Morning Distort
By MARTIN A. SAMUELS
A 35 year old woman complains of weakness of the right side of her face and pain behind the right ear. She lives in an urban environment and denies any recent illnesses. She is not vaccinated against COVID-19 but is COVID negative.
What do you think, I was asked at our Morning Report? Well, I said, it sounds like a straightforward Bell palsy. The pain around the ear suggests swelling of the VIIth cranial nerve in the facial canal and the stylomastoid foramen, a very common historical point, I opined; so much so that its absence would make me doubt the diagnosis and m...
Source: The Health Care Blog - August 12, 2021 Category: Consumer Health News Authors: Christina Liu Tags: Medical Practice Physicians Martin A. Samuels morning report neurology Source Type: blogs
Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP): MRI
Discussionby Dr MGK Murthy, Dr GA PrasadChronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is characterized clinically by a progressive or relapsing course of many months to years of symptoms similar to compressive myelopathy.Etiology Remains unknown, but T-cell activation in nerves plays an important role in the pathogenesis of CIDP& antigens in Schwann cells have been identified.PathologicallyCIDP is characterized by mononuclear cell infiltrates, edema, segmental demyelination, and remyelination&“onion bulb formation” which describes enlarged fascicles with increased endoneural connective t...
Source: Sumer's Radiology Site - December 12, 2017 Category: Radiology Authors: Sumer Sethi Source Type: blogs
beating the blood brain barrier
Ouch! My writing muscle hurts! I realized this week that I have not blogged since March 23. I have so much I want to say that I don't know where to start, so it feels a little overwhelming. About 10 days ago, I had an Ommaya Reservoir, installed in my brain. Compared to my other brain surgeries it was a walk in the park but I'm still dealing with all kinds of fallout from the anesthetic, pain and healing. I had my staples out yesterday, though, so the end of the tunnel must be in sight (although my head hurts as I type this).You can see my incision and the staples here. It's in a semi-circle at the front, slightly to ...
Source: Not just about cancer - May 20, 2016 Category: Cancer & Oncology Tags: brain metastasis breast cancer cancer blog herceptin lucky metastatic news surgery weird writing Source Type: blogs
the latest
I wrote this in the form of a letter a few days ago. Doing so has been a huge relief to me. I know that it's not the same for everyone but expressing myself in this way has been both calming and freeing.I have sent it already to family and to friends with whom I have been speaking. It helps a lot because we can start the discussion from here and I don't need to explain from the beginning each time. Or not talk about this stuff at all, in the knowledge that they know. It works for me.You should also know that I learned all this on March 4th (and suspected before because of the symptoms I was having). The news was worse...
Source: Not just about cancer - March 23, 2016 Category: Cancer & Oncology Tags: brain metastasis breast cancer cancer blog chronic illness cyber knife radiation travel Source Type: blogs
