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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 339:1914-1923 December 24, 1998 Number 26
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Case 39-1998— A 13-Year-Old Girl with a Relapsing-Remitting Neurological Disorder
John F. Dashe, and Philip J. Boyer

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Presentation of Case

A 13-year-old right-handed girl was admitted to the hospital because of a relapsing–remitting neurologic disorder.

She had had a normal childhood, although she was awkward at running, bicycle riding, and gymnastics. Twenty-six months before admission, she had an acute febrile episode with otitis, pharyngitis, headache, drowsiness, imbalance, and confusion. A magnetic resonance imaging (MRI) examination of the brain showed signal abnormalities in both occipital lobes. A computed tomographic (CT) scan of the brain revealed radiolucent areas in both occipital lobes. The following month, the girl had a grand mal seizure, followed by cortical blindness for 18 hours, with slow resolution. . . . [Full Text of this Article]

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Dr. John F. Dashe's Diagnosis

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