Nō to shinkei = Brain and nerve
-
Review Case Reports
[Dissecting aneurysm of the middle cerebral artery with subarachnoid hemorrhage undetectable on preoperative neuroradiological findings: case report].
We report a rare case of a dissecting aneurysm (DA) of the middle cerebral artery(MCA) associated with subarachnoid hemorrhage(SAH) undetectable on preoperative neuroradiological findings. A 64-year-old man was admitted to our hospital because of a sudden onset of occipital headache. CT scan showed SAH mainly in the basal cisterns and left sylvian fissure. ⋯ The postoperative course was uneventful and the patient was discharged without neurological deficits. There has been no rebleeding nor new ischemic attack during the ten months since surgery. The 20 reported cases of a DA of the MCA associated with SAH with our case are reviewed and their neuroradiological and clinical features are discussed.
-
Review Case Reports
[Two cases of generalized tetanus presenting with dysphagia as an initial symptom].
We describe two patients with generalized tetanus, a 60-year-old man and a 76-year-old woman, presenting with dysphagia as an initial symptom of the disease. Eighty percent of patients with generalized tetanus manifest dysphagia on admission to a hospital. However, dysphagia is rare as an initial symptom. ⋯ Therefore, elderly people are considered susceptible to tetanus. We suggest that tetanus should be considered in the differential diagnosis of dysphagia particularly in elderly patients. We also suggest that treatment of tetanus should be initiated immediately, because tetanus still has a high mortality rate at present.