AI Article Synopsis
- - A 22-year-old male experiences symptoms including chin numbness, eye movement issues (ophthalmoplegia), headaches, and left leg numbness, alongside fever, chills, and night sweats.
- - Imaging shows unusual enhancements in the cauda equina (nerve roots at the lower spine) and an infiltrative issue at the skull base, with additional findings of bone marrow involvement and swollen lymph nodes.
- - The discussion includes identifying the location of these symptoms, possible diagnoses to consider, necessary tests to conduct, and important lab results and treatment options related to the unique final diagnosis.
Article Abstract
We present a 22-year-old male with a subacute course of chin numbness, ophthalmoplegia, headache and left leg numbness in the setting of fever, chills and night sweats. Initial imaging investigations revealed cauda equina enhancement plus an infiltrative process at the basis of the skull associated with extensive bone marrow infiltration and lymphadenopathy elsewhere. We discuss the localization, differential diagnosis, and appropriate investigations for this unique clinical scenario. Important laboratory findings and treatment considerations are reviewed for this unusual final diagnosis.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11561958 | PMC |
| http://dx.doi.org/10.1177/19418744241276711 | DOI Listing |
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