Alexander J. Scumpia

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BACKGROUND Patients with pineal lesions typically present with the classical signs of increased intracranial pressure (headache, nausea, vomiting) and/or Parinaud's syndrome. Rare symptomatology of secondary parkinsonism attributed to pineal lesions has been previously reported in the literature. We describe an unusual case of a pineal cyst in a patient(More)
BACKGROUND Spontaneous intracranial hypotension is an increasingly recognized cause of new-onset, daily, persistent headaches. Although these headaches are similar to post-lumbar puncture headaches, characteristic differences include intracranial pachymeningeal enhancement, subdural fluid collections, and downward displacement of the brain. The(More)
BACKGROUND Medulloblastoma is a primitive neuro-ectodermal tumor. It is common in childhood, but rarely seen at adult age, comprising only 1% of primary brain tumors. METHODS We treated a 31-year-old man presented to the emergency department (ED) with a chief complaint of nausea and vomiting for one week duration. Immediate frozen section revealed a grade(More)
Supervising Section Editor: Sean O. Henderson, MD Submission history: Submitted October 25, 2012; Accepted November 19, 2012 Full text available through open access at DOI: 10.5811/westjem.2012.11.14368 [West J Emerg Med 2013;14(2):175-176.] Mount Sinai Medical Center, Department of Emergency Medicine, Miami Beach,(More)
Introduction: Diaphragmatic rupture is a relatively rare injury with a reported incidence of 1 to 7% of all patients following significant blunt trauma. 4 In a review of 1589 patients, Asensio et al reported that 75% had left sided injuries, 23% had right-sided injuries, and 2% had bilateral injuries. 1 This preponderance for left-sided injuries is thought(More)
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