Subject(s)
Coronavirus Infections/ethnology , Ethnicity/statistics & numerical data , Health Personnel/statistics & numerical data , Pneumonia, Viral/ethnology , Racial Groups/statistics & numerical data , State Medicine/statistics & numerical data , Betacoronavirus , COVID-19 , Coronavirus Infections/mortality , Humans , Minority Groups/statistics & numerical data , Pandemics , Pneumonia, Viral/mortality , SARS-CoV-2 , United KingdomABSTRACT
Anton syndrome is characterised by visual anosognosia. It results from damage to both occipital lobes, while the anterior visual pathways remain intact. We describe four cases of Anton's syndrome. First case is that of a 73-year-old woman, who presented with two separate events of intraparenchymal brain haemorrhage, 4 years apart. Her first stroke affected the left and second affected the right occipital lobe. Bilateral occipital lobe damage resulted in cortical blindness. Second case is an 88-year-old man, who suffered from two ischaemic strokes, 2 days apart. Each stroke involved one posterior cerebral artery. This resulted in bilateral occipital and temporal lobe infarcts. Third case is a 64-year-old woman with chronic renal failure, who suffered bilateral occipital lobe infarction after haemodialysis, due to posterior reversible encephalopathy syndrome. Last case is that of an 80-year-old woman who suffered a basilar artery stroke, resulting in bilateral thalamic, temporal and occipital lobe infarction.
Subject(s)
Blindness, Cortical/etiology , Aged , Cerebral Hemorrhage/diagnostic imaging , Cerebral Hemorrhage/etiology , Female , Hemianopsia/etiology , Humans , Male , Middle Aged , Stroke/complications , Tomography, X-Ray ComputedABSTRACT
Upper cervical osteomyelitis is rare. Its presenting features are fever and neck pain, but rarely it can involve lower nerves. MRI is the main imaging modality, but it is difficult to interpret due to the unique anatomy of C1 and C2 vertebra and complex intervertebral joint. We describe a case of a 67-year-old woman, who presented with the complaint of loss of voice, neck pain and fever for 5 days. Despite repeated imaging of neck, the diagnosis was not reached. As the patient's condition continued to deteriorate, clinical signs of bilateral 10th and 12th cranial nerve paralysis appeared and lead to a focused workup for base of skull pathology. Discussion with the radiologist helped guide the imaging protocol, which leads to the correct diagnosis being made. Treatment was tailored by blood cultures and available images. Temporary immobilisation with a cervical collar and a total of 12 weeks of antibiotics lead to complete remission.
