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Background/objectives: Intracranial arachnoid cysts (ACs) may be congenital, primary, or secondary due to trauma. These cysts are benign, contain cerebrospinal fluid (CSF), and are classified based on location, size, and their clinical symptomatology. They are uncommon lesions in children, rarely leading to severe mass-effect neurological symptomatology.

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Acute Quadriparesis: A Rare Presenting Manifestation of an Adrenal Tumor.

Cureus

September 2024

Radiodiagnosis, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.

Article Synopsis
  • Acute quadriparesis was seen in a 54-year-old woman with sudden weakness in all limbs, prompting extensive investigation due to its serious nature.
  • Initial tests showed low potassium levels (hypokalemia), which were treated with IV potassium, leading to improved strength; potential causes like Guillain-Barré syndrome were ruled out.
  • Imaging revealed an adrenal tumor, and after surgery to remove it, the patient fully recovered, highlighting the need to consider endocrine disorders in similar cases and the importance of thorough diagnosis and management.
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  • A 60-year-old man experienced bacteremia and acute transverse myelitis (ATM) due to Staphylococcus aureus, presenting with symptoms like high fever, quadriplegia, and respiratory failure, without a clear source of infection.
  • Bacterial ATM is rare and often difficult to diagnose, especially when caused by isolated infections in the spinal cord.
  • The rapid diagnosis in this case resulted from teamwork among clinicians, infectious disease specialists, and microbiologists, along with advanced testing methods on cerebral spinal fluid (CSF).
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