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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 345:126-131 July 12, 2001 Number 2
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Case 21-2001— A 31-Year-Old Man with an Apparent Seizure and a Mass in the Right Parietal Lobe
Allan H. Ropper, M.D., and Anat Stemmer-Rachamimov, M.D.

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Presentation of Case

A 31-year-old man was admitted to the hospital because of an apparent seizure and radiologic evidence of a cerebral lesion.

The patient had been in excellent health until five days earlier, when he felt weak, was briefly unable to walk, and began to have mild headaches and dizzy spells, which lasted for several days. A computed tomographic (CT) scan of the head, obtained elsewhere, showed a hypodense lesion in the right parietal lobe. On the day of admission, uncontrollable flailing of the right arm and leg developed. The patient was referred to this hospital.

The patient was a research worker . . . [Full Text of this Article]

Differential Diagnosis

Relation of the Main Neurologic Symptom to the Radiologic Lesion

Tropical Diseases

            Diseases Due to Tapeworms

            Diseases Due to Roundworms

            Diseases Due to Flukes

            Other Tropical Infections

Conclusions

Clinical Diagnosis

Dr. Allan H. Ropper's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References


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