Cervicomedullary injury after @entity2506 with XXXX .

@entity1 @entity1688 @entity2657 @entity101 @entity4894 @entity328 @entity428 @entity2506 @entity693 @entity230 @entity10 @entity2287 @entity221
OBJECTIVES: To demonstrate a rare but potential mechanism of @entity1688 in a @entity1 with fulminant @entity2506 complicated by severe intracranial @entity101 . DESIGN: Case report. SETTING: Intensive care unit. @entity1 : A 21-year-old @entity1 who presented with 3 days of @entity10 , combativeness, and @entity221 . INTERVENTION: Antibiotics and @entity230 were initiated after lumbar puncture yielded purulent cerebrospinal fluid and @entity328 . RESULTS: The @entity1 's course was complicated by severe @entity2657 necessitating intracranial pressure monitoring and intracranial pressure-targeted therapy. Within 5 days he developed @entity1688 and @entity4894 . Brain and cervical spine magnetic resonance imaging revealed patchy areas of T2 signal hyperintensity with associated @entity2287 enhancement in the superior cervical spinal cord, cerebellar tonsils, and medulla. CONCLUSIONS: @entity1688 secondary to tonsillar herniation in @entity693 is rare but should be considered in @entity1 with acute @entity1688 after treatment of @entity428 . Magnetic resonance imaging signal changes and @entity2287 enhancement may be demonstrated. Significant improvement of cord symptoms can be expected.
