Chapter

Case 38

Sarah T Pendlebury, Philip Anslow and Peter M Rothwell

in Neurological Case Histories

Published on behalf of Oxford University Press

Published in print February 2007 | ISBN: 9780192631626
Published online November 2012 | e-ISBN: 9780191753121 | DOI: http://dx.doi.org/10.1093/med/9780192631626.003.0038

Series: Oxford Case Histories

Case 38

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A 30-year-old woman had received a renal transplant 4 years previously following renal failure secondary to IgA nephropathy. Ten days prior to admission, she developed an occipital headache worse on movement and coughing. This was followed 3 days later by malaise, shivers, and nocturnal sweats. Three days prior to admission, she became emotionally labile and then dysarthric. She was taking prednisolone 5mg, ciclosporin 1g bd, mycophenolate 150mg bd, nifedipine and ranitidine. Recent investigations by the renal clinic had shown no evidence of graft rejection, a glomerular filtration rate of 50 ml/min, and normal ciclosporin levels.

Chapter.  1512 words.  Illustrated.

Subjects: Neurology

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