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. 2022 May;6(2):112-116.
doi: 10.5811/cpcem.2022.4.56508.

58-year-old Male with a Headache, Hand Numbness, and Phantosmia

Naillid Felipe  1 , Leen Alblaihed  2 , Zachary D W Dezman  2   3 , Laura J Bontempo  2
Affiliations

58-year-old Male with a Headache, Hand Numbness, and Phantosmia

Naillid Felipe et al. Clin Pract Cases Emerg Med. 2022 May.

Abstract

Introduction: A 58-year-old male presents to the emergency department with headache, hand numbness, and phantosmia.

Case presentation: Magnetic resonance imaging showed multiple acute and early subacute lesions involving the cortex and subcortical white matter of the left frontal lobe, left parietal lobe, left temporal lobe, left caudate, and left putamen.

Discussion: This case takes the reader through the subtle findings that led to the diagnosis and ultimately to treatment.

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Conflict of interest statement

Conflicts of Interest: By the CPC-EM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. The authors disclosed none.

Figures

Image 1
Image 1
Coronal (A) and axial (B) brain computed tomography representative images of a 58-year-old male presenting with a headache, hand numbness, and phantosmia.
Image 2
Image 2
Coronal images of a brain computed tomography without contrast of a 58-year-old male presenting with a headache, hand numbness, and phantosmia showing a hypodensity in the left caudate nucleus in the (A) coronal (arrow) and (B) axial (arrow) views.
See this image and copyright information in PMC

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