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 343:50-55 July 6, 2000 Number 1 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 Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

Six days after he was found on the floor with altered consciousness, a 51-year-old man went to see his physician. The episode was associated with emesis and fecal incontinence. The patient reported feeling confused for approximately 30 minutes after the incident. He also had severe weakness in both legs and was unable to walk for 24 hours.

Altered consciousness associated with incontinence and transient confusion is most suggestive of a seizure. However, persistent weakness of the legs is unusual after a seizure and raises other diagnostic possibilities. Ischemia in the posterior circulation can produce weakness of the legs and disturbances . . . [Full Text of this Article]

Commentary

Source Information

From Stanford University Medical Center, Stanford, Calif. (E.C.M.-B., M.B.J., G.W.A.); the Department of Medicine, Stanford Medical Group, Palo Alto, Calif. (M.B.J.); and the Department of Neurology and Neurological Sciences, Stanford Stroke Center, Palo Alto, Calif. (G.W.A.).

Address reprint requests to Dr. Jacobs at the Stanford Medical Group, 900 Blake Wilbur Dr., Rm. 2071, Palo Alto, CA 94304, or at mbjacobs@leland.stanford.edu.

References

This article has been cited by other articles:

• Hwang, B. J., Connelly, M. M., Lev, M. H. (2001). Distinctive MR Imaging Appearance of Hemorrhagic Cerebral Aneurysms Associated with Atrial Myxoma. Am. J. Roentgenol. 177: 925-927 [Full Text]