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J Neurol Neurosurg Psychiatry 2008;79:12-13 doi:10.1136/jnnp.2007.118182
  • Neurological picture

Demyelinating butterfly pseudo-glioma

  1. J Scozzafava1,
  2. E S Johnson2,
  3. G Blevins3
  1. 1
    Department of Critical Care Medicine, University of Calgary, Calgary, Alberta, Canada
  2. 2
    Division of Anatomic Pathology, University of Alberta, Edmonton, Alberta, Canada
  3. 3
    Division of Neurology, University of Alberta, Edmonton, Alberta, Canada
  1. Dr J Scozzafava, Foothills Medical Centre, 1403-29th Street NW, Calgary, Alberta, Canada T2N 2T9; James.Scozzafava{at}calgaryhealthregion.ca
  • Received 20 February 2007

A 27-year-old woman had a 2 month history of progressive headache, nausea, vomiting and deterioration in memory, mood and affect. She was 5 months post partum. Prior to her admission to hospital, her symptoms were attributed to post-partum depression. She had no significant medical history. Her only medication at admission was citalopram, which was recently started by her family physician because of her deteriorating mood and labile affect.

On examination, her vital signs were normal. She was alert and oriented. Formal cognitive testing revealed difficulty with attention, concentration and short term memory. Constructional and …

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