Glioblastoma Multiforme and Ascending Weakness
| Autor: | Lara Cooke, Werner J. Becker, William Morrish |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Male
Weakness medicine.medical_specialty Adolescent medicine.medical_treatment Neural Conduction Electromyography Guillain-Barre Syndrome Extraocular muscles Diagnosis Differential Fatal Outcome Meningeal Neoplasms medicine Humans Craniotomy Chemotherapy Muscle Weakness medicine.diagnostic_test Brain Neoplasms business.industry Lumbar puncture Facial weakness Neoplasms Second Primary General Medicine Magnetic Resonance Imaging Neoplasms Neuroepithelial Dysphagia Surgery Radiography medicine.anatomical_structure Neurology Neurology (clinical) medicine.symptom Glioblastoma business |
| Zdroj: | Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques. 29:372-374 |
| ISSN: | 2057-0155 0317-1671 |
| Popis: | An 18-year-old man with a known glioblastoma multiforme, previously treated with de-bulking, chemotherapy, radiation and steroids, underwent a repeat craniotomy after presenting with several days of intractable vomiting and headache. Postoperatively, he developed progressive delirium, bilateral sixth and seventh nerve palsies, dysphagia and ascending weakness of the upper and lower limbs. Within five postoperative days, he was quadraparetic, areflexic and had marked extraocular muscle and facial weakness, dysphagia, dysphonia and respiratory muscle weakness. The patient was started empirically on intravenous immunoglobulin for suspected Guillain-Barré syndrome (GBS). The following day, lumbar puncture demonstrated elevated protein (1.96g/l; normal |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|