Case 1-2021: A 76-Year-Old Woman with Lethargy and Altered Mental Status

A 76-year-old woman with a history of gastric adenocarcinoma and chronic kidney disease presented with lethargy and altered mental status. She had anemia and thrombocytopenia; MRI showed foci of restricted diffusion in the left cerebellar hemisphere and right frontal lobe. A diagnostic test was perf...

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Veröffentlicht in:	The New England journal of medicine 2021-01, Vol.384 (2), p.166-176
Hauptverfasser:	Bebell, Lisa M, Gonzalez, R. Gilberto, Barczak, Amy K, Anahtar, Melis N
Format:	Artikel
Sprache:	eng
Schlagworte:	Abdomen Adenocarcinoma Adenocarcinoma - complications Aged Blood pressure Brain - diagnostic imaging Brain - pathology Case reports Cerebellum Cerebral Infarction - diagnostic imaging Cerebral Infarction - etiology Cerebrospinal Fluid - microbiology Diagnosis, Differential Dyspnea Dyspnea - etiology Edema Female Frontal lobe Gastric cancer General & Internal Medicine Headache - etiology Heart rate Hemispheric laterality Hospitals Humans Kidney diseases Laboratories Lethargy - etiology Life Sciences & Biomedicine Lung - diagnostic imaging Lung - pathology Magnetic Resonance Imaging Medicine, General & Internal Mental Disorders - etiology Mycobacterium tuberculosis - isolation & purification Neutrophils Oxygen saturation Pleural effusion Radiography, Thoracic Science & Technology Stomach Neoplasms - complications Thrombocytopenia Tomography, X-Ray Computed Tuberculosis, Meningeal - complications Tuberculosis, Meningeal - diagnosis Womens health
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Beschreibung
Zusammenfassung:	A 76-year-old woman with a history of gastric adenocarcinoma and chronic kidney disease presented with lethargy and altered mental status. She had anemia and thrombocytopenia; MRI showed foci of restricted diffusion in the left cerebellar hemisphere and right frontal lobe. A diagnostic test was performed.
ISSN:	0028-4793 1533-4406
DOI:	10.1056/NEJMcpc2027084