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A 23-year-old previously healthy woman presented with headache, generalized seizures, ataxia, encephalopathy, abdominal pain, nausea and vomiting culminating in a 40- pound weight loss. A contrasted magnetic resonance imaging (MRI) scan of the brain showed T2/FLAIR hyperintensities in the sulci of the occipital and parietal lobes, a punctate focus of restricted diffusion along the inferior aspect of the left caudate head and an empty sella. A lumbar puncture showed an opening pressure of 55 cm H2O, and kidney, ureter, and bladder X-ray showed a radiopaque particle in the colon.
Source: Survey of Ophthalmology - Category: Opthalmology Authors: Tags: Clinical challenges Source Type: research