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A 36-year-old left-handed woman was admitted to the hospital because of progressive, bilateral hand weakness and numbness, bilateral facial weakness, and loss of truncal sensation.
She had been well until five years earlier, when she experienced numbness in her shoulders and noted incomplete closure of her left eye and later her right eye. During the next several years, numbness and weakness developed and gradually worsened in her right hand and then her left hand, she gradually became aware of sensory impairment of the trunk, and painful muscle spasms developed in both hands. On one occasion, she burned herself on the
Differential Diagnosis
Clinical Diagnosis
Dr. Peter T.C. Siao's Diagnosis
Pathological Discussion
Laboratory Diagnosis
References
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