• Tidak ada hasil yang ditemukan

Teaching NeuroImages

N/A
N/A
Info
Unduh - Bebas
Protected

Academic year: 2024

Membagikan "Teaching NeuroImages"

Copied!
4
0
0

Memuat.... (Lihat teks lengkap sekarang)

Unduh sekarang ( 4 Halaman )

Teks penuh

(1)

A 61-year-old man with progressive gait imbalance and skin lesions

Teaching NeuroImages

Neurology®

Resident & Fellow Section

© 2020 American Academy of Neurology

(2)

Vignette

Budhram et al.

• A 61-year-old man developed progressive gait imbalance and papular skin lesions over nine months

• Fatigue reported but no other constitutional symptoms

• Neurologic examination revealed gait ataxia

• Brain MRI demonstrated punctate enhancing foci supratentorially, and patchy pontine T2-hyperintensity without pituitary or orbital abnormality

• Skin biopsy: histiocytic neoplasm. CD1a,negative; S100,weakly positive; positive,CD163, Factor 13A, BRAF V600E

© 2020 American Academy of Neurology

(3)

Figure 1 Figure 2

Budhram et al.

© 2020 American Academy of Neurology

(4)

Brain and skin involvement in Erdheim-Chester disease

• Brain involvement occurs in up to half of patients with Erdheim- Chester disease

• Brain involvement may manifest radiographically as pontine or cerebellar T2-hyperintensity

• Multifocal punctate enhancement has also been reported

• Skin involvement is observed in ~25% of patients

• Xanthelasma-like lesions are most common, although cutaneous xanthoma-like lesions are also possible

Budhram et al.

© 2020 American Academy of Neurology

Referensi

Unduh sekarang ( PPTX - 4 Halaman - 3.05 MB )

Dokumen terkait

A lumpy bumpy stomach: The more the murkier

Introduction Primary gastric lymphomas are rare, however, the stomach is the most common gastrointestinal GI site of involvement in extra-nodal disease.1 Lymphomas may have diverse

Studies of the Rickettsias of the Typhus-Rocky-Mountain-Spotted-Fever group in South Africa. III. The disease in the experimental animal. Cross-immunity tests

About half of the sheep used reacted with an elevation of temperature see Chart 3 when infective guinea-pig brain was injected intravenously, and the disease could be carried on in

FIGURE 14-1. A - Digital Library ARS University

Disorders that may appear differently in persons with darker skin types include atopic dermatitis, pityriasis rosea, psoriasis, and lupus erythematosus.Any inflammatory disease will

Macedonian Journal of Medical Sciences - OAMJMS

As additional criterias are taken into account were the criteria for inclusion and exclusion of the study: Criteria for inclusion: patients with periodontal disease which manifest the

Readings

Natural history of brain arteriovenous malformations: a long-term follow-up study of risk of hemorrhage in 238 patients.. Heros RC, Korosue K, Diebold

Leukaemia Cutis Presenting as Leonine Facies - HCTM

Photograph of the patient showing the skin lesions over the face that resembled leonine facies Leukaemia cutis occurs in about 20% of patients with acute monocytic leukaemiaFAB-M5Y,

Steam-Based Learning Bibliometric Analysis: Opportunities in Indonesian Language Teaching Research

Bayles Food-Based Science, Technology, Engineering, Arts, and Mathematics STEAM Learning Activities May Reduce Decline in Preschoolers' Skin Carotenoid Status 2021 Journal

Bone Complications in a Patient With Lepromatous Leprosy

Bone disease is one of the principal prognostic factors2 and occurs in 15% to 29% of patients.3 Higher percentages 40%-95% have been reported in the literature,2,4 in part because such