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A 58-year-old, right-handed woman was admitted to the hospital because of left hemiparesis.
The patient had been well until five days earlier, when a right frontal headache developed, with radiation to the right eye and right ear; suspecting sinusitis, her physician prescribed amoxicillin. Four days before admission, weakness developed in the left arm, and she began to drop items that she was holding in her left hand. During the next three days, the weakness worsened. On the day of admission, she awoke with weakness in the left leg; at one point, she fell from a chair and was unable to
Differential Diagnosis
Important Features
Brain Abscesses
Neoplasms
Conclusions
Clinical Diagnosis
Dr. Robert M. Friedlander's Diagnosis
Pathological Discussion
Anatomical Diagnosis
Source Information
From the Department of Neurosurgery, Brigham and Women's Hospital (R.M.F.); the Divisions of Neuroradiology (R.G.G.), Cardiology (N.A.A.), and Neuropathology (R.P.), Massachusetts General Hospital; and the Departments of Neurosurgery (R.M.F.), Radiology (R.G.G.), Medicine (N.A.A.), and Pathology (R.P.), Harvard Medical School — all in Boston.
Related Letters:
Case 16-2003 — Brain Abscess
Mundia M., Edelstein P. H., Friedlander R. M., Slotkin J. R.
Extract |
Full Text |
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N Engl J Med 2003;
349:1004-1006, Sep 4, 2003.
Correspondence
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