Article Text
PDF
Statistics from Altmetric.com
-
What is the diagnosis?
A woman in her forties was brought to hospital from the airport after she returned from a five week overseas trip to Japan and China. She had been unwell for 48 hours with fever, headache, and confusion. Examination findings included meningism, stupor, rigidity of all four limbs, generalised hyperreflexia, myoclonus, and an extensor left plantar response. There was a cerebrospinal fluid (CSF) pleocytosis (white cell count 283 × 109/l, 67% lymphocytes, 33% polymorphs). The CSF protein was 0.55 g/l and the glucose was 3.8 mmol/l. T2-weighted MRI (see fig) showed hyperintense signal in the thalamus.
Neil Anderson, New Zealand
-
Read …
Read the full text or download the PDF:
Other content recommended for you
- Intracranial dural arteriovenous fistula mistaken as cervical transverse myelitis
- Mid and long term outcomes of dural arteriovenous fistula endovascular management with Onyx. Experience of a single tertiary center
- Dural arteriovenous fistula of the craniocervical junction
- Reduced grey matter perfusion without volume loss in early relapsing-remitting multiple sclerosis
- Dural tentorial arteriovenous fistula causing isolated trochlear nerve palsy: remission after endovascular embolization
- Dural arteriovenous fistula presenting with progressive dementia and parkinsonism
- Intracranial dural arterio-venous fistula
- Delayed postoperative dural arteriovenous fistula presenting with progressive dementia
- The application of susceptibility-weighted MRI in pre-interventional evaluation of intracranial dural arteriovenous fistulas
- Infectious encephalitis: mimics and chameleons