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A 57-year-old woman was admitted with progressive drowsiness and a change in mental status. A biopsy of an axillary node had been performed one week before admission because of bilateral axillary lymphadenopathy. Neurologic examination revealed a short attention span and right-sided homonymous hemianopia. She was afebrile, her neck was supple, and no facial weakness was noted. A computed tomographic scan of the head showed a ring-enhancing mass in the left temporal region. During preparation for stereotactic needle biopsy of the brain mass (planned because her mentation continued to deteriorate), discharge from the left otic canal was noted. Acid-fast bacillus staining . . . [Full Text of this Article] |
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