scholarly journals Julius Caesar's Late Onset Epilepsy: A Case of Historic Proportions

2010 ◽  
Vol 37 (5) ◽  
pp. 557-561 ◽  
Author(s):  
Richard S. McLachlan
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Clinical Presentation ◽  
Late Onset ◽  
Real Possibility

This is a case report of Julius Caesar's epilepsy that onset when he was 54-years-old. The differential diagnosis of late onset epilepsy is discussed and the rationale presented for concluding from the clinical presentation that the cause was neurocysticercosis. That this man's disease and its consequences altered the course of history is a very real possibility.

scholarly journals Very late-onset behavioral variant frontotemporal dementia

2013 ◽  
Vol 7 (1) ◽  
pp. 136-139
Author(s):  
Henrique Cerqueira Guimarães ◽  
Tatiana de Carvalho Espindola
Keyword(s):  
Case Report ◽  
Frontotemporal Dementia ◽  
Frontotemporal Lobar Degeneration ◽  
Clinical Presentation ◽  
Late Onset ◽  
Ground Level ◽  
Dementia Diagnosis ◽  
Behavioral Variant Frontotemporal Dementia ◽  
Genetically Determined ◽  
Late Onset Dementia

ABSTRACT Current concepts regarding frontotemporal lobar degeneration (FTLD) have evolved rapidly in recent years. Genetically determined FTLD cohorts have broadened our knowledge pertaining to its clinical presentation, neuroimaging findings and demographics. In this study we present a case report of a patient diagnosed with behavioral variant frontotemporal dementia diagnosis in her nineties during hospital admission for a ground-level fall. We believe this case reinforces the pervasive nature of this clinical entity, and may contribute to an increased awareness of this diagnostic possibility in late-onset dementia.

scholarly journals Normocytic Normochromic Anemia Revealed an Early Onset Hashimoto’s Hypothyroidism in an Infant: A Case Report

2021 ◽  
pp. 1-5
Author(s):  
Manal Mustafa Khadora ◽  
Maysa Saleh ◽  
Rawah Idres ◽  
Sura Ahmed Al-Doory ◽  
Mahmoud Ahmed Radaideh
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Autoimmune Thyroiditis ◽  
Subclinical Hypothyroidism ◽  
Early Onset ◽  
Clinical Presentation ◽  
Primary Hypothyroidism ◽  
Normocytic Normochromic Anemia ◽  
Wide Range ◽  
Normochromic Anemia

Autoimmune thyroiditis is very rare etiology of primary hypothyroidism in infancy. Hypothyroidism has a wide range of clinical presentation, from subclinical hypothyroidism to overt type. It is unclear what pathological mechanisms connect thyroid function and erythropoiesis or how thyroid disease can contribute to anemia. We report a 12-month-old infant who presented with anemia associated with early onset of overt autoimmune thyroiditis. The peculiarity of our case enables us to draw attention of physician to consider acquired hypothyroidism in the differential diagnosis of unexplained anemia even if the neonatal screening is normal and congenital hypothyroidism is a remote possibility.

scholarly journals Seborrheic keratosis of the nasal tip-an unusual case report

2016 ◽  
Vol 21 (2) ◽  
pp. 119-121
Author(s):  
Abdullah Al Mamun ◽  
Dewan Mahmud Hasan
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Unusual Case ◽  
Clinical Presentation ◽  
Histopathological Examination ◽  
Histopathologic Examination ◽  
Seborrheic Keratosis ◽  
Hyperkeratotic Lesion ◽  
Unusual Case Report ◽  
Skin Mucosa

Seborrheic keratosis is a benign tumour of skin, a common hyperkeratotic lesion of the epidermis,that usually occurs in the trunk and less frequently in the extremities, face and the scalp. A 65-year old farmer presented with a long standing, slowly growing, firm, redbrown, polypoidal mass about 2×2.5 cm in size, located at the skin mucosa interfare of the tip of nose. The lesion was excised under general anesthesia and histopathologic examination showed seborrheic keratosis. Diagnosis is made on the basis of clinical & histopathological examination. Here, we discuss the clinical presentation, differential diagnosis, pathological diagnosis and management of such a case. There was no recurrence during a year follow-up.Bangladesh J Otorhinolaryngol; October 2015; 21(2): 119-121

scholarly journals Case Report: Prolapsed Ureterocele—A Differential Diagnosis of Urethral Cists

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Francisco Renan Doth Sales ◽  
Georgia Alexsandra Colantonio Dourado ◽  
Ana Carolina Montes Ribeiro ◽  
Humberto de Holanda Madeira Barros ◽  
David Sucupira Cristino ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Urinary Tract ◽  
Young Children ◽  
Clinical Presentation ◽  
Cystic Dilatation ◽  
Distal Ureter ◽  
Urethral Prolapse ◽  
Infants And Young Children ◽  
Vulvar Mass

Ureterocele is a cystic dilatation of submucosal distal ureter. It presents a higher incidence in infants and young children but is rare in adults. The urethral prolapse of ureterocele is extremely rare, and its clinical presentation includes vulvar mass, hematuria, and urinary tract dysfunction. We present a case of ureterocele prolapse in a 45-year-old woman who has a 3-day-evolution vulvar mass and intense urethral bleeding. The patient underwent armed cystoscopy and ureteroscopy, ureterocele resection, and biopsy. She evolved with good postoperative condition and was then discharged.

Clinical Presentation and Anatopathologic Finding of a Hepatic Vascular Hamartoma: a Case Report.

2018 ◽  
Vol 17 (5) ◽  
pp. 0-10
Author(s):  
Valentina Ferri ◽  
Benedetto Ielpo ◽  
Hipolito Duran ◽  
Eduardo Diaz ◽  
Isabel Fabra ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Benign Tumor ◽  
Vascular Tissue ◽  
Clinical Presentation ◽  
Mesenchymal Hamartoma ◽  
Total Excision ◽  
Pathologic Findings ◽  
Vascular Hamartoma

HVH (hepatic vascular hamartoma) is a tumor like malformation arising from the vascular tissue of the liver. HVH has been previously reported in animals and presents distintive features from the most frequent benign tumor like malformation of the liver, the hepatic mesenchymal hamartoma (HMH). Herein we report a case of HVH localized in hepatic segment 4b, involving the gastro hepatic ligament, successfully treated with total excision. We describe the anatomo-pathologic findings focusing on the clinical and radiological presentation, the intraoperative characteristics and the differential diagnosis.

Perifolliculitis Capitis Abscedens et Suffodiens in an 18-Year-Old Aboriginal Canadian Patient: Case Report and Review of the Literature

2007 ◽  
Vol 11 (1) ◽  
pp. 35-39 ◽  
Author(s):  
Nishi Varshney ◽  
Anwar Al Hammadi ◽  
Hakeem Sam ◽  
A. Kevin Watters
Keyword(s):  
Differential Diagnosis ◽  
African American ◽  
Case Report ◽  
Clinical Presentation ◽  
Treatment Options ◽  
Careful Analysis ◽  
Review Of The Literature ◽  
Patient Case ◽  
Diagnosis And Management ◽  
Canadian Patient

Background: Perifolliculitis capitis abscedens et suffodiens (PCAS) is a suppurative process that involves the scalp, eventually resulting in extensive scarring and irreversible alopecia. This condition often presents in males of African American origin. Objective: This article describes the clinical presentation, diagnosis, and treatment of an Aboriginal Canadian male suffering from PCAS. A literature review on the etiology, pathology, differential diagnosis, and management is also discussed. Conclusion: Careful analysis of the pathology and clinical presentation can aid in the timely diagnosis and management of this challenging condition. The clinician dealing with patients suffering from PCAS has several treatment options available to help successfully manage patients with straightforward or recalcitrant disease.

scholarly journals Dramatic improvement of segmental Zoster Paresis by late-onset antiviral therapy

2021 ◽  
Vol 18 (4) ◽  
pp. 44-48
Author(s):  
Halil Onder ◽  
Gokcen Celik
Keyword(s):  
Neuropathic Pain ◽  
Differential Diagnosis ◽  
Case Report ◽  
Herpes Zoster ◽  
Clinical Course ◽  
Late Onset ◽  
Neurological Complication ◽  
Dramatic Improvement ◽  
Antiviral Medication ◽  
Low Dosage

Focal paresis secondary to Herpes zoster (HZ) is a rare neurological complication and should be kept in mind in the differential diagnosis of acute weakness with corresponding dermatomal rashes. In this case report, we illustrate an 84-year-old male patient, who presented with focal upper extremity weakness following HZ on right C4-8 dermatome. After clinical and electrophysiological evaluations, segmental zoster paresis was diagnosed. Although antiviral medication(oral brivudine) had been administered previously, oral valacyclovir and low dosage methylprednisolone were initiated. In the following 2 months interval, a progressive and dramatic recovery in extremity weakness and neuropathic pain were achieved. The clinical course of this patient may give substantial perspectives regarding the clinical evaluation of similar cases.

scholarly journals Progression of Hepatic Adenoma to Carcinoma in the Setting of Hepatoportal Sclerosis in HIV Patient: Case Report and Review of the Literature

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
M. I. Montenovo ◽  
F. G. Jalikis ◽  
M. Yeh ◽  
J. D. Reyes
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Liver Disease ◽  
Clinical Presentation ◽  
Final Diagnosis ◽  
Hepatic Adenoma ◽  
Review Of The Literature ◽  
Patient Case ◽  
Hepatoportal Sclerosis ◽  
First Case

We report a case of hepatic adenoma progression to carcinoma in the setting of hepatoportal sclerosis in an HIV+ patient and provide a review of the scarce literature regarding hepatoportal sclerosis in HIV patients. We describe the clinical presentation, diagnostic workup, and management. This is the first case report in the literature of progression of hepatic adenoma to carcinoma in hepatoportal sclerosis in an HIV patient. This case also highlights the broad differential diagnosis that should always be included in the study of any liver disease in this patient population, including the performance of invasive and aggressive tests to arrive at the final diagnosis.

scholarly journals Intramedullary Blastomycosis in a Child: Case Report

2004 ◽  
Vol 31 (2) ◽  
pp. 282-285 ◽  
Author(s):  
A.M. Parr ◽  
D. Fewer
Keyword(s):  
Magnetic Resonance Imaging ◽  
Differential Diagnosis ◽  
Case Report ◽  
Magnetic Resonance ◽  
Clinical Presentation ◽  
Substantial Improvement ◽  
Pathological Examination ◽  
Resonance Imaging ◽  
Total Resection ◽  
Intramedullary Lesion

AbstractObjective:To report a case of spinal intramedullary blastomycosis causing myelopathy. This is the first published case of a pediatric patient with intramedullary blastomycosis and compromised function.Clinical presentation:An otherwise healthy 13-year-old patient was diagnosed with respiratory North American blastomycosis. She subsequently received a five-month course of itraconazole with presumed resolution of the infection. The patient presented again at 14 years of age with a lumbar myelopathy. Magnetic resonance imaging revealed an intramedullary lesion of 1 cm diameter at the level of T12-L1.Intervention:AT12-L1 laminectomy was performed with a gross total resection of the lesion. Pathological examination and microbiological culture of the specimen was consistent with blastomycosis. Postoperatively, the patient was placed on a five week course of amphotericin B. The patient showed substantial improvement in neurological function.Conclusion:Blastomycosis can present as an isolated intramedullary lesion causing compromised function. It should be considered in the differential diagnosis of a patient with a myelopathy and previously recognized blastomycosis. The prognosis is good with surgical resection.

scholarly journals Bilateral Blindness Due to Acute Isolated Sphenoid Sinusitis- Is It Reversible? A Case Report

2014 ◽  
Vol 15 (2) ◽  
pp. 146-148
Author(s):  
Roshan Kumar Verma ◽  
Naresh K Panda
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Differential Diagnosis ◽  
Case Report ◽  
Early Diagnosis ◽  
Paranasal Sinuses ◽  
Sphenoid Sinus ◽  
Vision Loss ◽  
Clinical Presentation ◽  
Sphenoid Sinusitis

Acute isolated sphenoid sinusitis is a rare and is seen in only 3% of all cases of all sinusitis. It is frequently misdiagnosed because of its vague clinical presentation. We report a case of 35year old female who presented to our emergency department with complaints of painless rapidly developing bilateral vision loss. Non contrast computed tomography of paranasal sinuses showed only mild opacification of sphenoid sinus. Endoscopic sphenoidectomy was performed within 4 hrs of presentation. After 48 hrs of surgery the patient vision returned to 6/6 bilaterally. Acute sphenoid sinusitis should be considered in the differential diagnosis of acute vision loss. Awareness, early diagnosis, astute clinical sense and emergent intervention can prevent permanent complication.DOI: http://dx.doi.org/10.3329/jom.v15i2.20700 J MEDICINE 2014; 15 : 146-148

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