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ENDOLYMPHATIC SAC TUMOR (ELST) CLINICALLY
MIMICKING JUGULAR PARAGANGLIOMA. A
68-year-old woman reported an 8-year history of progressive hearing
loss of the left ear leading to anacusis.
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RATHKE'S CLEFT CYST: A 16 year old
female presented with two months of progressively worsening
headaches, lethargy and visual disturbances.
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ANAPLASTIC EPENDYMOMA: This
nine-year-old previously healthy girl presented with nausea, vomiting
and hydrocephalus.
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DYSEMBRYOPLASTIC NEUROEPITHELIAL TUMOR (DNT): A
31-year-old woman complaining of grand mal seizures since the age of
26 in 1990.
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METASTATIC HODGKIN'S DISEASE: A
37 year-old patient who works as a janitor in a fast food
restaurant. In May 1998, a year before the present complaint, a chest
radiograph showed massive mediastinal lymphadenopathy, which was
diagnosed as stage III nodular sclerosing Hodgkin's Disease.
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PIGMENTED CHOROID PLEXUS PAPILLOMA: This
nine-year-old previously healthy girl presented with nausea,
vomiting and hydrocephalus.
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INTRACRANIAL MESENCHYMAL OSTEOCHONDROMA: A
53-year-old obese man was transferred to the hospital with new onset
seizures and a left frontal intracranial tumor diagnosed by a CT scan.
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PINEOCYTOMA WITH NEURONAL
DIFFERENTIATION: 11 years old girl
presented clinically with impairment of upward conjugate gaze and
manifestations of increased intracranial pressure
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OPTIC NERVE PILOCYTIC ASTROCYTOMA: An
18-year-old male presented with a large swelling in the right orbit.
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TRIGEMINOFACIAL MALIGNANT EPITHELIOID SCHWANNOMA:
This 42 year old R handed male presented with an eight week history
of progressive left lower motor neuron facial weakness.
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ATYPICAL TERATOID/RHABDOID TUMOR OF THE
CENTRAL NERVOUS SYSTEM : The patient is a four year
old Caucasian girl with a constitutional ring chromosome 22 abnormality.
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PILOCYTIC ASTROCYTOMA: This 22 month
old white female presented with an 8 month history of posterior neck
discomfort manifested by episodic crying, scratching, and pulling her
neck posteriorly. Recently the mother reported an onset of "hard coughing."
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ACUTE HEMORRHAGIC LEUKOENCEPHALOPATHY:
A 32 year old man with symptoms of an upper respiratory infection one
week prior presented with mental status changes and a severe
occipital headache of two days duration.
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HYPOTHALAMIC HAMARTOMA: This 4 year
old girl began to develop pubic hair around age 3 and by age 4 had
developed breast buds. She was well above the 95th percentile in
height and weight. A bone scan showed a bone age of 11 years.
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PRIMARY AMEBIC MENINGOENCEPHALITIS: A
19-year-old healthy male fell into stagnant water of the intercostal
waterway (salt water of South Florida), following a jet ski accident.
He sustained minor superficial injuries but engulfed significant
quantities of water and sediment.
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PITUITARY ADENOMA: An 82-year-old
Caucasian male who developed visual problems in 1989 received a
magnetic resonance (MR) scan which revealed a 2 cm pituitary adenoma
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CYSTIC GANGLIONEUROCYTOMA: A
12-year-old boy complained of headache of one-month duration and a
recent onset of right-sided seizures followed by the loss of
consciousness. He had complained of fatigue and attention deficits
for about two years.
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MICROVASCULITIS ASSOCIATED WITH SYSTEMIC
LUPUS ERYTHEMATOSUS: Several weeks after a tooth extraction
complicated by a dental abscess that required ampicillin and
metronidazole, a 66 year old retired mechanic was admitted to
hospital with a one week history of urinary retention, change in
personality and headache. Medical history was notable for
hypertension, duodenal ulcer, a positive TB skin test and microscopic haematuria.
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INTRAVASCULAR MALIGNANT LYMPHOMATOSIS:
A 70-year-old female presented with short episodes of aphasia and
disorientation resembling complex-focal seizures, with corresponding
characteristic EEG features. MRI of the brain was unremarkable.
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DESMOPLASTIC INFANTILE GANGLIOGLIOMA:
This 6-month-old Caucasian boy presented with a 10-day history
of progressive left head tilt, lethargy evolving into obtundation,
deteriorating visual and motor skills.
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GIANT CHOLESTEROL GRANULOMA OF THE PETROUS
PORTION OF THE TEMPORAL BONE: The patient is a 58 year-old
man who had a rubella virus infection with acute otitis media as a
child and decreased hearing in his right ear since childhood. He
presented to the hospital with a two-year history of dizziness and vertigo.
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MALIGNANT SOLITARY FIBROUS TUMOR: A
61 year-old female was found in her home moaning and unresponsive.
She was taken to hospital where she was uncooperative and too
obtunded to provide a history.
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LANGERHANS'S CELL HISTIOCYTOSIS: A 29
year-old woman who sustained a minor hit of her head on the closet
two months prior.
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WEGENER'S GRANULAMATOSIS: This
32-year-old woman underwent mastoid surgery for chronic
antibiotic-resistant middle ear "infections" one year prior
to the present illness.
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PROGRESSIVE SUPRANUCLEAR PALSY: A 70
year-old right-handed, retired obstetrician without significant past
medical history presented to a neurologist in 1993 with a four year
history of cognitive decline.
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CEREBRAL TOXOPLASMOSIS: A 35-year-old
male presented after he had experienced two episodes of difficulties
in word finding lasting less than 20 minutes each earlier in the day.
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HALLERVORDEN-SPATZ DISEASE: The
patient was a twenty-four year old female with a long and complicated
medical history.
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PILOCYTIC ASTROCYTOMA: This
16-year-old young man presented in 1993 with headache, nausea, and vomiting.
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SOLITARY FIBROUS TUMOR OF THE MENINGES:
A 41-year-old white female without significant past medical history
presented with a six-month history of progressively worsening
headache and a more recent onset of progressive visual complaints.
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PIGMENTED VILLONODULAR SYNOVITIS: The
patient was a 13 year old girl who suffered from back pain and
recurrent falls for about one year.
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SUBACUTE SCLEROSING PANENCEPHALITIS (SSPE). A
34-year-old right-handed woman was admitted to the hospital because
of progressive confusion and visual loss.
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GRANULOMATOUS ANGIITIS OF THE CNS.
A 43-year-old right-handed paraplegic man was admitted to the
hospital because of increasing confusion and aphasia, increasing
fatigue, weight loss, and new decubitus ulcers.
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SCHISTOSOMA
MANSONI ENCEPHALITIS. A
30-year-old right-handed man was admitted to the hospital because of
a generalized tonic–clonic seizure and a left temporal-lobe mass.
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NEUROSARCOIDOSIS. A 51-year-old man
was admitted to the hospital because of visual "instability"
and an intracranial mass.
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JUGULAR FORAMEN LIPOMA. A 22-year-old
female presented with complaints of slow progressive loss of hearing
in the left ear for about 10 years.
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PERICALLOSAL LIPOMA. A report
of seven cases
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FETAL PERICALLOSAL LIPOMA. Case report
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SUPERIOR SAGITTAL SINUS THROMBOSIS WITH INFARCTS.
A 19-year-old woman presented with a 3-week history of headaches and
blurred vision and with new onset of weakness on the right side.
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MALIGNANT MIXED GERM CELL TUMOR . A
12-year-old boy presented with an 18-month history of polyuria,
nocturia (two to four times a night), and polydipsia.
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FACIAL NERVE SCHWANNOMA. A
26-year-old man presented with a 6–8-month history of
progressive right-sided facial weakness.
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WILSON DISEASE. A 26 years old
patient presented clinically with liver cirrhosis, ascites,
splenomegaly, and markedly impaired liver function that dated since
birth, with recurrent attacks of acute hepatitis, with jaundice and fever.
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STURGE- WEBER SYNDROME. A newborn
black boy was examined because of bilateral facial port-wine nevi,
left-sided glaucoma, and a cloudy cornea.
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CHRONIC LIVER DISEASE. Neuroimaging
findings in 21 patients
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CNS INFECTION IN SYSTEMIC RHEUMATIC DISEASES.
Report of three cases
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MALIGNANT PINEOBLASTOMA. A
48-year-old woman who was in good health until approximately one week
prior to presentation.
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CRYPTOCOCCAL MENINGITIS WITH VASCULITIS AND
CEREBRAL INFARCT. A 60-year-old male with a history of
diabetes mellitus, tobacco use, and hypertension presented with a
chief complaint of transient right-handed clumsiness and slurred speech.
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RHABDOID MENINGIOMA. Over the past
year, this man in late sixties had complained about progressive
weakness of concentration and memory disturbances, associated with
word finding difficulties.
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PILOCYTIC ASTROCYTOMA. A man in his
mid-sixties complained about an increasing sense of abdominal
"constriction" over a two years period. Eighteen months
after the onset of this symptom additional tingling of the legs was perceived.
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METASTATIC CARCINOID. A 62 year old
man with carcinoid tumor of unknown primary, metastatic to the liver.
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DESMOPLASTIC INFANTILE GANGLIOMA. A
previously healthy 6-month-old Hispanic female was brought to the
emergency department for new onset seizures characterized by six days
of intermittent, rhythmic twitching of the left eyelid and arm,
drooling, and decreased responsiveness to external stimuli.
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MYOPATHY WITH CYTOPLASMIC BODIES AND MULTI-CORES.
A 32-year-old woman with anorexia nervosa and depression developed
severe weakness, fatigue, and myalgias over several weeks. She had
proximal more than distal weakness and dysphagia with nasal
regurgitation. She became unable to walk. Sensation and tendon
reflexes were unimpaired.
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TOXIC POLYNEUROPATHY INDUCED BY HYDROCHLOROQUINE.
A 70 year old woman developed, 12 years previously, polyarticular
arthritis, butterfly rash, Sicca syndrome and was found to be ANA
positive, Coombs positive and ENA positive. Investigations also
revealed an IgG lambda paraprotein in serum and urine and 10% of
plasma cells in bone marrow biopsy.
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TUBERCULOUS RADICULOMYELITIS. A
27-year-old man presented to the clinic because of subacute onset of
bilateral lower limb weakness.
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SCHISTOSOMA MANSONI MYELOPATHY. A
40-Year-Old Woman with the Rapid Onset of Flaccid Paraplegia
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CREUTZFELDT-JAKOB DISEASE: A
68-year-old woman was admitted to the hospital because of rapidly
progressive dementia and a gait disorder.
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SUBACUTE COMBINED DEGENERATION. A 56
year old man presented with acute onset of paresthesia involving both
hands and feet of 15 days duration.
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KLUVER-BUCY SYNDROME. We report the
clinical characteristics of 6 patients with KBS associated with
different etiologies including neurocysticercosis and tuberculous meningitis.
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INTERNUCLEAR OPHTHALMOPLEGIA AND TORSIONAL
NYSTAGMUS: AN MRI CORRELATE. A 72-year-old man was
admitted with complaints of sudden onset dizziness and vomiting.
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CHORDOID MENINGIOMA. In this report,
we describe 2 cases of chordoid meningioma, highlighting the
clinical, neuroradiological and light microscopic features.
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BALÓ’S CONCENTRIC SCLEROSIS.
A description of 2 cases with concentric sclerosis.
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NEURO-BEHCET. Two
cases of neuro-Behçet’s disease mimicking cerebral tumor.
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NEOPLASTIC SYRINGOMYELIA. We present
2 cases of spinal hemangioblastoma, one in the conus medullaris and
the other in midthoracic region, accompanied by holocord syrinx..
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INTRAVENTRICULAR CAVERNOMA. A
22-year-old white woman presented with a 2-month history of ataxia
and personality changes, consisting mainly of abulia, headache, and
neck pain. Her medical history included significant hypertension and
long-standing mental retardation.
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PRIMITIVE NEUROECTODERMAL TUMOR (PNET)
SHOWING MULTILINEAL DIFFERENTIATION. A boy aged 7 years was
investigated for dizziness, diplopia and occasional visual
hallucinations over a period of three months.
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KEARNS-SAYRE SYNDROME. In this
presentation, we have chosen to report on the case of a patient
diagnosed as KSS with an associated hypothyroidism,
hypoparathyroidism, diabetes mellitus and adrenocortical failure.
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MELAS SYNDROME. A 38-year-old
right-handed man presented with fever, headache, confusion, partial
seizures with secondary generalisation and a right parieto-temporal syndrome.
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FUKUYAMA CONGENITAL MUSCULAR DYSTROPHY.
Fukuyama congenital muscular dystrophy (FCMD) is the most common
congenital muscular dystrophy in Japan and there are isolated reports
of non-Japanese patients with FCMD.
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KALLMANN SYNDROME. Kallmann syndrome
(KS) is a neuronal migration disorder characterised by
hypogonadotrophic hypogonadism and anosmia or hyposmia.
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SALMONELLA SPINAL OSTEOMYELITIS. A
case of vertebral osteomyelitis is presented where initial
presumptive diagnosis of tuberculous infection was made on
clinico-radiological grounds but eventually turned out to be
Salmonella infection upon exploration, biopsy and culture.
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BRAIN STEM COMPRESSION SECONDARY TO BASILAR IMPRESSION.
A man with 5-6 month history of progressive dysphagia and
suboccipital headache.
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SPINAL STENOSIS, BASILAR INVAGINATION.
49 yr old female with Down's Syndrome presents with respiratory
arrest, and bradycardia.
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CEREBRAL EMBOLISM FROM ATRIAL MYXOMA.
A 24 year old with sudden hemiplegia.
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OCCULT SPINAL DYSRAPHISM. 22
years old female patient presented clinically with cerebellar
manifestations, lower cranial nerve dysfunction, bilateral pyramidal
manifestation, a cervical subcutaneous lipoma and pes cavus.
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STAPHYLOCOCCAL
OSTEOMYELITIS WITH EPIDURAL ABSCESS. This 56 year old
man had a five year history of Parkinson's disease.
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OSTEOID OSTEOMA OF THE SPINE. A
14 year old male patient repeatedly sought medical advice,
complaining of dull aching pain in his left lower back.
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GLIOMATOSIS CEREBRI. A 7-year-old
girl presented with a 10-day history of progressive headaches,
nausea, and vomiting.
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SPONTANEOUS INVOLUTION OF PILOCYTIC
ASTROCYTOMA IN A PATIENT WITH NEUROFIBROMATOSIS TYPE I. The
patient, a 19-year-old man, presented with complaints of
"writer's cramp.
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ANGIOMYOLIPOMAS IN TUBEROUS SCLEROSIS.
A 28-year-old pregnant woman presented with eclampsia. An emergent
cesarean section was performed, and recovery was uneventful.
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TUBEROUS SCLEROSIS. A term girl had
two partial seizures in the 1st day of life.
