A Man in His 40s With Headache, Lethargy, and Altered Mental Status.

JAMA Neurol

Department of Neurology, Brigham and Women's Hospital, Boston, Massachusetts3Department of Neurology, Harvard Medical School, Boston, Massachusetts.

Published: September 2015

A man in his 40s presented with 1 month of worsening confusion, fatigue, and headache. Results from laboratory analyses were notable for a complete white blood cell count of 17 000/μL (31% blast cells), a platelet count of 76 000/μL, and a hemoglobin level of 16.6 g/dL. Imaging studies revealed a large mixed-attenuation subdural collection in the right frontal region with prominent mass effect. The patient underwent an emergency neurosurgical procedure. The differential diagnosis, pathologic findings, and diagnosis are discussed.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5761060PMC
http://dx.doi.org/10.1001/jamaneurol.2015.1375DOI Listing

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