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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 333:1625-1630 December 14, 1995 Number 24
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Case 38-1995— A 68-year-old man with paresthesias and severe pain in both hands
J.L. Ochoa, and E.T. Hedley-Whyte

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Presentation of Case

A 68-year-old, right-handed man was admitted to the neurologic clinic because of paresthesias and severe pain in the hands.

The patient had been in stable health until 46 days earlier, when he had the sudden onset of increasingly severe paroxysms of "burning" pain in his hands, especially the right hand, accompanied by constant milder pain with persistent numbness and tingling, which were also more severe on the right side, with weakness of the hands. The paroxysms varied in severity and occurred in any position of recumbency; he could sleep for only a few hours on a recliner. For three months . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. José L. Ochoa's Diagnoses

Pathological Discussion

Anatomical Diagnosis

References




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