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A 75-year-old man was admitted to the hospital because of cranial-nerve deficits and a footdrop.
The patient had been well until the age of 74 years and 3 months, when an erythematous, nonpruritic rash developed on the scalp, accompanied by anorexia, after an insect bite; the rash and anorexia resolved over a period of several weeks. Three months later he had Bell's palsy on the left side, with preauricular pain, which resolved partially after three weeks. Two weeks thereafter Bell's palsy developed on the right side, with preauricular pain. During the next few weeks there was the insidious onset of
Differential Diagnosis
Clinical Diagnosis
Dr. H. Royden Jones's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
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