Physicians in their practice repeatedly encounter cases that can confound even an extremely experienced specialist. One such incident occurred with the 84-year-old Irishman. Happening described Dr. Finlay Brown (Finlay Brown) in the edition of BMJ Case Reports.
The man complained to doctors about the problems associated with poor coordination. Last months the elderly Irishman, in his own words, was extremely clumsy, periodically stumbled and fell. A few days before the trip to the doctor, he also felt a weakness that swept the left side of the body. With all this, the speech and vision of the elderly person were in perfect order.
First, doctors did not reveal any pathologies, coming to the conclusion about the normal operation of the peripheral nervous system. Specialists suggested a stroke, after which a computed tomography scan was performed. The results surprised the experts very much: there was a void on the site of the right frontal lobe. Finlay Brown suggested carrying out the operation in his younger years, however, according to the patient, there was nothing like this in his life. The subsequent magnetic resonance imaging showed a cavity formed in the front of the skull, which reached 9 cm in diameter. A similar phenomenon is called “pneumatology”: it can be observed after injuries, infections or surgical operations.
In the case described, the cause was a benign tumor – osteoma. It was formed in the area of the trellis bone, the unpaired bone of the cerebral part of the human skull, which separates the nasal cavity from the cranial cavity. Due to damage to the bone, air began to enter the skull, so that the effect of a one-way valve was obtained.
Further studies showed that increased pressure in the skull caused a slight hemorrhage, which led to the appearance of initial symptoms. The doctors suggested an operation that would prevent the risk of a re-hemorrhage. But the patient chose conservative treatment, fearing risks. After 12 weeks the patient declared normal health, so treatment can be considered successful.
Recall, one of the most amazing cases of medical practice associated with the human brain, had a place in 2014, when a tapeworm was extracted from the Chinese brain, who lived there for almost four years.