title: Coma, hypertension, and brainstem imaging abnormalities in a paraplegic man with necrotizing fasciitis.
abstract: In this 2-part article, the reader has the opportunity to identify the differential diagnosis for the patient described in the title, on the basis of the history, examination results, laboratory evaluations, and neurophysiologic and imaging findings. The differential diagnosis and a discussion of the case are presented on pages 136-138.
authors.affiliation: Department of Neurology, Mayo Clinic, Rochester, MN, USA.
authors.forename: Alyx
authors.initials: A
authors.lastname: Porter-Umphrey
authors.forename: Alejandro A
authors.initials: AA
authors.lastname: Rabinstein
authors.forename: Maja
authors.initials: M
authors.lastname: Tippmann-Peikert
mesh_terms: D019575:Blindness, Cortical / Q000209:etiology; D001933:Brain Stem / Q000473:pathology*; D002555:Cerebrospinal Fluid / Q000737:chemistry; D003125:Colostomy; D003128:Coma / Q000209:etiology*; D003646:Debridement; D003937:Diagnosis, Differential; D019115:Fasciitis, Necrotizing / Q000473:pathology* / Q000601:surgery; D006509:Hepatitis B / Q000473:pathology; D006526:Hepatitis C / Q000473:pathology; D006801:Humans; D006973:Hypertension / Q000150:complications*; D020343:Hypertensive Encephalopathy / Q000209:etiology / Q000473:pathology* / Q000503:physiopathology; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010264:Paraplegia / Q000473:pathology*; D003668:Pressure Ulcer / Q000473:pathology / Q000601:surgery; D012640:Seizures / Q000209:etiology