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Case Records of the Massachusetts General Hospital
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Volume 351:1875-1882 October 28, 2004 Number 18
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Case 33-2004 — A 34-Year-Old Man with a Seizure and a Frontal-Lobe Brain Lesion
Emad N. Eskandar, M.D., Jay S. Loeffler, M.D., Alison M. O'Neill, M.D., George J. Hunter, M.D., and David N. Louis, M.D.

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Presentation of Case

A 34-year-old man was admitted to the hospital because of a seizure and a lesion in the frontal lobe of the brain.

The patient had a history of obstructive sleep apnea for which he used a continuous-positive-airway-pressure (CPAP) machine at night. On the morning of admission, a friend found him unresponsive on the floor with his CPAP mask in place. When the mask was removed, he was frothing at the mouth and had jerking movements of the arms and legs. Emergency services personnel were called, and en route to the hospital he was seen to have an additional generalized seizure.

. . . [Full Text of this Article]

Differential Diagnosis

Pathological Discussion

Discussion of Management

Anatomical Diagnosis


Source Information

From the Neurosurgical Service (E.N.E.), and the Departments of Radiation Oncology (J.S.L.), Neurology (A.M.O.), Radiology (G.J.H.), and Pathology (D.N.L.), Massachusetts General Hospital and Harvard Medical School.


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