Misdiagnosed as multiple sclerosis 1 case of brain abscess.doc

 PAGE \* MERGEFORMAT 5 Misdiagnosed as multiple sclerosis 1 case of brain abscess [Keywords:] multiple sclerosis; Misdiagnosis A case report Female patients, aged 36, farmer .2007 February due to a sudden right limb weakness 1 day admission. The patient was hospitalized 1 day before the morning and found the right limbs are not flexible, not to wear their own clothes and get out of bed, his family can walk under the arm, right hand holding a bowl, chopsticks weakness, without headache, vomiting, dizziness, ringing in the ears, ignoring the physical double vision, and fever. outpatient head CT examinations showed low density on the left basal ganglia. clinic to “brain infarction “income families. past history is no special. Admission physical examination: blood pressure 120/60mmHg, pulse 78 beats / min, heart and lungs were normal, conscious, verbal exchanges to the point, fundus examination, the nipple a little pale double temporal side view, right facial pain receded, the right central facial paralysis of tongue, the right limbs increased muscle tone, the right upper limbs 3, 4 right lower limb muscle strength, decreased pain right limbs, legs, reflecting the pathological active (+++), positive Soft neck, Kernig sign was negative. appropriate intracranial pressure lowering after admission, the treatment of neurotrophic agents. In the morning rounds the next day in patients with right side weakness worsened neurological examination; right limb muscle strength 1, with the admission of more than when the examination. day of brain MRI examinations showed: multiple bilateral abnormal signal in white matter regions with a ring enhanced lesion signal uneven, with membrane formation, edema and mass effect can be seen around. After the search for history found in patients nearly 2 years, there have been three times depending on the material double vision, blurred vision symptoms, with no other specific symptoms, each lasting 3 to 5 days and relieve itself, bec