Brain Abscess Presenting as Prolonged Headache in a Patient with Amyotrophic Lateral Sclerosis under Mechanical Ventilation.
Intern Med
; 59(4): 581-583, 2020 Feb 15.
Article
em En
| MEDLINE
| ID: mdl-31611533
ABSTRACT
A 57-year-old woman with amyotrophic lateral sclerosis (ALS) receiving mechanical ventilation developed intractable right temporal headache. She was diagnosed with brain abscess secondary to chronic suppurative otitis media. In this case, the otitis media was caused by nasopharyngeal reflux associated with eustachian tube muscle weakness and a supine position. In addition, ALS patients under mechanical ventilation have a limited ability to convey their pain. Their complaints are often overlooked because many physicians do not know that pain is common in ALS. Physicians should recognize brain abscess as a severe complication of ALS and listen to the complaints of these patients.
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Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Dor
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Abscesso Encefálico
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Meropeném
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Esclerose Lateral Amiotrófica
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Antibacterianos
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article