Online newspaper of professor Yasser Metwally

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This is an archive of the previously reported short cases from: http://pdf.yassermetwally.com. To download the current version follow the link: http://pdf.yassermetwally.com/short.pdf or go to my web site at : http://yassermetwally.com

A new case is added every week.

Click to download the long case version of the presented short cases.

This list contains only case records published during season one (the academic year 2007-2008). Click here to view a list of case records published later on (this list also contains cases published during season one (the academic year 2007-2008)

• 11 years old male patient presented clinically with shortness of the left leg, scoliosis, pes cavus and penetrating deep ulcer in the sole of the left leg. Examination of the back revealed lumbosacral hypertrichosis.

Vertebral haemangioma (127 KB)

• A 51 years old female patient presented clinically with paraplegia with a dorsal sensory level of gradual onset and progressive course.

Parasellar craniopharyngioma (174 KB)

• 11 years old male patient presented clinically with obesity, delayed growth, bilateral diminution of vision, and manifestations of increased intracranial pressure. Clinical examination revealed bilateral primary optic atrophy.

Septo-optic dysplasia with open-lip schizencephaly (196 KB)

• 8 years old male patient presented clinically with right sided hemiplegia since birth, Lennox Gastaut syndrome (with a history suggestive of infantile spasm during the first few months of life) and mental subnormality. The vision in the left eye was completely lost since birth and the vision in the right eye was markedly defective. The child showed evidence of growth and developmental delay.

Occipital cavernoma (223 KB)

• A 30 years old male patient presented clinically with a history of grand mal fits that are occasionally preceded by vivid visual hallucinations.

Intramedullary cavernoma (215 KB)

• A 33 years old male patient presented with gradual progressive hemiplegia with a dorsal sensory level at D 4.

Neurofibromatosis type 2 (229 KB)

• A 22 years old male patient presented clinically with bilateral tinnitus, headache, bilateral diminution of hearing, bilateral papilledema, bilateral facial nerve palsy, bulbar cranial nerves dysfunction, right sided cerebellar manifestation and bilateral long tract dysfunction.

Neurofibromatosis type 1 (196 KB)

• 16 years old female patient presented clinically with bilateral marked diminution of version, mid-dorsal pain, grand mal fits and poor scholastic achievement. Examination revealed bilateral primary optic atrophy, scanty café au lait spots and some cutaneous neurofibromatosis.

Postinfectious cerebellitis (240 KB)

• A 6 years old male patient presented clinically with cerebellar ataxia and headache characteristic of increased intracranial pressure of acute onset 3 weeks following non-specific viral infection from which he fully recovered. Clinical examination revealed trunk, gait, limb ataxia and nystagmus. Fundus examination revealed bilateral papilledema. Within one week of hospitalization and non-specific supportive treatment the patient fully recovered and was discharged.

Glomus jugulare tumor (Paraganglioma) (863 KB)

• A 43 years old male patient presented clinically with tinnitus in the right ear with bulbar, facial and trigeminal nerve dysfunction. Systemic examination revealed elevated blood pressure, with headache and tachycardia.

Ruptured anterior communicating artery aneuryms (233 KB)
 

• A 40 years old male patient found in deep coma on the toilet in the bathroom. 

Acute idiopathic transverse myelitis (315 KB)

• A 22 years old male patient presented with quadriplegia with a high cervical sensory level of acute onset. The neurological disability occurred 10 days following an attack of flu.

Acute idiopathic transverse myelitis (371 KB)

• A 35 years old female patient presented with paraplegia with a high dorsal sensory level of acute onset. The neurological disability occurred 10 days following rabies vaccination.

Spinal multiple sclerosis (281 KB)

• A 40 years old patient with relapsing remitting spinal multiple sclerosis (relapsing remitting partial myelopathy). MRI examination of the brain revealed definite asymptomatic brain involvement. Recently the myelopathy became persistent and progressive.

Herpes simplex encephalitis (317 KB)

• A 40 years old female patient presented clinically with fever, grand male fits, disturbed level of consciousness and meningeal irritation signs.

Hypertensive cerebral hemorrhage (258 KB)

• A 64 years old female patients presented clinically with sudden onset of right hemiplegia and global aphasia.

Congenital craniocervical anomalies (assimilation of atlas) (278 KB)

• A 13 years old male patient presented clinically with atrophy of the small muscles of the hands, bulbar cranial nerve manifestations and cerebellar manifestations. Physical examination revealed a short neck, low hairline, painful torticollis, restricted neck motion, and a loss of the normal cervical spine lordosis. Neurologic examination showed downbeat nystagmus, bulbar cranial nerve impairment, bilateral corticospinal tract signs, ataxia, and weakness and sensory loss in the hands. 

Syringomyelia (202 KB)

• A 30 years old female patient presented clinically with gradual progressive atrophy of the small muscles of the both hands, Bilateral C5,C6 segmental hypoalgesia.

Multiple scleroses (187 KB)

• A 40 Years old female patient, known to be suffering from multiple sclerosis, was presented clinically with painful diminution of vision in the right aye and mild weakness of the left upper limb.

Hemimegalencephaly (224 KB)

• A 6 months old male patient presented with macrocephaly, west syndrome, right sided hemiplegia, and severe developmental delay.

Cerebral sinus thrombosis with venous congestive encephalopathy (335 KB)

• A 40 years old female patient presented with headache, fits, and disturbed level of consciousness.

Intracranial fusiform aneurysm (661 KB)

• A 60 years old male patient presented clinically with a clinical picture syndrome with 7th, 5th, bulbar cranial nerve manifestations, cerebellar Symptoms are gradual and progressive. The patient is hypertensive, with hypertrophy and type IV hyperlipidemia. The patient was not diabetic.

Subdural empyema (254 KB)

• 26 years old male patient presented clinically with a grand male fit, confusion, fever, headache, and nausea. Examination showed bilateral papilledema and left sided extensor planter response. The patient gave a history of nasal sinusitis two weeks before clinical presentation.

Hypoparathyroidism (316 KB)

• A 33 years old female patient presented clinically with a grand male fit. The patient gave a history of thyroidectomy for the treatment of graves disease (hyperthyroidism)

Acute disseminated encephalomyelitis (330 KB)

• A 18 years old female patient presented clinically with disturbed level of consciousness, recurrent grand mal fits, bilateral optic neuritis and meningeal irritation signs. The patient gradually improved during hospital stay and was discharged two weeks following admission after almost full recovery.