ABSTRACT
Neurologic manifestations are infrequent in infectious mononucleosis and specially hypoglossal nerve involvement is very rare. To the best of our knowledge only 6 cases have been previously reported. We describe herein the case of a 20-years-old man who presented an unilateral hypoglossal nerve palsy secondary to infectious mononucleosis. He was treated i.v. steroids without recovery, but the palsy resolved spontaneously 2 months after the onset.
Subject(s)
Hypoglossal Nerve Diseases/etiology , Infectious Mononucleosis/complications , Adult , Anti-Bacterial Agents/therapeutic use , Clindamycin/therapeutic use , Humans , Infectious Mononucleosis/drug therapy , MaleABSTRACT
A retrospective study of 250 patients with late-onset epilepsy was carried out. The ages ranged from 22 to 88. The seizures were partial in 104 patients and generalized in 146. The neurological examination was abnormal in 41 patients and normal in 209. The EEG studies and CT scan revealed abnormalities in 76.5% and 50.8% respectively. The most frequent CT scan findings were diffuse atrophy (19.2%), tumors (16.4%) and cerebral infarct (8.8%). The clinical parameters which best predicted the CT scan abnormalities were an abnormal neurological examination and simple partial seizures. In seven of the 45 patients with space-occupying lesions, the clinical examination and EEG were normal. The etiology of the convulsions was established in 201 patients, the most frequent cause being chronic alcoholism (62 cases), tumors (41 cases), postischemic vascular epilepsy (33 cases) and postraumatic epilepsy (28 cases). We conclude that a CT scan is essential in the assessment of patients with epileptic convulsions of late onset, even when the EEG and clinical examination are normal.
Subject(s)
Epilepsy/etiology , Tomography, X-Ray Computed , Adult , Aged , Alcoholism/complications , Electroencephalography , Epilepsy/diagnostic imaging , Humans , Middle Aged , Neoplasms/complications , Neoplasms/diagnostic imaging , Retrospective Studies , Time FactorsABSTRACT
A case of benign osteoblastoma of the skull is reported. The clinical picture began when the patient was 15 years old, with exophthalmos and blindness in the right eye. After the enucleation of this eye, the only symptoms were repetitive convulsive seizures. Radiologic studies done when the patient was 76 years old, and a postmortem examination following her death at this age, revealed a voluminous osteoblastoma localized in the anterior cranial fossa and invading the structures below. The clinical characteristics of osteoblastomas of the skull are briefly reviewed.
