Acute Onset Hemiplegia - Page #3
 

Lab Studies:
o MRI revealed multiseptated lesion within the right C1-C4 hemi-cord Case Photo #1
o CSF analysis including AFB and fungal culture was unremarkable
o Intraspinal lesion biopsy with gram stain showed gram negative rods
o All blood cultures were negative

Other Studies:
MRI Post posterior decompression of C2-C4 6 weeks later showed epidural seroma versus hematoma Case Photo #2

Consultations:
Infectious disease, interventional radiology, neurology, and orthopedics.

Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.


NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

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