Take the lead

Take the lead

A 23-year-old previously healthy woman presented with headache, generalized seizures, ataxia, encephalopathy, abdominal pain, nausea, and vomiting culminating in a 40-pound weight loss. A contrasted magnetic resonance imaging scan of the brain showed T2/FLAIR hyperintensities in the sulci of the occ...

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Veröffentlicht in:Survey of ophthalmology 2023-09, Vol.68 (5), p.1006-1010
Hauptverfasser: Vaphiades, Michael S., Carey, Andrew R.
Format: Artikel
Sprache:eng
Schlagworte:
Adult
Brain
Brain Diseases
Encephalopathy
Female
Humans
Lead
Lead toxicity
Magnetic Resonance Imaging
Papilledema
Plumbism
Young Adult
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Zusammenfassung:A 23-year-old previously healthy woman presented with headache, generalized seizures, ataxia, encephalopathy, abdominal pain, nausea, and vomiting culminating in a 40-pound weight loss. A contrasted magnetic resonance imaging scan of the brain showed T2/FLAIR hyperintensities in the sulci of the occipital and parietal lobes, a punctate focus of restricted diffusion along the inferior aspect of the left caudate head and an empty sella. A lumbar puncture showed an opening pressure of 55 cm H2O, and kidney, ureter, and bladder X ray showed a radiopaque particle in the colon. Serum lead level was 85 mcg/dL (
ISSN:0039-6257
1879-3304
DOI:10.1016/j.survophthal.2023.05.005