Progressive aphasia and vision loss in a teen-aged girl.
Progressive aphasia and vision loss in a teen-aged girl.
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一名十几岁女孩出现进行性失语和视力丧失。
DOI:
10.1097/wno.0b013e31822a94f9
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发表时间:
2011
期刊:
影响因子:
--
通讯作者:
McCulley,TimothyJ
中科院分区:
文献类型:
--
作者:
Yoon,MichaelK;Sharma,Aseem;Corbo,Joseph;McCulley,TimothyJ
A16-year-old female honor student presented for evaluation of vertigo, headache, mild aphasia, and blurred vision. Her symptoms started approximately 2 months earlier when she experienced 3–4 days of intense vertigo and ear pain that waxed and waned and then gradually subsided. Her bifrontal headache initially was intermittent, but over the next several months, increased in severity and duration and by the time of presentation had become persistent. Her family indicated that she understood language normally but was having increasing difficulty with word finding. Visual symptoms were vaguely characterized as blurriness with intermittent diplopia. She occasionally stumbled while walking, which she attributed to difficulty seeing. She had no significant medical history.The patient was assessed at another hospital where brain MRI was abnormal. Lumbar puncture revealed a protein of 53 mg/dL (normal, 14–45 mg/dL), glucose of 36 mmol/L (normal, 50–80 mmol/L), 1 leukocyte, and 1 erythrocyte. The opening pressure was not recorded, and cytological examination was not performed. IgG index was normal, and
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