Clinical Case Reports

Vicious flower maintenance formulation of client's health anxiety, adapted from Salkovskis et al. (Brief Treat Crisis Interv, 2003, 3, 353).

Atypical posterior reversible encephalopathy syndrome (PRES) in transplant recipients. This study describes a case of PRES in a 19-year-old male following bilateral lung and liver transplantation. The patient presented with a bilateral tonic-clonic seizure and exhibited an unconventional MRI pattern known as the “lentiform fork sign,” indicating bilateral symmetrical vasogenic edema in the basal ganglia. Management involving immunosuppressive drug modification and magnesium supplementation led to a significant clinical and neuroimaging resolution within 14 days. This case underscores the diverse manifestations of PRES, the pivotal role of neuroimaging in diagnosis, and the need for tailored management strategies in transplant recipients.

Sagitta T2-weighted Magnetic resonance imaging (MRI) (Left) MRI before hematoma removal showed spinal cord epidural hematoma at the T8-L1 level. (Right) MRI at 3 weeks after hematoma removal: hematoma was removed, but spinal cord degeneration was evident.

Masses containing rice bodies, originating from dorsal and volar tendon sheaths of the wrist.

A 31-year-old female with a diagnosis of bipolar disorder developed black hairy tongue after alprozolam therapy. Her symptom resolved 10 days after the cessation of alprozolam.

Herpes simplex encephalitis (HSE) is the most common cause of infectious encephalitis worldwide. Clinical features include fever and altered mental status—symptoms that are extremely common in clinical practice and nonspecific. It is important for the clinician to recognize the signs and commence empirical antiviral agents if HSE is suspected.