Coma, hypertension, and brainstem imaging abnormalities in a paraplegic man with necrotizing fasciitis.
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.
Porter-Umphrey
Alyx
A
Department of Neurology, Mayo Clinic, Rochester, MN, USA.
Rabinstein
Alejandro A
AA
Tippmann-Peikert
Maja
M
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