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Biomedical subjects

J R Shuping

Publications and source records attributed to J R Shuping.

4 recordsLinked to original sources

Multiple subdural hematomas associated with breakdancing.

A 17-year-old, previously healthy, male breakdancer presented with a three-month history of crescendo headache and newly identified papilledema. The patient was found to have four separate, unilateral extracranial collections. At surgery, three were subdural hematomas, and one was a probable arachnoid cyst containing a hematoma. These were removed, and the patient made an uneventful recovery with no neurosurgical sequelae. The possibility of serious head injury must be considered when evaluating headache in youngsters who engage in this new and apparently popular dance form.

Adolescent↗

Transient global amnesia.

Transient global amnesia (TGA) was found in 41 of 76 patients admitted to the North Carolina Baptist Hospital with temporary disturbances of memory. Risk factors for stroke were present in 26 (63%) of these 41 patients, and additional risk factors developed in 9 (27%) of the 33 patients available for follow-up. Follow-up evaluation in 33 patients (80%) for periods ranging from 1 to 17 years (mean, 60.3 months) revealed a low rate of recurrence (18%) and a still lower rate of progression to stroke (6%). No transient ischemic attacks were reported during this period. In 2 patients, multiple recurrences of TGA ceased after treatment of the underlying condition (polycythemia in 1 case and myxomatous degeneration of the mitral valve in the other.

Adult↗

Transient global amnesia due to glioma in the dominant hemisphere.

A patient with transient global amnesia (TGA) had a glioma in the dominant hippocampus. Neuroradiologic studies showed local mass effect on the posterior choroidal artery on that side. This finding suggests that unilateral involvement is sufficient to cause the syndrome despite the widely held view that bilateral lesions are essential.

Amnesia↗