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- W2466829259 abstract "What’s Your Diagnosis?What’s Your Diagnosis? David C. Howlett, MRCP, FRCR David F. Sallomi, FRCR Husn Frayha, and MD Mansour Al NozhaFRCP David C. Howlett Search for more papers by this author , David F. Sallomi Search for more papers by this author , Husn Frayha Search for more papers by this author , and Mansour Al Nozha Search for more papers by this author Published Online:1 May 2001https://doi.org/10.5144/0256-4947.2001.201SectionsPDF ToolsAdd to favoritesDownload citationTrack citations ShareShare onFacebookTwitterLinked InRedditEmail AboutHistoryA 16-year-old male student presented at the hospital having awoken from sleep with generalized jerking movements of all four limbs. The episode lasted only a few minutes and afterwards the patient experienced a mild headache and tiredness. There was no evidence of urinary or fecal incontinence, although the patient found he had bitten his lip. He was otherwise well with no previous medical, alcohol or drug history of note. Clinical examination and routine laboratory investigations were unremarkable. Electroencephalogram showed abnormality, demonstrating irregular slow waves associated with sharp waves or spikes arising in the left temporoparietal region. A magnetic resonance imaging scan (Figures 1 and 2) was done. Following the scan, the patient was discharged on phenytoin 300 mg daily and has been well, with no further convulsive episodes during eighteen months of follow-up.FIGURE 1 An axial T2-weighted image (TR/TE 400/90 msec) at the level of the lateral ventricles.Download FigureFIGURE 2 A coronal T1-weighted image (TR/TE 560/16 msec) following intravenous gadolinium-DTPA administration at the level of the third ventricle.Download Figure1. What abnormalities are demonstrated in Figures 1 and 2?2. What’s your diagnosis? Previous article Next article FiguresReferencesRelatedDetails Volume 21, Issue 3-4May/July 2001 Metrics History Published online1 May 2001 InformationCopyright © 2001, Annals of Saudi MedicineThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.PDF download" @default.
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- W2466829259 title "What’s Your Diagnosis?" @default.
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