The authors describe a case of Miller-Fischer syndrome, a rare demyelinating syndrome, preceded by a viral prodrome and three doses of etanercept, an anti-tumor necrosis factor a (anti-TNFa) agent. Anti-TNFa agents ar...The authors describe a case of Miller-Fischer syndrome, a rare demyelinating syndrome, preceded by a viral prodrome and three doses of etanercept, an anti-tumor necrosis factor a (anti-TNFa) agent. Anti-TNFa agents are associated with an induction of episodes of demyelination and may unmask multiple sclerosis in those who are immunogenetically predisposed.展开更多
This case describes a posterior fossa mass due to blastomycotic infection in a non-immunocompromised 41-year-old male presenting with a chronic headache for over one year.Given the risk of herniation,no lumbar punctur...This case describes a posterior fossa mass due to blastomycotic infection in a non-immunocompromised 41-year-old male presenting with a chronic headache for over one year.Given the risk of herniation,no lumbar puncture could be performed.A full work-up found no evidence of systemic infection.Surgical resection helped identify the mass as a blastomycotic abscess.Magnetic resonance imaging characteristics of the mass were helpful in the identification of the mass as a fungal abscess.展开更多
文摘The authors describe a case of Miller-Fischer syndrome, a rare demyelinating syndrome, preceded by a viral prodrome and three doses of etanercept, an anti-tumor necrosis factor a (anti-TNFa) agent. Anti-TNFa agents are associated with an induction of episodes of demyelination and may unmask multiple sclerosis in those who are immunogenetically predisposed.
文摘This case describes a posterior fossa mass due to blastomycotic infection in a non-immunocompromised 41-year-old male presenting with a chronic headache for over one year.Given the risk of herniation,no lumbar puncture could be performed.A full work-up found no evidence of systemic infection.Surgical resection helped identify the mass as a blastomycotic abscess.Magnetic resonance imaging characteristics of the mass were helpful in the identification of the mass as a fungal abscess.