Cerebellar ataxia | Figure 1

CincyKidsRad

Cincinnati Children's Radiology

Cerebellar ataxia

Sagittal T1-weighted MRI through the left (image 1) and right (image 2) cerebellar hemisphere and axial T1-weighted (image 3) MRI in a patient with ataxia show diffuse cerebellar atrophy with widening of the cerebellar folia and cerebellar vermis. Spinocerebellar ataxia is a degenerative hereditary disorder. Patients initially present with ataxia. Other symptoms included difficulty of speech and swallowing, spasticity, ophthalmoplegia, nystagmus, and cognitive impairment.

Trending now

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?