases of dengue fever involving the central nervous system (CNS) are reported. All occurred in 1994 during a dengue (DEN) epidemic caused by serotypes DEN-1 and DEN-2. The first case examined was a 17-year-old girl who complained of fever, nuchal rigidity and genital bleeding. Three blood samples were positive by anti-dengue IgM ELISA and showed hemagglutination-inhibition (HI) test titer...

Dental carries are frequent and can progress to central nervous system infections if untreated. A 17-year old patient presented with fever and unconsciousness. He, who irregularly used oral antibiotic for dental abscess, had fever, unconsciousness, exophtalmus, hyperemia and edema on left side, and meningismus. He had no focal deficit. On laboratory, leukocyte, 22,000/mm; C-reactive protein, 17...

The patient was a 25-year-old , right-handed man who had been hyperactive and nervous as a child. A grand mal seizure disorder had developed when he was 15. A brain scan and CT scan at that time showed a . small, calcified , left posterior temporal lesion. The patient was told that it was inoperable because of its location, and anticonvulsants were prescribed. In May 1984, poor seizure control ...

BACKGROUND Largely due to the lack of diagnostic reagents, the prevalence and clinical presentation of cryptococcal meningitis in Tanzania is poorly understood. This in turn is limiting the impact of increased fluconazole availability. METHODS We evaluated a cohort of 149 consecutive HIV-infected adult inpatients presenting with headache or altered mental status for clinical features, CD4 cou...