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A 75-year-old woman was admitted to the hospital because of weakness and a tendency to fall.
Eight months earlier, a temporal-artery biopsy, with negative results, had been performed elsewhere because of frequent headaches and an elevated erythrocyte sedimentation rate. Magnetic resonance imaging (MRI) of the brain at that time showed enhancement by gadolinium of the cerebellar tentorium, which was more prominent on the right side, in the posterior middle cranial fossa and posterior fossa, without mass effect or evidence of obstruction. Soon thereafter, esophagogastroduodenoscopic and colonoscopic examinations revealed active gastritis, for which the patient received omeprazole. Two months later, her
Differential Diagnosis
Clinical Diagnosis
Dr. William J. Schwartz's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
Related Letters:
Case 9-1999: Wegener's Granulomatosis
Barzel U. S., Schwartz W. J.
Extract |
Full Text
N Engl J Med 1999;
341:541-542, Aug 12, 1999.
Correspondence
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