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BMJ Case Rep. 2018 Feb 27;2018. pii: bcr-2017-222892. doi: 10.1136/bcr-2017-222892.

The man that lost (part of) his mind.

Author information

1
General Practice, Northern Ireland Medical and Dental Training Agency, Belfast, UK.
2
Care of The Elderly and Stroke, Antrim Area Hospital, Antrim, Co Antrim, UK.

Abstract

An 84-year-old man presented to the emergency department following recurrent falls over several weeks and onset of new left-sided weakness. CT of the brain revealed a large air cavity (pneumatocoele) in the right frontal lobe thought to be secondary to an ethmoidal osteoma communicating through the cribriform plate allowing air to be forced into the skull under pressure. Subsequent MRI confirmed these findings and also revealed a small focal area of acute infarction in the adjacent corpus callosum. The patient had a prolonged hospital stay, declined neurosurgical intervention and was discharged home on secondary stroke prevention.

KEYWORDS:

ear, nose and throat/otolaryngology; movement disorders (other than parkinsons); neuroimaging; stroke

PMID:
29487100
DOI:
10.1136/bcr-2017-222892
[Indexed for MEDLINE]

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