Neurological Conundrum: A Case of Cerebellar Hemispheric Enlargement and Atypical Symptoms.

Autor: Kasat PR; Radiodiagnosis, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education & Research, Wardha, IND., Parihar P; Radiodiagnosis, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education & Research, Wardha, IND., Kashikar SV; Radiodiagnosis, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education & Research, Wardha, IND., Sachani P; Radiodiagnosis, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education & Research, Wardha, IND., Nunna B; Radiodiagnosis, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education & Research, Wardha, IND.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2024 Apr 12; Vol. 16 (4), pp. e58096. Date of Electronic Publication: 2024 Apr 12 (Print Publication: 2024).
DOI: 10.7759/cureus.58096
Abstrakt: Cerebellar hemispheric enlargement with atypical neurological symptoms poses diagnostic challenges in clinical practice. We present the case of a 57-year-old female with persistent headache, left facial paraesthesia, dysarthria, gait ataxia, and longstanding neck swelling. Imaging studies revealed enlargement of the left cerebellar hemisphere with associated mass effect and compression of adjacent structures. The underlying etiology remained uncertain despite extensive evaluation, including magnetic resonance imaging and angiography. Differential diagnoses included neoplastic, vascular, inflammatory, and metabolic etiologies, but none fully accounted for the clinical findings. Management strategies focused on symptomatic relief and close monitoring. This case underscores the complexity of diagnosing and managing patients with rare neurological manifestations and highlights the need for continued research and collaborative approaches in optimising patient care.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2024, Kasat et al.)
Databáze: MEDLINE