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503 results
  • A child with Gradenigo syndrome presenting with meningism: a case report. [Journal Article]
    BMC Pediatr 2019; 19(1):350Athapathu AS, Bandara ERS, … Mettananda S
  • CONCLUSIONS: This case report highlights the importance of a thorough physical examination in children presenting with unrelated neurological symptoms and signs. Unilateral abducens nerve palsy raises the suspicion of increased intracranial pressure and neuroimaging is vital in diagnostic uncertainties. Gradenigo syndrome emphasises the importance of incorporating anatomical knowledge into clinical practice.
  • Brain abscess in children, a two-centre audit: outcomes and controversies. [Journal Article]
    Arch Dis Child 2019Gilard V, Beccaria K, … Tisdall M
  • CONCLUSIONS: There is a clear difference between children and infants with brain abscess in terms of predisposing factors, causative organisms and outcome. Despite surgical drainage and directed antibiotic therapy, 25% of patients with brain abscess require reoperation. Mortality is improved compared with historical series; however, long-term morbidity is significant particularly in the infant population.
  • [Acute Disorders of Consciousness and Coma - Systematics, Differential Diagnosis and Management]. [Journal Article]
    Dtsch Med Wochenschr 2019; 144(13):867-875Erbguth F
  • Cerebral diseases such as epileptic seizures, cerebral hemorrhages or meningoencephalitis are the primary cause of approximately 50 % of non-traumatic acute disorders of consciousness. For the differential diagnosis, history and other symptoms are important such as hemiplegia, signs of brain stem dysfunction, meningism or headache. Metabolic, endocrinologic, toxicologic or electrolytic causes of …
  • Subarachnoid Hemorrhage and Headache. [Review]
    Curr Pain Headache Rep 2019; 23(6):44Ogunlaja OI, Cowan R
  • Subarachnoid hemorrhage is a serious and life-threatening medical condition which commonly presents with an acute headache. Unfortunately, it remains frequently misdiagnosed at initial presentation with dire consequences in terms of patient morbidity and mortality. The goal of this paper is to review salient features in the clinical history, as well as recently developed clinical decision rules, …
  • Diagnosing causes of headache within the postpartum period. [Journal Article]
    J Obstet Gynaecol 2018; 38(5):728Stanhope E, Foulds L, … Goldmann U
  • CONCLUSIONS: Research has shown that many postpartum headaches go undiagnosed and as a result are poorly treated, often returning following discharge from secondary care (Nelson-Piercy 2010 ). The hope is that the introduction of this adjuvant will allow clinicians to identify the cause of postpartum headaches earlier and will allow life threatening diagnoses to be quickly excluded.
  • [Meningism]. [Review]
    Fortschr Neurol Psychiatr 2018; 86(5):287-289Topka H
  • A thorough neurological examination in emergency situations requires the evaluation of meningeal signs. Even though in most settings, evaluation of meningism is technically not very demanding, the interpretation of findings may prove difficult. As opposed to a widely held belief, clinical signs of meningism are neither specific nor highly sensitive for detection of meningitis or subarachnoid hemo…
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