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- W2134289831 abstract "A 43-year-old previously fit railway official collapsed in May, 1998, with an epileptic fit on the sidelines of a football pitch while watching his son's match. His medical history was uneventful except for an appendicetomy a few years previously. He had smoked 30 cigarettes per day for many years, but had had a cough only for the last 3 months. Physical examination was normal except for chronic periodontitis. Laboratory examination showed the following abnormalities: white blood cell count 19·3 × 109/L (normal <10), C-reactive protein (CRP) 27 mg/L (<12), alanine aminotransferase (ALT) 41 U/L (<22). Magnetic resonance imaging (MRI) of the brain showed two left parasagittal cavitating masses in the parietal lobe with contrast-enhanced smooth thin capsules, and surrounding oedema (figure). Chest radiograph showed a mass in the left hilum with opacities in the apical segment. A contrast-enhanced computed tomography (CT) scan of the thorax confirmed the large left-sided central mass, and showed that it also involved the ventro-cranial subpleural area on the lateral side that partially walled in the left main bronchus. A bronchoscopy showed a slit-shaped stricture of the left upper lobe bronchus. Histology of a biopsy sample, brush cytology, and bronchial lavage were normal. Ultrasonography of the abdomen showed a 2·5 cm lesion in the left lobe of the liver that was thought to be a metastasis. It was assumed that the patient had had a first epileptic fit because of cerebral metastases from a left-sided central bronchial carcinoma, with other metastases in the liver. He was transferred to the Department of Pulmonary Diseases of the Allgemeines Krankenhaus Harburg." @default.
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- W2134289831 date "2001-07-01" @default.
- W2134289831 modified "2023-09-27" @default.
- W2134289831 title "The heavy smoking football fan who had an epileptic fit" @default.
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- W2134289831 doi "https://doi.org/10.1016/s0140-6736(01)05409-5" @default.
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