(This case study was added to OER Commons as one of a batch of over 700. It has relevant information which may include medical imagery, lab results, and history where relevant. A link to the final diagnosis can be found at the end of the case study for review. The first paragraph of the case study -- typically, but not always the clinical presentation -- is provided below.)
A 55-year-old male presented to our institution in October, 2016 with a 4-week history of intermittent slight fever and 3-week headache, accompanied by dizziness as well as fatigue, nausea, tinnitus, vision rotation, standing instability and blurred vision. Physical examination revealed no focal neurological deficit. MRI showed a flaky and nodular lesion involving the right cerebellar hemisphere and cerebellar vermis. The lesion was isointense on T2 weighted images, high signal intensity on T1 weighted images with nodular gadolinium enhancement (Figures 1a, 1b). Laboratory investigations revealed a white-cell count of 9780 per mm3 (reference range, 3500 to 9500), and an absolute eosinophil count of 1660 per mm3 (reference range, 20 to 500). A biopsy of the lesion was performed. .
- Subject:
- Applied Science
- Education
- Health, Medicine and Nursing
- Life Science
- Material Type:
- Case Study
- Diagram/Illustration
- Provider:
- University of Pittsburgh School of Medicine
- Provider Set:
- Department of Pathology
- Author:
- Dai-Zhong Wang
- Li Yao
- Rui-Juan Zhu
- Tao Zhang
- Tie-Yan Wang
- Xian-Bin Tang
- Xue-Qiang Chen
- Date Added:
- 08/01/2022
