ABSTRACT
Posterior reversible encephalopathy syndrome (PRES) is described neurological condition identifiable by clinical and radiological presentation. It occurs due to elevated blood pressure which exceeds auto-regulatory capacity of brain vasculature. PRES is characterized by headache, confusion, seizures, and altered mental function. In this report we describe a case of eleven-year-old boy who was hospitalized, because of nausea, vomiting, intermittent fever, headache, confusion and distress. Because of suspicion of encephalitis CT and MRI examinations were performed immediately where was established diagnose of PRES syndrome.
Subject(s)
Hypertensive Encephalopathy/diagnosis , Acute Disease , Child , Glomerulonephritis/complications , Humans , Hypertensive Encephalopathy/complications , Magnetic Resonance Imaging , Male , Tomography, X-Ray ComputedABSTRACT
The authors describe a case of "boxer's dementia" which is rarely seen in our literature and even more in clinical practice. Although the patient exhibited fairly mild and discrete symptoms, which gave rise to some suspicion that this might be a case of this rare psychoorganic illness, authors immediately employed all available diagnostic procedures (psychiatric, radiological, neurological, neuropsychological, etc) so as to resolve their diagnostic dilemma. Based on the clinical picture, the result of the diagnostic procedures and the key anamnestic information that a patient was a professional boxer for 15 years, the authors concluded that this was a case of clinical exhibition of chronic encephalopathy, often called dementia pugilistica in literature.
Subject(s)
Boxing/injuries , Brain Damage, Chronic/diagnosis , Dementia/diagnosis , Brain Damage, Chronic/etiology , Dementia/etiology , Humans , Male , Middle AgedABSTRACT
UNLABELLED: The aim of this study is to access magnetic resonance as the imaging modality of choice in differentiation of cerebellopontine angle tumors. MATERIAL AND METHODS: In period of five years in 53 patients were diagnosed CPA tumors. 31 were women, 22 men, range age 14 to 72 years. All patients were examined on 1.0 Tesla magnetic resonance unit, using T1, PD, T2 WI sequences, and after paramagnetic contrast administration T1 W1 in three ortogonal planes. REZULTS: In 44 (83%) patients were diagnosed acoustic schwannoma (NVIII), and 8 patients of these had Neurifibromatosis Type 2. In 2 (4%) patients were diagnosed trigeminal schwannoma (NV), in 2 (4%) hypogossal schwannoma. By 5 (9%) patients were diagnosed meningiomas. All diagnoses were by histology confirm. CONCLUSION: Thanks to its multiplanar and multi-parameters capabilities Magnetic resonance allowed precise location and characterization of CPA tumors. MR is the imaging modality of choice for preoperative work-up of cerebellopontine angle tumors.
