Abstract
A man in his 40s presented with 1 month of worsening confusion, fatigue, and headache. Results from laboratory analyses were notable for a complete white blood cell count of 17 000/μL (31% blast cells), a platelet count of 76 000/μL, and a hemoglobin level of 16.6 g/dL. Imaging studies revealed a large mixed-attenuation subdural collection in the right frontal region with prominent mass effect. The patient underwent an emergency neurosurgical procedure. The differential diagnosis, pathologic findings, and diagnosis are discussed.
MeSH terms
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Adult
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Antineoplastic Agents, Hormonal / therapeutic use
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Craniotomy / methods
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DNA Nucleotidylexotransferase / metabolism
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Dexamethasone / therapeutic use
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Headache / complications
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Headache / etiology*
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Headache / therapy
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Humans
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Lethargy / complications
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Lethargy / etiology*
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Lethargy / therapy
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Leukemia / complications*
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Leukemia / diagnosis*
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Leukemia / therapy
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Leukocytes, Mononuclear / pathology
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Levetiracetam
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Magnetic Resonance Imaging
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Male
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Mental Disorders / complications
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Mental Disorders / etiology*
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Mental Disorders / therapy
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Nootropic Agents / therapeutic use
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Piracetam / analogs & derivatives
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Piracetam / therapeutic use
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Tomography, X-Ray Computed
Substances
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Antineoplastic Agents, Hormonal
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Nootropic Agents
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Levetiracetam
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Dexamethasone
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DNA Nucleotidylexotransferase
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Piracetam