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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 337:184-190 July 17, 1997 Number 3
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Case 22-1997— A 58-Year-Old Woman with Multiple Cranial Neuropathies
Michael T. Hayes, Oscar Soto, and Kathryn L. Ruoff

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Presentation of Case

A 58-year-old right-handed woman was admitted to the hospital because of multiple cranial neuropathies.

The patient had been well until two days earlier, when she began to have difficulty swallowing food while having dinner at home. During the next two or three hours, diplopia developed, with marked dysarthria to the point of losing the power of speech. She was taken to another hospital, where attempted magnetic resonance imaging (MRI) and angiographic studies could not be performed because of her inability to cooperate. Approximately 24 hours after her admission there, her condition was unimproved, and she was transferred to this hospital.

. . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Michael T. Hayes's Diagnosis

Pathological Discussion

Laboratory Diagnosis

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