Imágenes en Neurología
Multi-territorial posterior circulation ischemic stroke after cocaine intoxication. Infarto cerebral isquémico multi-territorial de circulación posterior luego de un episodio de intoxicación por cocaína.
A 35-year-old man presented to the emergency department with altered mental status and bilateral tonicclonic seizures. Due to a progressive decrease in consciousness, he was intubated for airway protection. The patient’s relatives reported that he had used cocaine, leading to an initial suspicion of acute cocaine intoxication. However, a head CT scan without contrast revealed a hyperdense basilar artery sign without other signs of infarction (figure 1).
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El chico con medio cerebro. Boy with nearly half-of-brain
A watery eye and an enlarged trigeminal nerve. Ojo acuoso y ensanchamiento del nervio trigémino
A 45-year-old man was evaluated one week after the acute onset of pain and numbness in the right side of the face. On examination, he had a right watery eye, which has been present for several weeks. The patient denied history of eye trauma or previous episodes of inflammatory or infected conditions affecting the lacrimal drainage complex.
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Enfermedad de Creutzfeldt-Jakob. Creutzfeldt-Jakob disease
Calambres musculares relacionados con uso de donepezilo. Donepezil-related muscular cramps
Temporal Squama Pneumatization: An Under-Recognized Limitation Of Transcranial Doppler. Pneumatización de las Escamas Temporales: Una Limitación Poco Reconocida Del Doppler Transcraneal
Transcranial Doppler (TCD) is a non-invasive procedure that is increasingly used for diagnostic and prognostic purposes in patients with an acute stroke. In addition, TCD enhances the effect of thrombolysis by exposing thrombi surfaces to circulating rTPA. However, insonation problems through acoustic windows limit the diagnostic efficiency of TCD.
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Encefalopatía Hipóxico-Isquémica Por Anfetaminas. Hypoxic-Ischemic Encephalopathy Due To Amphetamines
Infiltración dural metastásica. Metastatic dural infiltration.
Transient Global Amnesia Disclosing A Right Thalamic Dysembryoplasthic Neuroepithelial Tumor. Amnesia Global Transitoria Secundaria a un Tumor Neuroepitelial Disembrioplásico Localizado En El Tálamo Derecho
A 56-year-old, right-handed, previously healthy women, presented with transient global amnesia (TGA), characterized by the sudden onset of anterograde amnesia and confusion with a normal level of consciousness. During the episode, the patient recurrently asked what she was doing and what she had been told, but was able to recognize familiar faces. Mild-to-moderate right fronto-orbital headache was a companion symptom. The episode lasted about 10 hours.
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Malformación Arteriovenosa y Epilepsia. Arteriovenous Malformation And Epilepsy.
Insuficiencia Hepática Crónica y Lesiones Palidales Bilaterales. Chronic Liver Failure And Bilateral Pallidal Lesions.
A 66-year-old woman with history of cirrhosis of unknown etiology was evaluated one month after transient loss of consciousness followed by dystonic posturing, abnormal speech and shuffling gate.
She had been complaining of chronic fatigue, anorexia and weight loos for the past six months, and referred two episodes of non-traumatic nose bleeding in the past two weeks.