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Brain Abscess Presenting as Prolonged Headache in a Patient with Amyotrophic Lateral Sclerosis under Mechanical Ventilation. | LitMetric

AI Article Synopsis

  • * The ear infections stemmed from issues like nasopharyngeal reflux and weakened eustachian tube muscles due to her condition and body position.
  • * It's important for doctors to understand that ALS patients often struggle to communicate pain and may overlook brain abscesses, emphasizing the need for better awareness and responsive care.

Article Abstract

A 57-year-old woman with amyotrophic lateral sclerosis (ALS) receiving mechanical ventilation developed intractable right temporal headache. She was diagnosed with brain abscess secondary to chronic suppurative otitis media. In this case, the otitis media was caused by nasopharyngeal reflux associated with eustachian tube muscle weakness and a supine position. In addition, ALS patients under mechanical ventilation have a limited ability to convey their pain. Their complaints are often overlooked because many physicians do not know that pain is common in ALS. Physicians should recognize brain abscess as a severe complication of ALS and listen to the complaints of these patients.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7056388PMC
http://dx.doi.org/10.2169/internalmedicine.3709-19DOI Listing

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