Everything Old is New Again

Investigations: Dr. Florendo-Cumbermack She had the following blood work completed and all were found to be within normal limits: a complete blood count, urea, creatinine, electrolytes, calcium, magnesium, liver enzymes, albumin, random glucose, international normalized ratio, partial prothrombin ti...

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Bibliographic Details
Published in:Canadian journal of neurological sciences 2016-01, Vol.43 (1), p.213-218
Main Authors: Florendo-Cumbermack, Anita, Selchen, Dan, Morrow, Sarah A., Sharma, Manas, Steven, David, Ang, Lee C., Casserly, Courtney, Burneo, Jorge, Kremenchutzky, Marcelo, Hammond, Robert
Format: Article
Language:English
Subjects:
Activities of daily living
Aphasia
Ataxia
Biopsy
Brain Diseases - diagnosis
Brain Diseases - pathology
Brain Diseases - physiopathology
Cardiovascular disease
Clinical Neuropathological Conference
Creatinine
Daughters
Emergency medical care
Female
Humans
Lymphoma
Magnetic resonance imaging
Medical imaging
Middle Aged
Stroke
Tomography
Citations: Items that this one cites
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Summary:Investigations: Dr. Florendo-Cumbermack She had the following blood work completed and all were found to be within normal limits: a complete blood count, urea, creatinine, electrolytes, calcium, magnesium, liver enzymes, albumin, random glucose, international normalized ratio, partial prothrombin time, creatinine kinase, troponin-T, thyroid stimulating hormone, serum angiotensin-converting enzyme (ACE), serum protein electrophoresis, antinuclear antibody, anti-ds DNA, anti-extractable nuclear antigen screen, anti- neuromyelitis optica (NMO) antibodies, and Lyme serology. Neuroradiology: Dr. Sharma Initial CT scan of the head (Figure 1A) performed on admission revealed bilateral extensive posterior white matter hypodensities, more on the left, but extending across the corpus callosum, with some local volume expansion. (A) Initial CT on presentation to the emergency department shows large, predominately white matter hypodensities crossing midline but larger on the left, with some local mass effect. An MRI of the brain (Figure 1B-E) was performed a day later and again demonstrated extensive, predominantly posterior and left, centrum semiovale white matter signal change with a T1 hypointense and T2 hyperintense appearance and local mass effect.
ISSN:0317-1671
2057-0155
DOI:10.1017/cjn.2015.309