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Central Nervous System (as Unknown )
(2 items)
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This is a 5-year-old female born at term who had a 2-month history of headaches and nausea and vomiting. The headaches lasted for approximately 2 weeks, which were frontal in location and mainly on the right side. The headaches were not relieved by over-the-counter Tylenol and had no aggravating factors. After 2 weeks, the headaches resolved on their own. The patient had increased nausea and vomiting. Over the last 2 to 3 weeks, the patient has progressed with left-sided weakness and gait disturbances, falling to her right. Mother also notes the patient's neck tilted to the right. Over the last week, the patient has had slurred speech with drooling of saliva as well as double vision. These findings were also noticed by the patient's first grade teacher. The patient's mother sought medical attention 2 to 3 weeks ago, and a CT scan of the brain was recommended. A CT scan that was performed in the emergency room which revealed a mass with compression of the fourth ventricle. The patient was started on steroids and her headaches, as well as dysarthria has improved. However, she continues to have weakness on the left side and continues to fall.
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This is a 64-year-old male from Costa Rica who in good health until 2 months ago when his family noticed increased lethargy and fatigue. The patient also complained of headaches and feeling of heaviness in his lower extremities, and difficulty walking. The patient continued to work despite these issues until 2 weeks ago when his pain/pressure sensation had increased. The patient denies any nausea, vomiting, or seizures. The patient presented to a local physician where a CT scan revealed a large right brain mass.
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