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A 13-year-old right-handed girl was admitted to the hospital because of a relapsingremitting neurologic disorder.
She had had a normal childhood, although she was awkward at running, bicycle riding, and gymnastics. Twenty-six months before admission, she had an acute febrile episode with otitis, pharyngitis, headache, drowsiness, imbalance, and confusion. A magnetic resonance imaging (MRI) examination of the brain showed signal abnormalities in both occipital lobes. A computed tomographic (CT) scan of the brain revealed radiolucent areas in both occipital lobes. The following month, the girl had a grand mal seizure, followed by cortical blindness for 18 hours, with slow resolution.
Differential Diagnosis
Clinical Diagnosis
Dr. John F. Dashe's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
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