Woman with acute onset involuntary limb movements.
| Autor: | Ho TH; Department of Neurology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan., Lee JT; Department of Neurology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan., Hsu YD; Department of Neurology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan. |
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| Jazyk: | angličtina |
| Zdroj: | Emergency medicine journal : EMJ [Emerg Med J] 2019 Jul; Vol. 36 (7), pp. 415-422. |
| DOI: | 10.1136/emermed-2018-208104 |
| Abstrakt: | Clinical Introduction: An 88-year-old woman presented with acute onset of involuntary limb movements for one day. Two days prior she had fallen a suffered a left hip contusion but no head trauma. There was no fever or difficulty breathing. Her heart rate was 72 bpm with blood pressure of 109/68 mm Hg. Physical examination revealed restricted left hip motion due to pain and a sustained twisted posture of the upper extremity without paresis. Glasgow Coma Scale was 15, and there was no evidence of Kernig's or Brudzinski's sign. She underwent a hip X-ray and non-contrast CT scan (figures 1 and 2).emermed;36/7/415/F1F1F1Figure 1Anteroposterior X-radiograph of the hip.emermed;36/7/415/F2F2F2Figure 2A non-contrast brain CT. Question: What is the most likely cause of the clinical presentation?Acute meningitisCerebral fat embolismHaemorrhagic strokeHypertensive encephalopathy For answer see page 2 For question see page 1 . Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.) |
| Databáze: | MEDLINE |
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