A 38-year old patient has developed lumbar pain with irradiation along the posterior surface of his left leg during lifting heavy weights. Pain increases when body position is changed and in the upright position. Positive stretch symptoms were detected during examination. What is the preliminary diagnosis?
*Pathology of the intervertebral disks (osteochondrosis);
Spinal cord tumor;
An 8-year old child has been reporting vomiting for 3 weeks predominantly in the pre-morning hours and during abrupt changes of head position. During examination child has a forced position of his head tilted rightwards, bilateral horizontal positional nystagmus is detected as well as unsteadiness in Romberg's position. On the ocular fundus - edema of the optic nerve disks.
A 40-year old patient is reporting worsening of her eyesight in the right eye, protrusion of her right eye, periodical headache predominantly in the morning, decreased memory. Objectively: right-side exophthalmus, right-side vision acuity 0.05, left-side - 1.0. On the ocular fundus - primary atrophy of the right optic nerve, edema of the left optic nerve disk. What pathology caused these clinical manifestations:
Aneurism of the cerebral vessels;
*Tumor of the anterior cranial fossa;
A 36-year old patient has lower spastic paraparesis, conduction hypalgesia from the level of Th4. During lumbar puncture CSF pressure is 80 mm H20, during liquorodynamic tests - complete liquorodynamic block, CSF hyperalbuminosis. Which disease is most likely?
Vascular process (myelopathy);
*Spinal cord tumor;
A 20-year old patient has undergone an otorhinolaryngologic a 1 surgery due to left-side purulent otitis. Three days after the procedure patient developed general cerebral symptoms as well as focal symptoms of the left hemispheric lesion. During Echo-EG - a 6 mm rightward dislocation of the midline echo has been detected. On the ocular fundus - veins are dilated, plethoric, increased pulsation of the arteries. What caused deterioration of patient's status?
Exacerbation of otitis;
A child aged 1 year and 10 months has been admitted to the clinic. The dressing on child's head is overwhelmingly soaked with ichorous liquid. Father has said that the child has fallen on the playground and has hit her head against the board; she did not faint. The dressing has been put which is continuously soaking. During examination child is somnolent, no focal neurologic symptoms are detected, and meningeal signs are absent. In the right parietal region there is a linear skin injury 1 cm long which is constantly excreting ichorous fluid.
A 20-year old patient was admitted to the intensive care unit in a severe status, unconscious, with seizures more prominent in the left extremities, pricking causes intensification of seizures, prominent meningeal syndrome.
Parents have said that 7 years ago patient developed seizures in the left extremities which occurred once in 6 months. Three years ago generalized seizures developed with loss of consciousness which repeated every 2 months. Today in the morning patient has developed severe headache, vomiting, weakness in the left extremities, clonic seizures with loss of consciousness. During lumbar puncture patient's CSF is intensely colored with blood, CSF pressure is 240 mm H20.
What is the preliminary diagnosis?
A 36-year old patient two months ago has undergone a radical surgery due to chronic right-side otitis. Patient's status after the surgery was satisfactory. Three weeks ago patient developed headache, nausea and vomiting t - 39° -38.5° as well as focal symptoms of the right hemispheric lesion, meningeal syndrome. Patient is hospitalized due to otogenic meningitis. Today patient's status has worsened, patient is in sopor; anisocoria is detected D>S. Midline M-echo is dislocate leftwards by 8 mm. What pathology caused deterioration of patient's status?
A 32-year old patient has reported severe headache and fainted, falling down. Emergency physician has noted patient's severe status, sopor, and meningeal syndrome. In the inpatient department - during lumbar puncture - CSF is hemorrhagic, CSF pressure is 260 mm. What is the preliminary diagnosis?