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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 338:1212-1219 April 23, 1998 Number 17
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Case 13-1998— A 23-Year-Old Man with Progressive Weakness and Paresthesias
Stasha C. Gominak, and Didier P. Cros

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Presentation of Case

A 23-year-old man was seen in the clinic because of progressive weakness and paresthesias.

He had been well until six months earlier, when he began to have difficulty climbing a flight of stairs quickly and noted intermittent tingling of the soles of his feet and toes. Two months later, he had increasing weakness in his legs, pain in the lower back, stiffness of the hands, and intermittent numbness of the toes and fingertips. Three months before this visit to the clinic, a tremor developed in the arms. The weakness worsened, and the feet and calves became numb, with tingling in . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Stasha C. Gominak's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References




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