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Dissecting Aneurysm of the Basilar Trunk in a Young Man
Arch Neurol. 2003;60:1016-1018.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 19-YEAR-OLD Lebanese man was admitted to a hospital because of status epilepticus. Following seizure control, he was noted to be quadriparetic, and a magnetic resonance image of the brain revealed a pontine lesion that was hyperintense on T2-weighted images (Figure 1) and hypointense on T1-weighted images, suggestive of an infarct. He was referred to our hospital for further evaluation and management. His medical history revealed 2 prior episodes of "aseptic" meningitis associated with generalized tonic-clonic seizures within a period of 1 year. He was empirically treated with acyclovir and valproic acid. On initial examination at our medical center, the patient was afebrile and had normal heart sounds, normal results of chest and abdominal examinations, and no evidence of lymphadenopathy or meningeal signs. Neurologically, he was awake and oriented, with quadriparesis, anarthria, and dysphagia. The deep tendon reflexes were hyperactive all over, including the jaw jerk, a bilateral . . . [Full Text of this Article]COMMENT
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