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Cases

247 posts
  • This content is machine translated Memories of an allergist

What do pizza, Guetzli and a turkey with garnish have in common?

Case history: The 49-year-old, non-atopic patient (no pollinosis, asthma or other allergies) had three episodes of allergic reactions within six months, all related to food intake, without concomitant physical exertion…
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  • 3 min
  • This content is machine translated Which diagnosis is most likely?

Shooting nodules on the scalp

Case report: Mother presents with her 24-month-old boy. This one suffers since the sixth month of life from strongly itching nodules on the scalp and partly also on other parts…
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  • 10 min
  • This content is machine translated Casuistry

Prolonged cognitive impairment in major depressive episode.

Introduction: The occurrence of dementia-like states in the context of depressive syndromes was already described in the last century with the terms “melancholic dementia”, “melancholia attonita” and “stupid depression” [1,…
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  • 3 min
  • This content is machine translated Frontal meningioma

Good prognosis after surgical extirpation

Case report: A 31-year-old, previously internally healthy woman was admitted for psychiatric treatment due to increasing disorientation and neglect. She described a lack of drive and limitation of memory that…
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  • 2 min
  • This content is machine translated New section - Pediatric corner

Acute nail loss

Case report: A seven-year-old girl presents with the problem of sudden “brittle” nails, some of which come off completely without pain. The symptoms started four weeks ago on single fingernails,…
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  • 4 min
  • This content is machine translated Primary CNS lymphoma

Advanced MRI diagnostics (spectroscopy, DWI, PWI) and MRI-guided biopsy.

Introduction: Primary CNS lymphomas, predominantly of the B-cell type, are rare tumors with a peak incidence in middle to older age. Conventional MRI examination yields essentially nonspecific findings of a…
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  • 3 min
  • This content is machine translated The epileptic seizure as stroke mimic

The role of perfusion CT

Introduction: The clinical distinction between a stroke and an epileptic seizure is not always easy in the emergency situation. However, for the indication of thrombolytic therapy, the distinction between these…
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  • 2 min
  • This content is machine translated The incomplete hippocampal inversion

Characteristic changes in MR

Incomplete hippocampal inversion (IHI), also known as hippocampal malrotation, is a fetal developmental disorder with incomplete infolding of the fetal dentate gyrus, ammonic horn, subiculum, and parahippocampal gyrus [1]. In…
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  • 9 min
  • This content is machine translated Arterio-venous malformations

Vascular malformation in the head – What now?

The main manifestation of symptomatic arterio-venous malformation (AVM) is intracranial hemorrhage, typically subarachnoid or intracerebral as a result of rupture in localized destructive vessel wall remodeling. Other typical symptoms exist…
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  • 4 min
  • This content is machine translated The slightly different case

Debunked: acquired angioedema in non-Hodgkin’s lymphoma.

A 54-year-old housewife suffered an acute episode of angioedema of the tongue and posterior pharyngeal wall and required emergency treatment in the intensive care unit (Fig. 1). Since the swelling…
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  • 3 min
  • This content is machine translated Crossed cerebro-cerebellar diaschisis.

DWI imaging in the diagnosis of status epilepticus

Magnetic resonance imaging is a sensitive method for visualizing reversible and irreversible changes in brain tissue after epileptic seizures. The following case report specifically discusses diffusion imaging, which can visualize…

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