A small rubbery granuloma that has a necrotic center and is enclosed by an inflamed fibrous capsule. It is characteristic of an advanced stage of syphilis.
While the defendant claimed that Gumma and Frecker's conclusions that the accident caused the plaintiff's stroke were unsustainable, the panel held that "such determinations are for a fact-finder to decide."
Minister Bushara Gumma made his remarks in a talk show broadcasted by the Ashrooq TV on Sunday, after a decision an arrest warrant issued by the state security prosecutor to arrest al-Mahdi who is scheduled to return to Khartoum on Monday 19 November.
We suspected that the right facial nerve palsy and the hearing loss were due to neurosyphilis causing cranial nerve (CN) VII and CN VIII dysfunction and that the lesion on the left temporal lobe was a cerebral syphilitic gumma. However, we could not exclude primary central nervous system lymphoma or a brain tumor, such as glioma, and bacterial brain abscess.
Endogenous infection is secondary to a preexisting primary focus and may result from contiguous (orificial tuberculosis, scrofuloderma), hematogenous (acute miliary tuberculosis, tuberculous gumma, and lupus vulgaris), or lymphatic dissemination (lupus vulgaris) [2,16].
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