RESUMO
A wide variety of diseases present with intracranial lesions. In this case report, a 67-year-old man initially presented to an outside hospital with nausea, headache, and ataxia and was found to have multiple intracranial lesions. Diagnostic workup was ultimately unrevealing, and his condition improved after a course of steroids and antibiotics. Unfortunately, symptoms returned 3 months later. MRI of the brain revealed progression of his intracranial lesions. This case highlights a diagnostic approach and general management strategy for patients presenting with undifferentiated intracranial pathology. A final diagnosis is ultimately reached and raises further discussion.
Assuntos
Antibacterianos , Encéfalo , Infecções Protozoárias do Sistema Nervoso Central , Hemianopsia , Humanos , Masculino , Idoso , Hemianopsia/etiologia , Imageamento por Ressonância Magnética , Encéfalo/diagnóstico por imagem , Infecções Protozoárias do Sistema Nervoso Central/diagnóstico , Infecções Protozoárias do Sistema Nervoso Central/tratamento farmacológico , Naegleria fowleri , Antibacterianos/uso terapêutico , Resultado do TratamentoRESUMO
Although eosinophilic fasciitis is known to be part of the deep morphea spectrum, this first report of the coexistence of granulomatous fasciitis and morphea profunda suggests that granulomatous fasciitis may also be a part of the spectrum of deep morphea.
RESUMO
OBJECTIVES/HYPOTHESIS: To increase awareness of torture among otolaryngologists, and to describe methods and complications of head and neck torture. STUDY DESIGN: Retrospective review. METHODS: Five cases of survivors of torture were evaluated in an otolaryngology practice in an urban hospital setting. RESULTS: The subjects presented with widely variable symptoms and physical manifestations related to the head and neck as a result of torture, in addition to psychiatric disease. Documentation of head and neck findings were essential to the asylum claim. CONCLUSIONS: Otolaryngologists serving immigrant and refugee populations must be familiar with methods and manifestations of torture involving the head and neck.