My worst nightmare: A case of granulomatous encephalitis

A 74-year-old woman was admitted to the neurology department with a 2-week history of rapidly evolving cerebellar syndrome and nonspecific lesions on brain CT and MRI. After four months, she was readmitted for acute aphasia, dysarthria, ataxia, and right hemiparesis. New brain lesions were found on MRI and brain biopsy was needed to establish the diagnosis. Listen to the Best Case Report Contest presentation by Dr Stephanie Wang from the Division of Internal Medicine, Centre hospitalier de l'Université de Montréal (CHUM), Canada.

About BCRC

The Best Case Report Contest (BCRC) is a contest for internal medicine specialists or trainees in internal medicine up to 35 years of age representing national societies of internal medicine or universities who are the official partners of the McMaster International Review Conference of Internal Medicine (MIRCIM). Every year the most engaing submissions from around the world are presented by authors during a special session at MIRCIM—Clinical Cases in Internal Medicine: Learning Through Practice. Click here to learn more about the contest.