Presentation
Dementia screen. Past history of cranial surgery causing seizures. Many years of phenytoin use.
Patient Data
Age: 55 years
Gender: Female
Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
From the case:
Phenytoin cerebellar degeneration
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Signs of previous skull vault surgery (craniotomy and burr holes) with gross generalized thickening of the skull vault. Left cerebral hemispheric atrophy (cause uncertain but responsible for chronic seizures). Note gross generalized cerebellar atrophy also due to phenytoin use.