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…
View Post 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…
View Post 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,…
View Post 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…
View Post 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,…
View Post 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…
View Post 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…
View Post 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…
View Post 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…
View Post 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…
View Post 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…