ARP Case Report nº 28: What is your diagnosis?
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.25748/arp.30647 |
Resumo: | A 78-year-old female patient was admitted to the emergency department of our institution with a history of psychomotor retardation, myoclonus and dysarthria, over the last 2 months. Her past medical history only included atrial fibrillation with a rapid ventricular response. The neurological examination confirmed the findings mentioned above and an electroencephalography was performed which showed the presence of encephalopathy. The patient was admitted with a presumptive diagnosis of transmissible spongiform encephalopathy (Creutzfeldt-Jakob disease). A cerebral MRI (not shown) was conducted, which not only excluded this diagnosis but also revealed the presence of areas of hyperintense signal on T1-weighted images with ill-defined margins, symmetrically affecting the globus pallidus and the medial region of the cerebral peduncles’ feet. These findings were compatible with liver encephalopathy. Computed Tomography (CT) of the abdomen and Digital Subtraction Venography (DSV) were performed for further investigation. What is your diagnosis? |
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ARP Case Report nº 28: What is your diagnosis?ARP Case Report nº 28: What is your diagnosis?Casos ARPA 78-year-old female patient was admitted to the emergency department of our institution with a history of psychomotor retardation, myoclonus and dysarthria, over the last 2 months. Her past medical history only included atrial fibrillation with a rapid ventricular response. The neurological examination confirmed the findings mentioned above and an electroencephalography was performed which showed the presence of encephalopathy. The patient was admitted with a presumptive diagnosis of transmissible spongiform encephalopathy (Creutzfeldt-Jakob disease). A cerebral MRI (not shown) was conducted, which not only excluded this diagnosis but also revealed the presence of areas of hyperintense signal on T1-weighted images with ill-defined margins, symmetrically affecting the globus pallidus and the medial region of the cerebral peduncles’ feet. These findings were compatible with liver encephalopathy. Computed Tomography (CT) of the abdomen and Digital Subtraction Venography (DSV) were performed for further investigation. What is your diagnosis?SPRMN2023-04-30info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25748/arp.30647eng2183-13512183-1351Oliveira, TiagoFerreira, Luís AmaralOliveira, CarlosDonato, Pauloinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-05-05T03:15:37ZPortal AgregadorONG |
dc.title.none.fl_str_mv |
ARP Case Report nº 28: What is your diagnosis? ARP Case Report nº 28: What is your diagnosis? |
title |
ARP Case Report nº 28: What is your diagnosis? |
spellingShingle |
ARP Case Report nº 28: What is your diagnosis? Oliveira, Tiago Casos ARP |
title_short |
ARP Case Report nº 28: What is your diagnosis? |
title_full |
ARP Case Report nº 28: What is your diagnosis? |
title_fullStr |
ARP Case Report nº 28: What is your diagnosis? |
title_full_unstemmed |
ARP Case Report nº 28: What is your diagnosis? |
title_sort |
ARP Case Report nº 28: What is your diagnosis? |
author |
Oliveira, Tiago |
author_facet |
Oliveira, Tiago Ferreira, Luís Amaral Oliveira, Carlos Donato, Paulo |
author_role |
author |
author2 |
Ferreira, Luís Amaral Oliveira, Carlos Donato, Paulo |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Oliveira, Tiago Ferreira, Luís Amaral Oliveira, Carlos Donato, Paulo |
dc.subject.por.fl_str_mv |
Casos ARP |
topic |
Casos ARP |
description |
A 78-year-old female patient was admitted to the emergency department of our institution with a history of psychomotor retardation, myoclonus and dysarthria, over the last 2 months. Her past medical history only included atrial fibrillation with a rapid ventricular response. The neurological examination confirmed the findings mentioned above and an electroencephalography was performed which showed the presence of encephalopathy. The patient was admitted with a presumptive diagnosis of transmissible spongiform encephalopathy (Creutzfeldt-Jakob disease). A cerebral MRI (not shown) was conducted, which not only excluded this diagnosis but also revealed the presence of areas of hyperintense signal on T1-weighted images with ill-defined margins, symmetrically affecting the globus pallidus and the medial region of the cerebral peduncles’ feet. These findings were compatible with liver encephalopathy. Computed Tomography (CT) of the abdomen and Digital Subtraction Venography (DSV) were performed for further investigation. What is your diagnosis? |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-04-30 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.25748/arp.30647 |
url |
https://doi.org/10.25748/arp.30647 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
2183-1351 2183-1351 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
SPRMN |
publisher.none.fl_str_mv |
SPRMN |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
|
repository.mail.fl_str_mv |
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_version_ |
1777302455716937728 |