Clinical Reasoning: A 57-year-old woman with ataxia and oscillopsia
| Autor: | Patrick Lavin, Subramaniam Sriram, Donald H. Gilden, Michael J. Bradshaw |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Pediatrics
medicine.medical_specialty Ataxia Photophobia Aura Nausea Immunocompromised Host 03 medical and health sciences Ocular Motility Disorders Resident and Fellow Section 0302 clinical medicine Oscillopsia Vertigo medicine Humans Encephalitis Varicella Zoster biology business.industry Middle Aged biology.organism_classification Kidney Transplantation Transplantation Female Neurology (clinical) medicine.symptom Headaches business 030217 neurology & neurosurgery 030215 immunology |
| Zdroj: | Neurology. 87:e61-e64 |
| ISSN: | 1526-632X 0028-3878 |
| DOI: | 10.1212/wnl.0000000000002981 |
| Popis: | A 57-year-old immunosuppressed renal transplant recipient experienced 2 months of oscillopsia, vertigo, ataxia, and headaches. The headaches were described as constant, bifrontal, dull, and associated with photophobia and nausea but no aura or positional component. She described rotational vertigo, both at rest and provoked by leftward head turn and gait instability that developed gradually over the last 4 weeks. Six months prior to presentation, she had a similar episode of headaches, dizziness, and ataxia that resolved spontaneously over 3 months. This was preceded by a dermatomal vesicular rash on the arm. She had undergone renal transplantation 12 years earlier. Three years ago, she had left C2-3 distribution zoster. She denied infectious or rheumatologic symptoms. Her only current medication was mycophenolate mofetil 360 mg PO BID. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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