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 335:1049-1053 October 3, 1996 Number 14 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 Letters Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

A 50-year-old black man was brought to the emergency room. He had been unable to move his legs for four days and complained of impaired speech.

The lesion in this patient may be in the lower-cranial-nerve area, perhaps due to a basilar meningitis, or somewhere in the cerebral hemispheres. I assume that it does not appear septic, because this was not described as his presenting picture. He appears to have a global process that is affecting his brain stem rather than higher cortical function, since he is not described as confused. What additional information do we have?

The patient had . . . [Full Text of this Article]

Discussion

Source Information

From the Department of Emergency Medicine, Boston Medical Center (J.B.), and the Departments of Infectious Disease (M.G.W.) and Neurology (E.S.L.), St. Elizabeth's Medical Center of Boston — both in Boston.

Address reprint requests to Dr. Brown at the Department of Emergency Medicine, Boston Medical Center, 818 Harrison Ave., Boston, MA 02118.

References

Related Letters:

Learning from Our Errors
Boardman H. S., Blank E., Azevedo J. R. D., Andrioli M. S., Brown J., Worthington M. J.
Extract | Full Text  
N Engl J Med 1997; 336:876-878, Mar 20, 1997. Correspondence

This article has been cited by other articles:

• Mundia, M., Edelstein, P. H., Friedlander, R. M., Slotkin, J. R. (2003). Case 16-2003 -- Brain Abscess. NEJM 349: 1004-1006 [Full Text]  
• Boardman, H. S., Blank, E., Azevedo, J. R. D., Andrioli, M. S., Brown, J., Worthington, M. J. (1997). Learning from Our Errors. NEJM 336: 876-878 [Full Text]