Open AccessA Man in His 40s With Headache, Lethargy, and Altered Mental Status
Author(s) -
Kathleen McKee,
Mark R. Etherton,
Scott B. Lovitch,
Anoopum S. Gupta,
Douglas S. Micalizzi,
Travis Tierney,
Martha Wadleigh,
Henrikas Vaitkevicus
Publication year - 2015
Publication title -
jama neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 5.298
H-Index - 231
eISSN - 2168-6157
pISSN - 2168-6149
DOI - 10.1001/jamaneurol.2015.1375
Subject(s) - lethargy , confusion , medicine , differential diagnosis , altered mental status , white matter , white blood cell , pediatrics , emergency department , pathology , radiology , psychiatry , magnetic resonance imaging , psychology , psychoanalysis
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.
Accelerating Research
Robert Robinson Avenue,
Oxford Science Park, Oxford
OX4 4GP, United Kingdom
Address
John Eccles HouseRobert Robinson Avenue,
Oxford Science Park, Oxford
OX4 4GP, United Kingdom