OBJECTIVE FINDINGS: On physical examination the patient was conscious and alert but disoriented to time and place. Blood pressure was 160/80 mm Hg. Pulse, 96. Respirations, 20. Temperature 38.8®C. There were no focal neurologic deficits. Chest radiograph, urinalysis, and blood cultures were negative. A neurology consultation was obtained. Magnetic Resonance Imaging of the brain was performed which disclosed encephalitis. An electroencephalogram was markedly normal for his age.…
Nancy, a 24-year-old nurse, took a day off work as she had a headache. Over the day her headache worsened, she became intolerant to light, and she developed a rash on her legs and chest. Nancy’s mother rushed her into hospital where a lumbar puncture was performed in order to gather a sample of cerebrospinal fluid. The lumbar puncture revealed that Nancy had meningitis. Meningitis is caused by an infection of the cerebrospinal fluid resulting in inflammation of the meninges.…
H.M. was born in Hartford, Connecticut in 1926. H.M. had epilepsy, which ran through his family. Three of his cousins had epilepsy as well as his father’s side of the family. When he was nine, H.M. had a bicycle accident and he got a head injury from it. He soon began to get epileptic seizures from it, however, the origin of his epilepsy is still unknown. When H.M. was sixteen, he had his first major seizure. By the time H.M. was in his twenties, the severity and frequency of his seizures began to grow and get worse. He started having blackouts and seizures up to ten times a week. At the time H.M. was working as a motor winder, and…
HISTORY: Ms. Copeland is a very pleasant 58-year-old white female who gives a history of several years of what she calls short-term memory problems. She has had no long-term deficits. No family history of dementia. Denies head injuries specifically the loss of consciousness although she did have a blow to the head four years ago. She has had no strokes, denies any current sensory or motor loss. She had a single seizure back about 30 years ago without recurrence. MRI scan done at that time was apparently negative.…
The movie Awakenings is a 1990 American drama film based on Oliver Sacks' 1973 memoir of the same title. It is one of the best movie that touches the heart of many people. It is the most emotionally stunning and profound moving journey that was based on a true to life story.…
Werner Doyle performed a brain biopsy on Susannah. The results confirmed the expected inflammation of her brain. They knew that she had an autoimmune disease, but they didn’t know what kind. In the meantime, they could begin treatment with intravenous steroids. A Dr. Dalmau was given her spinal fluid samples to test for Anti-NMDA-receptor autoimmune encephalitis. Dr. Dalmau had discovered this disease by studying four women with similar symptoms, including a high white blood cell count, delusions, memory problems, and teratomas in their ovaries. They also had similar antibodies targeting specific areas of the brain, such as the hippocampus. Susannah’s results came back positive, but thankfully, she did not have any teratomas. Because of the aggressive plan of IVIG treatments, steroids, and plasmapheresis, Susannah was discharged from the hospital after twenty-eight days. The doctors weren’t sure if Susannah would ever be completely herself again, but with checkups, therapy, and the treatments, they were…
· He is an example because he performs neurological examinations on patients at the Clinic such as Leonard.…
The disease I have chosen to discuss is Narcolepsy. Narcolepsy is a chronic sleep disorder which is characterized by overwhelming daytime drowsiness and sudden attacks of sleep. People who suffer from this condition find it hard to stay awake for any long periods of time. It doesn’t matter what the circumstances are work, driving, eating or watching television. Narcolepsy is known to cause serious disruptions to a person’s daily routine. Good introSome people think narcolepsy is caused from or related to depression, seizure disorders, fainting, lack of sleep among other abnormal sleep conditions.. Research has shown this is not true. Narcolepsy is known as a…
People of all ages can get it and a significant sign of diagnosing the condition is experiencing two or more seizures in a 24 hour period (“The Epilepsies” 2016). Although there is no cure for epilepsy, the condition can be controlled with anticonvulsant drugs. I personally have prior knowledge of the condition from my AP Biology class. I immediately thought of my senior year of high school, when I first was taught about epilepsy. My friend Nadine showed us a documentary which showed an old man who would suddenly fall out of consciousness during his daily tasks; I remember this documentary very well because it was a scary sight for me to…
The Awakenings was based on a group of patients with a disease called Encephalitis. The first sign of Encephalitis is normal flu like symptoms then starts getting more severe and will cause muscle pains, upper body weakness, tremors, neck rigidity and behavioral changes. Once it becomes severe there is a high chance the person will enter a coma-like state also known as Akinetic Mutism. In the movie, the Awakenings, this state would give the patients the name ‘Statue’. They will physically be there, but mentally they are gone.…
In 1901, Dr. Alois Alzheimer began observing a patient named Auguste D. Auguste began behaving more and more bizarrely after developing an intense suspicion about her husband. She would hide objects, become lost in her own home, start screaming loud insisting that people were out to murder her. Dr. Alzheimer found Auguste confused lines when she read, repeated single style labels many times when she wrote and used odd phrases when she spoke. When Auguste died in 1906, Dr. Alzheimer performed an autopsy on her brain. The autopsy revealed damage and cell death had shrunk the tissue. The nerve cells contained a “tangled bundle of fibrils”. From this observation Dr. Alois termed the disease after himself calling it Alzheimer’s disease. Tangles and plaques are the 2 most important pathological features of Alzheimer’s disease.…
"In the US, more than 2.3 million people are affected by seizures, and an estimated 3% of the population (about 7.2 million people) will experience at least one seizure during their lifetime. (This does not count the 5% of children who have seizures caused by fevers.) It affects all age groups. About 14% of epilepsy patients are under 15 years old and 24% are over 64, with 62% being between those ages. Every year between 25,000 and 40,000 American children have a first seizure that is unrelated to a fever. Epilepsy is decreasing in childhood but increasing in the elderly, probably because of mild strokes and cardiac…
children currently suffer from this incurable disease. This disease causes more than 14 people to…
Can you imagine being stucked in a situation where you can’t do anything? Try to picture being trapped inside your body which is turned to stone. Think about being robbed of a beautiful future just because of your condition. These are the things that we should take a closer look at as we watch the wonderful and touching movie Awakenings. The film is based on Oliver Sacks’ book in 1973. Sacks is a clinical neurologist who in 1969, administered a drug called L-Dopa to a group of catatonic patients with whom he diagnosed with post-encephalitis syndrome. The movie adaptation centers at Dr. Sacks, who is fictionalized as Dr. Malcolm Sayer, and Leonard Lowe, a patient who suffers from the said disorder. Robin Williams stars as the doctor…
Battling with the issue known as seizures, this condition can take a toll on a person, but being diagnosed can be the worse news anyone can get. There is no preparing for the outcome because it comes at any moment. I know this all too well, because I am one who suffers from this. It is very much disturbing, emotionally and physically. That’s why, it’s important that those living with seizures know the safety of getting immediate help.…