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A 75-year-old right-handed man was referred to the Movement Disorders Unit of this hospital because of right-sided rigidity, dysphagia, dysarthria, and an impaired gait.
The patient's health had been stable until two years earlier, when his family began to observe episodes of "unresponsiveness." A magnetic resonance imaging (MRI) scan of the brain obtained elsewhere (Figure 1, 2, and 3) showed atrophy and hypointense areas in the basal ganglia on T2-weighted images considered consistent with calcifications or iron deposits. No additional episodes occurred after phenytoin treatment. One year later the patient began to lose his balance frequently and
Differential Diagnosis
Clinical Diagnosis
Dr. Robert G. Feldman's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
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