FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 333:1135-1143 October 26, 1995 Number 17 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

Presentation of Case

A 43-year-old right-handed paraplegic man was admitted to the hospital because of increasing confusion and aphasia, increasing fatigue, weight loss, and new decubitus ulcers.

The patient had been well until four years earlier, when diplopia, ataxia, dysarthria, and lethargy developed. A lumbar puncture was performed (Table 1). A magnetic resonance imaging (MRI) scan of the brain (Figure 1) showed increased T₂-weighted signal intensity in the pons, which extended into the midbrain, cerebellum, and posterior limb of the internal capsules, with swelling of those structures and slight ventricular enlargement; there was minimal enhancement with gadolinium. Corticosteroids . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Michael Ronthal's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References

HOME  |  SUBSCRIBE  |  SEARCH  |  CURRENT ISSUE  |  PAST ISSUES  |  COLLECTIONS  |  PRIVACY  |  TERMS OF USE  |  HELP  |  beta.nejm.org Comments and questions? Please contact us. The New England Journal of Medicine is owned, published, and copyrighted © 2009 Massachusetts Medical Society. All rights reserved.